[Long-term effect analysis of a cognitive stimulation program in mild cognitive impairment elderly in Primary Care: A randomized controlled trial].

Journal: Atencion primaria

Volume: 53

Issue: 7

Year of Publication: 2021

Affiliated Institutions:  Fundación La Caridad, Zaragoza, España; Departamento de Fisiatría y Enfermería, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, España. Grupo «Manejo del paciente sangrante» - IDIPaz (Hospital Universitario La Paz - Madrid). Universidad Rey Juan Carlos, Madrid, España. GENUD (Growth, Exercise, Nutrition and Development Research group), Departamento de Fisiatría y Enfermería, Área de Educación Física y Deportiva; Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Huesca, España. Residencia Reyes de Aragón/Orpea, Zaragoza, España. Electronic address: peraltamarrupe@hotmail.com.

Abstract summary 

To provide evidence about the efficacy of a community health intervention through a cognitive stimulation program at long term in older people with mild cognitive impairment.Randomized controlled trial (CONSORT group norms).San José Norte-Centro Primary Care Center and La Caridad Foundation (Zaragoza, Spain).Twenty-nine people over 65 years old with a 24-27 MEC score that completed 48 months follow up. They were randomized between the intervention group (15) and the control group (14).The intervention was applied in 10 sessions of 45min for 10 weeks using the red notebook tool for mental activation that works memory, orientation, language, praxis, gnosis, calculation, perception, logical reasoning, attention and executive functions.The main outcome variables were MEC-35, Set-test, Barthel index, Lawton-Brody scale, Goldberg anxiety scale and Yesavage geriatric depression scale short form.Increases of the main result variable over the baseline level of MEC-35 were analyzed. On average, the intervention group obtained higher scores than control: 3.14 points post intervention, 3.76 points after 6 months and 2.26 points more than control group after 12 months. All the differences were statistically significant. After 48 months the intervention group obtained 2 points more than control group. The intervention did not improve verbal fluency, activity daily living and mood.Our cognitive stimulation program seems to improve cognitive performance, measured with the variable MEC-35 at post intervention, 6, 12 and 48 months. There is no evidence of improvement in verbal fluency, activity daily livings and mood. Clinicaltrials.gov Identifier: NCT03831061.

Authors & Co-authors:  Gómez-Soria Isabel I Andrés Esteban Eva María EM Gómez Bruton Alejandro A Peralta-Marrupe Patricia P

Study Outcome 

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Statistics
Citations :  Youn J.H., Park S., Lee J.Y., Cho S.J., Ryu S.H. Cognitive improvement in older adults with mild cognitive impairment: evidence from a multi-strategic metamemory training. J Clin Med. 2020;9:362. doi: 10.3390/jcm9020362.
Authors :  4
Identifiers
Doi : 102053
SSN : 1578-1275
Study Population
Male,Female
Mesh Terms
Aged
Other Terms
Aging;Cognitive stimulation;Deterioro cognitivo leve;Ensayo controlado aleatorizado;Envejecimiento;Estimulación cognitiva;Mild cognitive impairment;Non-pharmacological therapies;Occupational therapy;Randomized controlled trial;Terapia ocupacional;Terapias no farmacológicas
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Spain