Nowadays, on geriatric centres, cognitive decline used to be prevented by pen and paper exercises (Calero García \& Navarro Gonzalez, 2006). However, as Lampit et al. (2014) suggest, studies based on the efficacy and effectiveness of new cognitive-based interventions in order to improve these cognitive processes are fundamental (Lampit et al., 2014). Cognitive-based interventions are interventions that directly or indirectly try to improve cognitive processes (Chiu et al., 2017). Between the different kinds of cognitive-based interventions, cognitive training permits stablish randomized controlled trials. Cognitive training consists of repeating during a concrete time a standardized set of tasks in order to maintain or improve one or some cognitive processes. Meta-analysis studies have shown that computerized cognitive training can improve in a moderate size some cognitive processes in elderly people with mild cognitive impairment or dementia (Hill et al., 2017) and without those diagnoses (Lampit, Hallock, \& Valenzuela, 2014; Chiu et al., 2017). Although it seems that computerized training is effective, safe and secure, it is important to note the social component of the definition of health (OMS, 1948). Chang, Wray \& Lin (2014) found that social relationships predict the use of leisure activities and this predict a better physical health and wellbeing psychological. In fact, a comparative study found that those elderly people that have played board games have a 15% lower risk of having dementia diagnose and problems related with memory (Dartigues et al., 2013). To sum up, the aim of this research project is to test the effectiveness of a cognitive training based on modern board and card games in elderly people with a diagnose of mild-cognitive impairment in comparison to do cognitive paper and pencil tasks or in a wait-list comparison group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
112
Modern board and card games group
Paper and pencil tasks group
Faculty of Education, Psychology and Social Work; University of Lleida
Lleida, Spain
RECRUITINGCognitive disorders unity, Santa Maria's University Hospital, GSS
Lleida, Spain
RECRUITINGChange in cognitive impairment from baseline to post intervention
Addenbrooke's Cognitive Examination
Time frame: Baseline and post intervention (after 16 weeks)
Change in visuoconstruction, immediate memory and long-term memory from baseline to post intervention
Copy, draw after 3 and after 25 minuts of Rey-Osterrieth Complex Figure Test
Time frame: Baseline and post intervention (after 16 weeks)
Change in verbal long-term memory from baseline to post intervention
Rey Auditory Verbal Learning Test (RAVLT)
Time frame: Baseline and post intervention (after 16 weeks)
Change in verbal short-term memory from baseline to post intervention
Digit Memory Test Forward
Time frame: Baseline and post intervention (after 16 weeks)
Change in verbal working memory from baseline to post intervention
Digit Memory Test Backward
Time frame: Baseline and post intervention (after 16 weeks)
Change in visuospatial short-term memory from baseline to post intervention
Visual Memory Test Forward
Time frame: Baseline and post intervention (after 16 weeks)
Change in visuospatial working memory from baseline to post intervention
Visual Memory Test Backward
Time frame: Baseline and post intervention (after 16 weeks)
Change in visuospatial processing from baseline to post intervention
Trail Making Test A and Symbol Digit Modalities Test (SDMT)
Time frame: Baseline and post intervention (after 16 weeks)
Change in flexibility from baseline to post intervention
Trail Making Test B and 5 digits test
Time frame: Baseline and post intervention (after 16 weeks)
Change in inhibition from baseline to post intervention
5 digits test
Time frame: Baseline and post intervention (after 16 weeks)
Change in phonemic and semantic fluency from baseline to post intervention
Animals category and P, M, R letters, Spanish version
Time frame: Baseline and post intervention (after 16 weeks)
Change in neuropsychiatric symptoms from baseline to post intervention
Neuropsychiatric Inventory (NPI), Self-reported and caregivers spanish versions. Higher scores mean higher neuropsychiatric symptomatology.
Time frame: Baseline and post intervention (after 16 weeks)
Change in psychological well-being from baseline to post intervention
Euro Quality of Life Scale (EQ-5D), Self-reported and caregivers spanish versions. Higher scores mean higher quality of life. Visual analogue scale: minimum value=0, maximum value=100.
Time frame: Baseline and post intervention (after 16 weeks)
Change in depressive symptoms from baseline to post intervention
Geriatric Depression Scale (GDS), Spanish version. Higher scores mean higher depressive symptomatology. Minimum value = 0, maximum value = 15.
Time frame: Baseline and post intervention (after 16 weeks)
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