Computerized cognitive training in Parkinson’s disease: A systematic review and meta-analysisShow others and affiliations
2022 (English)In: Ageing Research Reviews, ISSN 1568-1637, E-ISSN 1872-9649, Vol. 80, article id 101671Article in journal (Refereed) Published
Abstract [en]
Cognitive impairment is a central non-motor symptom of Parkinson’s disease (PD), and there are no established treatments. Computerized cognitive training (CCT) is a safe and efficacious strategy but its efficacy in PD is unclear. We aimed to investigate the efficacy of CCT on cognitive, psychosocial and daily function, and assess potential effect moderators in people with PD without dementia. Randomized controlled trials of CCT were included in multivariate meta-analyses and meta-regressions. Seventeen studies (16 trials) encompassing 679 participants were included. The pooled effect of CCT relative to control was small and statistically significant for overall cognitive function (g=0.16; 95% CI 0.02–0.29). There was robust evidence for benefit on clinical measures of global cognition across 10 trials (g=0.33; 95% CI 0.19–0.48), especially in PD with mild cognitive impairment (PD-MCI), as well as on individual cognitive domains. Greater CCT dose and PD-MCI population were associated with larger effect sizes, but no statistically significant differences were found between subgroups. There was no significant difference in the efficacy of home-based compared to supervised training. Our findings suggest that CCT is associated with cognitive benefits in PD, including when delivered remotely. Larger, well-powered trials are warranted to examine what specific CCT regimens are most likely to promote cognitive and everyday functioning in the long-term.
Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 80, article id 101671
Keywords [en]
Parkinson’s disease, Cognitive training, Systematic review, Meta-analysis
National Category
Health Sciences
Research subject
Psychology with an emphasis on medical psychology
Identifiers
URN: urn:nbn:se:kau:diva-91724DOI: 10.1016/j.arr.2022.101671ISI: 000841188700002Scopus ID: 2-s2.0-85133739803OAI: oai:DiVA.org:kau-91724DiVA, id: diva2:1692290
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-01654Swedish Research Council, 2017-023712022-09-012022-09-012022-11-02Bibliographically approved