Objective: Due to the aging of the United States population, Mild Cognitive Impairment (MCI; the prodromal phase of many dementias) has become increasingly common in recent decades. Given the social and financial costs of dementia, interventions to slow the conversion of MCI to dementia are urgently needed. The current study evaluated whether an eight-week, manualized, multimodal group intervention, Motivationally-Enhanced Compensatory Cognitive Training (ME-CCT) improved outcomes in aging Veterans with MCI. Method: The ME-CCT intervention was piloted in five groups of Veterans with MCI at the Veterans Affairs Portland Health Care System. Participants were age 50 or older (M = 62.7), had no history of psychotic disorders, and completed pre- and post-group questionnaire packets (n = 20) measuring subjective cognitive complaints, everyday functioning, neuropsychiatric symptoms, and use of compensatory cognitive strategies. Significant differences between pre- and post-treatment measures were explored using repeated measures analysis of variance. Results: Results showed a significant improvement in scores on the Quality of Life in Neurological Disorders (Neuro-QOL) Applied Cognition Executive Function Scale (p = 0.010), and the Neuro-QOL Applied Cognition General Concerns Scale (p = 0.017). Additionally, there was a significant reduction in scores on the Beck Depression Inventory-II (p = 0.025). Finally, there was a significant increase in scores on the Portland Cognitive Strategies Scale, for both perceived usefulness of compensatory cognitive strategies (p = .016) and frequency of use (p = <.001). Conclusion: These findings suggest that the ME-CCT intervention was effective at improving subjective cognitive complaints, depressive symptoms, and use of compensatory cognitive strategies in a group of aging Veterans with MCI.
Effectiveness of a Group Cognitive Training Intervention on Neuropsychiatric Symptoms in Older Veterans
J Conley, A Bazinet, M Huckans; A-89
Effectiveness of a Group Cognitive Training Intervention on Neuropsychiatric Symptoms in Older Veterans. Arch Clin Neuropsychol 2015; 30 (6): 519. doi: 10.1093/arclin/acv047.89
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