A Feasibility Study of Two Cognitive Training Programs for Urban Community-Dwelling Older Adults

Abstract

Cognitive training approaches are promising to manage the effects of normal cognitive decline for the aging adult, especially with the development and integration of computerized cognitive training. Supportive community models for older adults, such as senior centers, may provide engagement opportunities for occupation-based cognitive training programming. Fourteen older adults (n = 13 Black) from an urban older adult community center participated. This feasibility trial used a two-group, pretest-posttest design to examine differences between an occupation-based computerized cognitive training (CCT) program (n = 7) and a traditional cognitive training (TCT) program (n = 7), as assessed by participants’ perceptions of the perceived benefits, tolerance of time of sessions, and on executive functioning measures. There were no significant differences in the tolerance of time of sessions (p = 0.81) between CCT (average session time = 43.64 min) and TCT (average session time = 44.27 min). Additionally, there were no significant differences in how the two program groups perceived the training based on helpfulness (p = 1.00), positive opinions (p = 0.46), and executive functioning measurement changes. All participants reported “enjoyment” of the training. Including occupation-based CCT and TCT programming is feasible and positive within community-based programming focusing on a diverse population. Short-term improvements in executive functioning should not be expected but are worthy of longer-term observation, considering a socialization component, telehealth integrations, and expansion of supportive technology-based models.