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Computer-based cognitive training for older adults: Determinants of adherence
National Institute of Health & Welfare THL, Finland..
University of Helsinki, Finland..
Stockholm University; Karolinska Institutet.
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013). Umeå University.ORCID iD: 0000-0003-3450-8067
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2019 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 7, p. 1-12, article id e0219541Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
San Fransisco, USA: Public Library Science , 2019. Vol. 14, no 7, p. 1-12, article id e0219541
Keywords [en]
FINNISH GERIATRIC INTERVENTION; ALZHEIMERS-DISEASE; IMPAIRMENT; RISK; AGE; REHABILITATION; PARTICIPANTS; DEPRESSION; DEMENTIA; PEOPLE
National Category
Social Sciences Interdisciplinary Other Natural Sciences
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-75116DOI: 10.1371/journal.pone.0219541ISI: 000484947800109PubMedID: 31291337OAI: oai:DiVA.org:kau-75116DiVA, id: diva2:1359816
Available from: 2019-10-10 Created: 2019-10-10 Last updated: 2019-10-11Bibliographically approved

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Stigsdotter Neely, Anna

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