Journal List > Korean J Adult Nurs > v.28(6) > 1076437

Kim and Lim: Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment



The aim of this study was to evaluate the effects of a computerized cognitive training on older adults affected by mild cognitive impairment (MCI) in terms of cognitive function, depression, self-esteem, and activities of daily living (ADL).


This study used a non-equivalent control group non-synchronized design. A total of 53 older adults who reside in long-term care facilities were recruited, 26 subjects for an experimental group and 27 subjects for a control group. A computerized cognitive training was performed for 20~40 minutes/day, three days/week for ten weeks. Data were analyzed using SPSS/WIN 21.0 with x2 test, Fisher's exact test, and t-test.


Scores of MMSE (t=3.30, p=.002), depression (t=-2.15, p=.036), and self-esteem (t=2.76, p=.008) were significantly better in the experimental group than the control group. However, the difference in ADL (t=-1.01, p=.316) was not significant between the two groups.


These findings suggest that the computerized cognitive training can be used as an effective nursing intervention to improve cognitive function and self-esteem and lower depression among older adults with MCI.

Figures and Tables

Table 1

Targeted Cognitive Domains of the Computerized Cognitive Training

Table 2

Homogeneity Test of Experimental Group and Control Group (N=53)


Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living; Fisher's exact test.

Table 3

Comparison of Dependent Variables between Two Groups after Intervention (N=53)


Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living.


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