Cited by 965Dementia and Cognitive Impairment ResearchCognitive Functions and MemoryCognitive Abilities and Testing

Ten‐Year Effects of the Advanced Cognitive Training for Independent and Vital Elderly Cognitive Training Trial on Cognition and Everyday Functioning in Older Adults

Open access
Rebok, George W., Ball, Karlene, Guey, Lin T., Jones, Richard N., Kim, Hae‐Young, King, Jonathan W., Marsiske, Michael, Morris, John N. +3 more·2014·Journal of the American Geriatrics Society

Abstract

Objectives: To determine the effects of cognitive training on cognitive abilities and everyday function over 10 years. Design: Ten‐year follow‐up of a randomized, controlled single‐blind trial (Advanced Cognitive Training for Independent and Vital Elderly ( ACTIVE )) with three intervention groups and a no‐contact control group. Setting: Six U.S. cities. Participants: A volunteer sample of 2,832 persons (mean baseline age 73.6; 26% African American) living independently. Intervention: Ten training sessions for memory, reasoning, or speed of processing; four sessions of booster training 11 and 35 months after initial training. Measurements: Objectively measured cognitive abilities and self‐reported and performance‐based measures of everyday function. Results: Participants in each intervention group reported less difficulty with instrumental activities of daily living ( IADL s) (memory: effect size = 0.48, 99% confidence interval ( CI ) = 0.12–0.84; reasoning: effect size = 0.38, 99% CI = 0.02–0.74; speed of processing: effect size = 0.36, 99% CI = 0.01–0.72). At a mean age of 82, approximately 60% of trained participants, versus 50% of controls ( P < .05), were at or above their baseline level of self‐reported IADL function at 10 years. The reasoning and speed‐of‐processing interventions maintained their effects on their targeted cognitive abilities at 10 years (reasoning: effect size = 0.23, 99% CI = 0.09–0.38; speed of processing: effect size = 0.66, 99% CI = 0.43–0.88). Memory training effects were no longer maintained for memory performance. Booster training produced additional and durable improvement for the reasoning intervention for reasoning performance (effect size = 0.21, 99% CI = 0.01–0.41) and the speed‐of‐processing intervention for speed‐of‐processing performance (effect size = 0.62, 99% CI = 0.31–0.93). Conclusion: Each Advanced Cognitive Training for Independent and Vital Elderly cognitive intervention resulted in less decline in self‐reported IADL compared with the control group. Reasoning and speed, but not memory, training resulted in improved targeted cognitive abilities for 10 years.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1111/jgs.12607

Cites

49 of 49 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 3

  1. [2]Rebok G Cognitive training: influence on neuropsychological and brain function in later life State-of-Science Review: SR:E22 UK Government Foresight Mental Capital and Mental Wellbeing Project 2008 Government Office for Science
  2. [15]Ekstrom R French J Harman H Kit of Factor-Referenced Cognitive Tests (Rev. ed.) 1976 Educational Testing Service Princeton, NJ
  3. [16]Gonda J Schaie K Schaie-Thurstone Mental Abilities Test: Word Series Test 1985 Consulting Psychologists Press Palo Alto, CA

Cited by

Sorted by citations

Authors
Rebok, G. W., Ball, K., Guey, L. T., Jones, R. N., Kim, H., King, J. W., Marsiske, M., Morris, J. N., Tennstedt, S. L., Unverzagt, F. W., & Willis, S. L.
Affiliations
  • Johns Hopkins University (US)
  • University of Alabama at Birmingham (US)
  • New England Research Institutes (US)
  • Hebrew SeniorLife (US)
  • National Institutes of Health (US)
  • University of Florida Health (US)
  • Indiana University Indianapolis (US)
  • University of Washington (US)
Corresponding author
Rebok, George W.
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2014-01
Volume
62
Issue
1
Pages
16-24
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
OpenAlex
W2111301169
Cited by
965
References
49
Citations by year
2026: 54 · 2025: 64 · 2024: 74 · 2023: 61 · 2022: 97 · 2021: 89 · 2020: 84 · 2019: 88 · 2018: 88 · 2017: 74 · 2016: 75 · 2015: 70 · 2014: 45
FWCI
67.14
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • IUScholarWorks (Indiana University) (submittedVersion)
Funders
  • National Institute on Aging and the National Institute of Nursing Research to Hebrew Senior Life (U01 NR04507)
  • Indiana University School of Medicine (U01NR04508)
  • Johns Hopkins University (U01AG14260)
  • New England Research Institute (U01 AG14282)
  • Pennsylvania State University (U01 AG14263)
  • University of Alabama at Birmingham (U01 AG14289)
  • University of Florida (U01AG14276)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
Keywords
cognitive training, older adults, long-term follow-up, daily functioning, instrumental activities of daily living, memory training, reasoning training, processing speed, booster training, cognitive decline, ACTIVE trial, self-reported function, retention of training effects, independent living, African American older adults, cognitive aging interventions
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Aging, Cognition Disorders, Female, Follow-Up Studies, Humans, Male, Memory Disorders, Mental Processes, United States, Cognitive Behavioral Therapy, Single-Blind Method, Independent Living

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review