The Effects of Cognitive Training Program for Cognitively Impaired Older Adults: A Pilot Randomized Control Trial

Abstract

Objective: This pilot investigation evaluated the effectiveness of a cognitive training program for older adults with cognitive impairment. Methods: A sample of 23 individuals were randomly assigned to either a 24-session cognitive training program or a wait-list control group. Cognitive training sessions required participants to complete activities that targeted the following cognitive domains: attention, visual and verbal memory, visual spatial skills, processing speed, executive functioning, and language. A battery of cognitive tests were administered prior to and immediately after completion of the program. Depression, quality of life, agitated behavior, and daily functioning were also assessed. Results: Small to large effect sizes on half of the cognitive outcome measures were observed following participation in the program. No positive effects were found with regard to non-cognitive outcomes. Discussion: These results warrant further investigation into the benefits of this cognitive training program in larger randomized control trials. Clinical Implications: The cognitive training program may provide activity staff in assisted living or memory care settings a highly structured, manualized, and user-friendly intervention for older adults experiencing cognitive decline.