Objective: Previous meta-analyses indicate that computerized cognitive training (CCT) is a safe and efficacious intervention for cognition in older adults. However, efficacy varies across populations and cognitive domains, and little is known about the efficacy of CCT in people with mild cognitive impairment or dementia.
Method: The authors searched Medline, Embase, PsychINFO, CINAHL, and CENTRAL through July 1, 2016, for randomized controlled trials of CCT in older adults with mild cognitive impairment or dementia. Overall cognition, individual cognitive domains, psychosocial function, and activities of daily living were pooled separately for mild cognitive impairment and dementia trials.
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The participant will indicate ways in which computerized cognitive training can be used to improve cognition and psychosocial functioning in individuals with mild cognitive impairment.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Duration: 1 hour
Begin Date: April 1, 2017
End Date: March 31, 2019
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Title: Computerized Cognitive Training in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis
Authors: Nicole T.M. Hill, M.BMSc., Loren Mowszowski, D.Psych., Sharon L. Naismith, D.Psych., Verity L. Chadwick, B.Sc. (Hons.), Michael Valenzuela, Ph.D., Amit Lampit, Ph.D.
Affiliations: From Black Dog Institute, the University of New South Wales, New South Wales, Australia (M.V.); the Regenerative Neuroscience Group and Healthy Brain Ageing Program, Brain and Mind Centre, University of Sydney, New South Wales, Australia (N.T.M.H., V.L.C., M.V., A.L., L.M., S.L.N.); the School of Psychology, University of Sydney, New South Wales, Australia (L.M., S.L.N., V.L.C., A.L.); and the School of Medical Sciences, University of Sydney, New South Wales, Australia (M.V.).
Disclosures: Dr. Mowszowski is supported by a National Health and Medical Research Council of Australia/Australian Research Council (NHMRC-ARC) Dementia Research Development Fellowship. Dr. Naismith is an NHMRC Career Development Fellow. Ms. Chadwick is a former employee of Synaptikon. Dr. Valenzuela receives in-kind research support in the form of no-cost software from BrainTrain and Synaptikon for projects unrelated to this study; he is also an NHMRC Career Development Fellow. Dr. Lampit is supported by an NHMRC/ARC Dementia Research Development Fellowship. Ms. Hill reports no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
Optimal System Configuration:
- Flash Player: Adobe Flash Player 10.1+
- Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
- Operating System: Windows XP+ or Mac OS X 10.4+
- Internet Connection: 1 Mbps or higher
- Screen Resolution: 1024 x 768 pixels.
- Windows PC:500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
- Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
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