Journal List > J Korean Acad Community Health Nurs > v.30(2) > 1128976

Park and Oh: Development and Evaluation of a Community based Multifaceted Cognitive Training Program for the Elderly with Mild Cognitive Impairment

Abstract

Purpose

The purpose of this study is to develop and evaluate the effects of a multifaceted cognitive training program on cognitive function, depression, and instrumental activities of daily living (IADL) in community dwelling elders with mild cognitive impairment.

Methods

A non-equivalent control group pretest-posttest design was used. The subjects were recruited from a community health center in D metropolitan city and were assigned to the experimental or control group. Weekly 50-minute session intervention was delivered to the experimental group over 12 weeks. 8 weeks and 12weeks after intervention, the changes in cognitive function, depression, and IADL in the groups were measured and compared. Data were analyzed with Mann-Whitney U test, Wilcoxon Signed Rank test, and post-hoc test with Bonferroni correction using SPSS/WIN 23.0.

Results

When compared with their counterparts (n=15), the elders in the experimental group (n=12) showed significant improvement in cognitive function and depression at week 12. The mean scores of IADL at week 12 were not significantly different between the groups.

Conclusion

The results indicate that this multifaceted cognitive training program is effective in improving cognitive function, depression, and avoiding deterioration of IADL among elders with mild cognitive impairment.

Figures and Tables

Table 1

Contents of Cognitive Training Program

jkachn-30-119-i001
Table 2

Homogeneity Test for General Characteristics and Dependent Variables between Experimental and Control Group (N=27)

jkachn-30-119-i002

Exp.=experimental group; Cont.=control group; IADL=instrumental activities of daily living; Fisher's exact test.

Table 3

Effect of Cognitive Training Program on Cognitive function, Depression, and IADL (N=27)

jkachn-30-119-i003

IADL=instrument activities of daily living; Exp=experimental group; Cont.=control group; G=group; T=time; Posttest 1=8 weeks after treatment; Posttest 2=12 weeks after treatment; Difference 1=The group mean changed from pretest to 8 weeks; Difference 2=The group mean changed from pretest to 12 weeks.

Table 4

Effect of Cognitive Training Program on Subcategory of MMSE-DS in Experimental Group (N=12)

jkachn-30-119-i004

MMSE-DS=mini mental status examination for dementia screening; Posttest 1=8 weeks after treatment; Posttest 2=12 weeks after treatment.

Notes

This article is a revision of the first author's doctoral dissertation from University.

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TOOLS
ORCID iDs

Yeonhee Park
https://orcid.org/0000-0002-1365-6135

Heeyoung Oh
https://orcid.org/0000-0002-8053-3565

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