Cognitive intervention through a training program for picture book reading in community-dwelling older adults: a randomized controlled trial

BMC Geriatrics

Yoshinori Fujiwara¹  Hiromi Ohba¹  Yoh Murayama¹  Rumi Takeuchi¹  Ryota Sakurai¹  Kumiko Nonaka¹  Masashi Yasunaga¹  Masataka Kuraoka¹  Hiroyuki Suzuki¹ 

[1] Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, Japan

关键词: Randomized controlled trial;    Mild cognitive impairment;    Picture book reading;    Community-dwelling older adults;    Cognitive intervention;   

Others  :  1089850
DOI  :  10.1186/1471-2318-14-122

 received in 2014-07-30, accepted in 2014-11-03,  发布年份 2014

【 摘 要 】

Background

Non-pharmacological interventions are expected to be important strategies for reducing the age-adjusted prevalence of senile dementia, considering that complete medical treatment for cognitive decline has not yet been developed. From the viewpoint of long-term continuity of activity, it is necessary to develop various cognitive stimulating programs. The aim of this study is to examine the effectiveness of a cognitive intervention through a training program for picture book reading for community-dwelling older adults.

Methods

Fifty-eight Japanese older participants were divided into the intervention and control groups using simple randomization (n =29 vs 29). In the intervention group, participants took part in a program aimed at learning and mastering methods of picture book reading as a form of cognitive training intervention. The control group listened to lectures about elderly health maintenance. Cognitive tests were conducted individually before and after the programs.

Results

The rate of memory retention, computed by dividing Logical Memory delayed recall by immediate recall, showed a significant interaction (p < .05) in analysis of covariance. Simple main effects showed that the rate of memory retention of the intervention group improved after the program completion (p < .05). In the participants with mild cognitive impairment (MCI) examined by Japanese version of the Montreal Cognitive Assessment (MoCA-J) (n =14 vs 15), significant interactions were seen in Trail Making Test-A (p < .01), Trail Making Test-B (p < .05), Kana pick-out test (p < .05) and the Mini-Mental State Examination (p < .05).

Conclusions

The intervention effect was found in delayed verbal memory. This program is also effective for improving attention and executive function in those with MCI. The short-term interventional findings suggest that this program might contribute to preventing a decline in memory and executive function.

Trial registration

UMIN-CTR: UMIN000014712 (Date of ICMJE and WHO compliant trial information disclosure: 30 July 2014)

【 授权许可】

   
2014 Suzuki et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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