Journal article
Speed of processing training protects self-rated health in older adults: enduring effects observed in the multi-site ACTIVE randomized controlled trial
International psychogeriatrics., Vol.22(3), pp.470-478
05/2010
DOI: 10.1017/S1041610209991281
PMCID: PMC2848284
PMID: 20003628
Abstract
<p>BACKGROUND: We evaluated the effects of cognitive training on self-rated health at 1, 2, 3, and 5 years post-baseline. METHODS: In the ACTIVE (Advanced Cognitive Training for Independent and Vital Elderly) randomized controlled trial, 2,802 older adults (>or=65 years) were randomly assigned to memory, reasoning, speed of processing, or no-contact control intervention groups. Complete data were available for 1,804 (64%) of the 2,802 participants at five years. A propensity score model was adjusted for attrition bias. The self-rated health question was coded using the Diehr et al. (2001) transformation (E = 95/VG = 90/G = 80/F = 30/P = 15), and analyzed with change-score regression models. RESULTS: The speed of processing (vs. no-contact control) group had statistically significant improvements (or protective effects) on changes in self-rated health at the 2, 3 and 5 year follow-ups. The 5-year improvement was 2.8 points (p = 0.03). No significant differences were observed in the memory or reasoning groups at any time. CONCLUSION: The speed of processing intervention significantly protected self-rated health in ACTIVE, with the average benefit equivalent to half the difference between excellent vs. very good health.</p>
Details
- Title: Subtitle
- Speed of processing training protects self-rated health in older adults: enduring effects observed in the multi-site ACTIVE randomized controlled trial
- Creators
- Fredric D WolinskyHenry MahnckeMark W Vander WegRene Martin - University of IowaFrederick W UnverzagtKarlene K Ball - University of Alabama at BirminghamRichard N JonesSharon L Tennstedt
- Resource Type
- Journal article
- Publication Details
- International psychogeriatrics., Vol.22(3), pp.470-478
- DOI
- 10.1017/S1041610209991281
- PMID
- 20003628
- PMCID
- PMC2848284
- NLM abbreviation
- Int Psychogeriatr
- ISSN
- 1041-6102
- eISSN
- 1741-203X
- Copyright
- Copyright © International Psychogeriatric Association, 2009. Posted by permission.
- Grant note
- The ACTIVE Cognitive Training Trial was supported by grants from the National Institutes of Health to six field sites and the coordinating center, including: Hebrew Senior-Life, Boston (NR04507), the Indiana University School of Medicine (NR04508), the Johns Hopkins University (AG14260), the New England Research Institutes (AG14282), the Pennsylvania State University (AG14263), the University of Alabama at Birmingham (AG14289), and the University of Florida (AG014276). Dr. Wolinsky’s efforts on the analysis for and writing of this manuscript were supported in part by a limited consulting arrangement with Posit Science Corporation, of which Dr. Mahncke is Vice President for Research, and a stock holder. In October 2007, Posit Science Corporation acquired ownership of the speed-of-processing intervention used in the ACTIVE Cognitive Training Trial, which was originally developed by Dr. Ball and colleagues. Dr. Ball is a stock holder in Posit Science Corporation, and serves on its Advisory Board. Dr. Wolinsky is Co-Center PI of, and Drs. Vander Weg and Martin are Investigators at the Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP) at the Iowa City VAMC, which is funded through the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service (HFP 04–149). The opinions expressed here are those of the authors and do not necessarily reflect those of the funding agencies, academic, research, governmental institutions, or corporations involved.
- Language
- English
- Date published
- 05/2010
- Academic Unit
- Nursing; Injury Prevention Research Center
- Record Identifier
- 9983557359102771
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