Computer-based cognitive training for older adults

Determinants of adherence

Merita Turunen, Laura Hokkanen, Lars Bäckman, Anna Stigsdotter-Neely, Tuomo Hänninen, Teemu Paajanen, Hilkka Soininen, Miia Kivipelto, Tiia Ngandu

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

Sammanfattning

The possibilities of computer-based cognitive training (CCT) in postponing the onset of dementia are currently unclear, but promising. Our aim is to investigate older adults ' adherence to a long-term CCT program, and which participant characteristics are associated with adherence to the CCT. This study was part of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Participants were 60-77-year-old individuals with increased dementia risk, recruited from previous population-based studies. The participants included in this study (n = 631) had been randomized to receive a multi-domain lifestyle intervention, including CCT. The measure of adherence was the number of completed CCT sessions (max = 144) as continuous measure. Due to a substantial proportion of participants with 0 sessions, the zero inflated negative binomial regression analyses were used to enable assessment of both predictors of starting the training and predictors of completing a higher number of training sessions. Several cognitive, demographic, lifestyle, and health-related variables were examined as potential predictors of adherence to CCT. Altogether, 63% of the participants participated in the CCT at least once, 20% completed at least half of the training, and 12% completed all sessions. Previous experience with computers, being married or cohabiting, better memory performance, and positive expectations toward the study predicted greater odds for starting CCT. Previous computer use was the only factor associated with a greater number of training sessions completed. Our study shows that there is a large variation in adherence to a long-lasting CCT among older adults with an increased risk of dementia. The results indicate that encouraging computer use, and taking into account the level of cognitive functioning, may help boost adherence to CCT.
Originalspråkengelska
Artikelnummer0219541
TidskriftPLoS One
Volym14
Utgåva7
Antal sidor12
ISSN1932-6203
DOI
StatusPublicerad - 10 jul 2019
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 515 Psykologi

Citera det här

Turunen, M., Hokkanen, L., Bäckman, L., Stigsdotter-Neely, A., Hänninen, T., Paajanen, T., ... Ngandu, T. (2019). Computer-based cognitive training for older adults: Determinants of adherence. PLoS One, 14(7), [0219541]. https://doi.org/10.1371/journal.pone.0219541
Turunen, Merita ; Hokkanen, Laura ; Bäckman, Lars ; Stigsdotter-Neely, Anna ; Hänninen, Tuomo ; Paajanen, Teemu ; Soininen, Hilkka ; Kivipelto, Miia ; Ngandu, Tiia. / Computer-based cognitive training for older adults : Determinants of adherence. I: PLoS One. 2019 ; Vol. 14, Nr. 7.
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title = "Computer-based cognitive training for older adults: Determinants of adherence",
abstract = "The possibilities of computer-based cognitive training (CCT) in postponing the onset of dementia are currently unclear, but promising. Our aim is to investigate older adults ' adherence to a long-term CCT program, and which participant characteristics are associated with adherence to the CCT. This study was part of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Participants were 60-77-year-old individuals with increased dementia risk, recruited from previous population-based studies. The participants included in this study (n = 631) had been randomized to receive a multi-domain lifestyle intervention, including CCT. The measure of adherence was the number of completed CCT sessions (max = 144) as continuous measure. Due to a substantial proportion of participants with 0 sessions, the zero inflated negative binomial regression analyses were used to enable assessment of both predictors of starting the training and predictors of completing a higher number of training sessions. Several cognitive, demographic, lifestyle, and health-related variables were examined as potential predictors of adherence to CCT. Altogether, 63{\%} of the participants participated in the CCT at least once, 20{\%} completed at least half of the training, and 12{\%} completed all sessions. Previous experience with computers, being married or cohabiting, better memory performance, and positive expectations toward the study predicted greater odds for starting CCT. Previous computer use was the only factor associated with a greater number of training sessions completed. Our study shows that there is a large variation in adherence to a long-lasting CCT among older adults with an increased risk of dementia. The results indicate that encouraging computer use, and taking into account the level of cognitive functioning, may help boost adherence to CCT.",
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Turunen, M, Hokkanen, L, Bäckman, L, Stigsdotter-Neely, A, Hänninen, T, Paajanen, T, Soininen, H, Kivipelto, M & Ngandu, T 2019, 'Computer-based cognitive training for older adults: Determinants of adherence', PLoS One, vol. 14, nr. 7, 0219541. https://doi.org/10.1371/journal.pone.0219541

Computer-based cognitive training for older adults : Determinants of adherence. / Turunen, Merita; Hokkanen, Laura; Bäckman, Lars; Stigsdotter-Neely, Anna; Hänninen, Tuomo; Paajanen, Teemu; Soininen, Hilkka; Kivipelto, Miia; Ngandu, Tiia.

I: PLoS One, Vol. 14, Nr. 7, 0219541, 10.07.2019.

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

TY - JOUR

T1 - Computer-based cognitive training for older adults

T2 - Determinants of adherence

AU - Turunen, Merita

AU - Hokkanen, Laura

AU - Bäckman, Lars

AU - Stigsdotter-Neely, Anna

AU - Hänninen, Tuomo

AU - Paajanen, Teemu

AU - Soininen, Hilkka

AU - Kivipelto, Miia

AU - Ngandu, Tiia

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N2 - The possibilities of computer-based cognitive training (CCT) in postponing the onset of dementia are currently unclear, but promising. Our aim is to investigate older adults ' adherence to a long-term CCT program, and which participant characteristics are associated with adherence to the CCT. This study was part of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Participants were 60-77-year-old individuals with increased dementia risk, recruited from previous population-based studies. The participants included in this study (n = 631) had been randomized to receive a multi-domain lifestyle intervention, including CCT. The measure of adherence was the number of completed CCT sessions (max = 144) as continuous measure. Due to a substantial proportion of participants with 0 sessions, the zero inflated negative binomial regression analyses were used to enable assessment of both predictors of starting the training and predictors of completing a higher number of training sessions. Several cognitive, demographic, lifestyle, and health-related variables were examined as potential predictors of adherence to CCT. Altogether, 63% of the participants participated in the CCT at least once, 20% completed at least half of the training, and 12% completed all sessions. Previous experience with computers, being married or cohabiting, better memory performance, and positive expectations toward the study predicted greater odds for starting CCT. Previous computer use was the only factor associated with a greater number of training sessions completed. Our study shows that there is a large variation in adherence to a long-lasting CCT among older adults with an increased risk of dementia. The results indicate that encouraging computer use, and taking into account the level of cognitive functioning, may help boost adherence to CCT.

AB - The possibilities of computer-based cognitive training (CCT) in postponing the onset of dementia are currently unclear, but promising. Our aim is to investigate older adults ' adherence to a long-term CCT program, and which participant characteristics are associated with adherence to the CCT. This study was part of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Participants were 60-77-year-old individuals with increased dementia risk, recruited from previous population-based studies. The participants included in this study (n = 631) had been randomized to receive a multi-domain lifestyle intervention, including CCT. The measure of adherence was the number of completed CCT sessions (max = 144) as continuous measure. Due to a substantial proportion of participants with 0 sessions, the zero inflated negative binomial regression analyses were used to enable assessment of both predictors of starting the training and predictors of completing a higher number of training sessions. Several cognitive, demographic, lifestyle, and health-related variables were examined as potential predictors of adherence to CCT. Altogether, 63% of the participants participated in the CCT at least once, 20% completed at least half of the training, and 12% completed all sessions. Previous experience with computers, being married or cohabiting, better memory performance, and positive expectations toward the study predicted greater odds for starting CCT. Previous computer use was the only factor associated with a greater number of training sessions completed. Our study shows that there is a large variation in adherence to a long-lasting CCT among older adults with an increased risk of dementia. The results indicate that encouraging computer use, and taking into account the level of cognitive functioning, may help boost adherence to CCT.

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KW - FINNISH GERIATRIC INTERVENTION

KW - ALZHEIMERS-DISEASE

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KW - RISK

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KW - REHABILITATION

KW - PARTICIPANTS

KW - DEPRESSION

KW - DEMENTIA

KW - PEOPLE

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JO - PLoS One

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SN - 1932-6203

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Turunen M, Hokkanen L, Bäckman L, Stigsdotter-Neely A, Hänninen T, Paajanen T et al. Computer-based cognitive training for older adults: Determinants of adherence. PLoS One. 2019 jul 10;14(7). 0219541. https://doi.org/10.1371/journal.pone.0219541