Long-Lasting Neuropsychological Effects of a Computerized Cognitive Training in Patients Affected by Early Stage Alzheimer's Disease: Are They Stable Over Time?

J Appl Gerontol. 2019 Jul;38(7):1035-1044. doi: 10.1177/0733464817750276. Epub 2018 Jan 2.

Abstract

Introduction: We investigated the stability of effects of a computerized cognitive training previously administered to a large group of early stage Alzheimer's disease (AD) patients, as compared with a control group.

Method: Eighty AD patients were randomized in two groups and underwent a computerized cognitive training, or a control intervention.

Results: A Repeated Measures General Linear Model (RM-GLM) showed a significant interaction effect for the following neuropsychological tests: the digit span forward and backward, and the two-syllable words test, as measures of short-term memory and working memory; the Rivermead Behavioural Memory Test (RBMT) story immediate and the RBMT story delayed, as measures of ecologically oriented memory; the Token test, as measure of language comprehension; and the Brixton test, as an executive functions measure.

Conclusion: Patients in the experimental group showed a significant improvement in various neuropsychological domains due to the training, and these effects decreased after 12 months.

Keywords: Alzheimer’s disease; computerized cognitive training; memory; neuropsychology; rehabilitation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Alzheimer Disease / psychology*
  • Alzheimer Disease / rehabilitation*
  • Cognitive Behavioral Therapy / methods*
  • Early Diagnosis
  • Executive Function
  • Female
  • Humans
  • Male
  • Neuropsychological Tests*
  • Psychomotor Performance
  • Therapy, Computer-Assisted / methods*
  • Treatment Outcome