Cited by 785Cognitive Functions and MemoryCognitive Abilities and TestingDementia and Cognitive Impairment Research

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A cognitive training program based on principles of brain plasticity: results from the improvement in memory with plasticity-based adaptive cognitive training (IMPACT) study

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Smith, Glenn E., Housen, Patricia, Yaffe, Kristine, Ruff, Ronald, Kennison, Robert F., Mahncke, Henry W., Zelinski, Elizabeth M.·2009·Journal of the American Geriatrics Society

DOI 10.1111/j.1532-5415.2008.02167.xPMC PMC4169294

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Abstract

OBJECTIVES: To investigate the efficacy of a novel brain plasticity–based computerized cognitive training program in older adults and to evaluate the effect on untrained measures of memory and attention and participant‐reported outcomes. DESIGN: Multisite randomized controlled double‐blind trial with two treatment groups. SETTING: Communities in northern and southern California and Minnesota. PARTICIPANTS: Community‐dwelling adults aged 65 and older (N=487) without a diagnosis of clinically significant cognitive impairment. INTERVENTION: Participants were randomized to receive a broadly‐available brain plasticity–based computerized cognitive training program (intervention) or a novelty‐ and intensity‐matched general cognitive stimulation program modeling treatment as usual (active control). Duration of training was 1 hour per day, 5 days per week, for 8 weeks, for a total of 40 hours. MEASUREMENTS: The primary outcome was a composite score calculated from six subtests of the Repeatable Battery for the Assessment of Neuropsychological Status that use the auditory modality (RBANS Auditory Memory/Attention). Secondary measures were derived from performance on the experimental program, standardized neuropsychological assessments of memory and attention, and participant‐reported outcomes. RESULTS: RBANS Auditory Memory/Attention improvement was significantly greater ( P =.02) in the experimental group (3.9 points, 95% confidence interval (CI)=2.7–5.1) than in the control group (1.8 points, 95% CI=0.6–3.0). Multiple secondary measures of memory and attention showed significantly greater improvements in the experimental group (word list total score, word list delayed recall, digits backwards, letter–number sequencing; P <.05), as did the participant‐reported outcome measure ( P =.001). No advantage for the experimental group was seen in narrative memory. CONCLUSION: The experimental program improved generalized measures of memory and attention more than an active control program.

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Authors: Smith, G. E., Housen, P., Yaffe, K., Ruff, R., Kennison, R. F., Mahncke, H. W., & Zelinski, E. M.
Affiliations: University of Southern California (US)
ORCID: Smith, Glenn E.
Yaffe, Kristine
Mahncke, Henry W.
Zelinski, Elizabeth M.
Venue: Journal of the American Geriatrics Society
Publisher: Wiley
Published: 2009-04
Volume: 57
Issue: 4
Pages: 594-603
ISSN: 0002-8614 (ISSN-L)
1532-5415
DOI: 10.1111/j.1532-5415.2008.02167.x
PMC: PMC4169294
OpenAlex: W1944313983
Cited by: 785
References: 55
Citations by year: 2026: 18 · 2025: 24 · 2024: 23 · 2023: 28 · 2022: 38 · 2021: 43 · 2020: 33 · 2019: 89 · 2018: 48 · 2017: 57 · 2016: 51 · 2015: 73 · 2014: 58 · 2013: 69 · 2012: 49
FWCI: 56.18
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of the American Geriatrics Society (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (R01AG010569)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords: cognitive training, neuroplasticity, older adults, memory, attention, impact studies, narrative memory, cognitive stimulation
MeSH terms: Aged, California, Cognition, Cognition Disorders, Double-Blind Method, Female, Humans, Male, Memory, Minnesota, Neuronal Plasticity, Neuropsychological Tests, Treatment Outcome

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A cognitive training program based on principles of brain plasticity: results from the improvement in memory with plasticity-based adaptive cognitive training (IMPACT) study

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