Journal article
Does Visual Speed of Processing Training Improve Health-Related Quality of Life in Assisted and Independent Living Communities?: A Randomized Controlled Trial
Innovation in aging, Vol.4(4), pp.1-14
2020
DOI: 10.1093/geroni/igaa029
PMCID: PMC7489078
PMID: 32964141
Abstract
Abstract
Background and Objectives
Visual speed of processing training had clinically and statistically significant beneficial effects on health-related quality of life among 2,802 healthy community-dwelling adults aged 65–94 years at 2 and 5 years post-training in the Advanced Cognitive Training for Independent and Vital Elderly randomized controlled trial. We examined whether that effect would be found among older adults in assisted and independent living communities.
Research Design and Methods
We conducted a two-arm, parallel randomized controlled trial stratified by assisted versus independent settings in 31 senior living communities and enrolled 351 adults aged 55–102 years. The targeted intervention dose was 10 hr at baseline with 4-hr boosters at 5 and 11 months. The intervention group received computerized visual speed of processing training, while the attention control group solved computerized crossword puzzles. The health-related quality of life outcomes were the Short-Form 36-item Health Survey’s mental and physical component T scores. Linear mixed-effect models were used.
Results
Visual speed of processing, assisted living, and their interaction had no clinically or statistically significant effects on the physical component T scores. However, visual speed of processing (p = .022), assisted living (p = .022), and their interaction (p = .007) had clinically and statistically significant effects on the mental component T scores. The estimated marginal means revealed a small effect-sized positive 2.2 point visual speed of processing training effect in the independent living communities, but a clinically important harmful −4.2 point visual speed of processing training effect in the assisted living communities.
Discussion and Implications
Given the medium-sized harmful effect of visual speed of processing training among those in the assisted living communities, caution is advised when using these two visual speed of processing training modalities in assisted living communities until further research verifies or refutes our findings and the underlying etiological pathways.
Details
- Title: Subtitle
- Does Visual Speed of Processing Training Improve Health-Related Quality of Life in Assisted and Independent Living Communities?: A Randomized Controlled Trial
- Creators
- Fredric D Wolinsky - University of IowaMichael P Jones - University of IowaMegan M Dotson - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Innovation in aging, Vol.4(4), pp.1-14
- Publisher
- Oxford University Press
- DOI
- 10.1093/geroni/igaa029
- PMID
- 32964141
- PMCID
- PMC7489078
- ISSN
- 2399-5300
- eISSN
- 2399-5300
- Grant note
- DOI: 10.13039/100000056, name: National Institute of Nursing Research, award: R01 NR-013908
- Language
- English
- Date published
- 2020
- Academic Unit
- Statistics and Actuarial Science; Health Management and Policy; Biostatistics; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984283859002771
Metrics
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