@article{ref1,
title="Construction and evaluation of multi-domain attention training to improve alertness attention, sustained attention, and visual-spatial attention in older adults with mild cognitive impairment: a randomized controlled trial",
journal="International journal of geriatric psychiatry",
year="2020",
author="Yang, Hui-Ling and Chu, Hsin and Kao, Ching-Chiu and Miao, Nae-Fang and Chang, Pi-Chen and Tseng, Philip and O'Brien, Anthony Paul and Chou, Kuei-Ru",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: We aimed to analyze the effects of multi-domain attention training on alertness, sustained attention, and visual-spatial attention in older adults with mild cognitive impairment (MCI). <br><br>DESIGN: Two-arm, parallel group, double-blind randomized controlled trial. SETTING AND PARTICIPANTS: Seventy-eight older adults with MCI (mean age: 79.5 ± 7.9 years) from retirement centers and community housing for the elderly. INTERVENTION: The participants were randomly assigned to an experimental group (multi-domain attention training, n = 39) or an active control group (n = 39). Both groups underwent training sessions for 45 minutes three times per week for 6 weeks (18 sessions total). MEASURES: The main efficacy indicator was alertness (Trail Making Test Part B), sustained attention (Digit Vigilance Test), and visual-spatial attention (Trail Making Test Part A). The secondary outcome indicators were other cognitive functions (MMSE and MoCA subscale). Measurements were obtained pretest, posttest, and at 3 and 6 months after training. <br><br>RESULTS: The results were analyzed by a generalized estimating equation (GEE), which indicated that attention outcomes (alertness, sustained attention and visual-spatial attention) of the experimental group did not improve after training. However, the experimental group displayed a significant improvement in the attention, memory, and orientation of MMSE and MoCA subscales over a period of 6 months and also showed superior results compared to the control group. <br><br>CONCLUSIONS: Multi-domain attention training demonstrated improved alertness and visual-spatial attention for posttest-after 6 months. We also outline potential future advances in attention training for improving attention in older adults with MCI. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0885-6230",
doi="10.1002/gps.5269",
url="http://dx.doi.org/10.1002/gps.5269"
}