Table 33: Summary of the 2 Randomized Controlled Trials.
Study/Year/Country | Type of Study |
Patients | Objective | Outcomes | Results |
---|---|---|---|---|---|
Ball et al. (75) 2002 United States |
RCT Single blind 4 arms 2 year follow-up Intervention conducted in small group settings in ten 60–75 min sessions over 5–6 weeks. |
N=2,802 Patients had good cognitive/functional status at enrollment Mean age (SD) = 73.6 (5.9) Range 65–94 years Age groups: 65–74 years 60.1% 75–84 years 35.0% >85 years 4.9% |
To evaluate whether 3 cognitive training interventions (memory, speed of processing, reasoning) improve mental abilities and daily functioning in older independent living adults Training lasted 10 sessions for each group |
Basic measures of cognition and on measures of cognitively demanding daily activities (e.g., food preparation, driving, medication use, financial management) | Tests of cognitive abilities given immediately after training showed significant improvement on the particular cognitive skill on which the individual had been trained, but no transfer to the other 2 cognitive domains. No significant training effects on everyday function were detected at 2 years. |
Willis et al. (76) 2006 United States |
RCT Single blind 4 arms 5-year follow-up |
67% completed 5 year follow-up | To determine effects of cognitive training on daily function and durability of training on cognitive abilities | Self-reported and performance based measures of daily function and cognitive abilities | Training on cognitive abilities showed significant improvement on particular cognitive skill on which person was trained. No transfer to other domains. Training on functional abilities (IADLs; everyday problem solving; everyday speed of processing). No significant differences in functional outcomes for memory or speed processing training. Reasoning significantly improved IADL, but not the other 2 abilities) |
IADL, instrumental activities of daily living; RCT, randomized controlled trial; SD, standard deviation.