Ponrathi Athilingam1, Jerri D Edwards2, Elise G Valdes2, Ming Ji3, Maya Guglin4. 1. College of Nursing, University of South Florida, USA. Electronic address: pathilin@health.usf.edu. 2. School of Aging Studies, University of South Florida, USA. 3. College of Nursing, University of South Florida, USA. 4. Cardiovascular Medicine, University of Kentucky, Lexington, USA.
Abstract
OBJECTIVES: Feasibility and efficacy of computerized auditory cognitive training (ACT) was examined among patients with heart failure (HF). BACKGROUND: Individuals with HF have four times increased risk of cognitive impairment, yet cognitive intervention studies are sparse. METHODS: A pilot randomized controlled design was used. RESULTS: The ACT group (n = 9) and control group (n = 8) had similar baseline characteristics. Seven participants (78%) completed ≥ 18 hours of ACT. Medium effect sizes were observed for improved cognition as indicated by auditory processing speed (d = 0.78), speech processing (d = 0.88), and working memory (d = 0.44-0.50). Small effect sizes were found for improved functional outcomes including HF selfcare (d = 0.34), Timed Instrumental Activities of Daily Living (d = 0.32), Six-Minute Walk Test (d = 0.38) and Short-Form-36 (d = 0.22) relative to controls. CONCLUSION: Results indicated ACT is feasible among persons with HF. Despite a small sample size, ACT showed potential for improved speed of processing and working memory and improved functional outcomes, and warrants further exploration.
RCT Entities:
OBJECTIVES: Feasibility and efficacy of computerized auditory cognitive training (ACT) was examined among patients with heart failure (HF). BACKGROUND: Individuals with HF have four times increased risk of cognitive impairment, yet cognitive intervention studies are sparse. METHODS: A pilot randomized controlled design was used. RESULTS: The ACT group (n = 9) and control group (n = 8) had similar baseline characteristics. Seven participants (78%) completed ≥ 18 hours of ACT. Medium effect sizes were observed for improved cognition as indicated by auditory processing speed (d = 0.78), speech processing (d = 0.88), and working memory (d = 0.44-0.50). Small effect sizes were found for improved functional outcomes including HF selfcare (d = 0.34), Timed Instrumental Activities of Daily Living (d = 0.32), Six-Minute Walk Test (d = 0.38) and Short-Form-36 (d = 0.22) relative to controls. CONCLUSION: Results indicated ACT is feasible among persons with HF. Despite a small sample size, ACT showed potential for improved speed of processing and working memory and improved functional outcomes, and warrants further exploration.
Authors: Susan J Pressler; Miyeon Jung; Irmina Gradus-Pizlo; Marita G Titler; Dean G Smith; Sujuan Gao; Kittie Reid Lake; Heather Burney; David G Clark; Kelly L Wierenga; Susan G Dorsey; Bruno Giordani Journal: J Card Fail Date: 2021-11-08 Impact factor: 6.592
Authors: Jennifer L O'Brien; Jennifer J Lister; Bernadette A Fausto; Gregory K Clifton; Jerri D Edwards Journal: Front Aging Neurosci Date: 2017-10-04 Impact factor: 5.750