Randomized Controlled Trial of a Healthy Brain Ageing Cognitive Training Program: Effects on Memory, Mood, and Sleep

Diamond, Keri; Mowszowski, Loren; Cockayne, Nicole; Norrie, Louisa; Paradise, Matthew; Hermens, Daniel F.; Lewis, Simon J.G.; Hickie, Ian B.; Naismith, Sharon L.

doi:10.3233/jad-142061

Cited by 95Dementia and Cognitive Impairment ResearchCognitive Functions and MemoryCognitive Abilities and Testing

Randomized Controlled Trial of a Healthy Brain Ageing Cognitive Training Program: Effects on Memory, Mood, and Sleep

Diamond, Keri, Mowszowski, Loren, Cockayne, Nicole, Norrie, Louisa, Paradise, Matthew, Hermens, Daniel F., Lewis, Simon J.G., Hickie, Ian B. +1 more·2015·Journal of Alzheimer’s Disease

DOI 10.3233/jad-142061

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Abstract

Background: With the rise in the ageing population and absence of a cure for dementia, cost-effective prevention strategies for those ‘at risk’ of dementia including those with depression and/or mild cognitive impairment are urgently required. Objective: This study evaluated the efficacy of a multifaceted Healthy Brain Ageing Cognitive Training (HBA-CT) program for older adults ‘at risk’ of dementia. Methods: Using a single-blinded design, 64 participants (mean age = 66.5 years, SD = 8.6) were randomized to an immediate treatment (HBA-CT) or treatment-as-usual control arm. The HBA-CT intervention was conducted twice-weekly for seven weeks and comprised group-based psychoeducation about cognitive strategies and modifiable lifestyle factors pertaining to healthy brain ageing, and computerized cognitive training. Results: In comparison to the treatment-as-usual control arm, the HBA-CT program was associated with improvements in verbal memory (p = 0.03), self-reported memory (p = 0.03), mood (p = 0.01), and sleep (p = 0.01). While the improvements in memory (p = 0.03) and sleep (p = 0.02) remained after controlling for improvements in mood, only a trend in verbal memory improvement was apparent after controlling for sleep. Conclusion: The HBA-CT program improves cognitive, mood, and sleep functions in older adults ‘at risk’ of dementia, and therefore offers promise as a secondary prevention strategy.

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A total of 10 research groups described psychoeducational interventions in individuals with MCI in addition to cognitive rehabilitation, cognitive training, mindfulness-based stress reduction, behavioral activation, or enriched by a recovery model approach.
“A total of 10 research groups described psychoeducational interventions in addition to cognitive rehabilitation [38, 50], cognitive training [52, 53, 59, 60, 65], mindfulness-based stress reduction (MBSR) [46, 47, 57, 58], behavioral activation [44, 45, 48, 49, 51, 54], or enriched by a recovery model approach [67]”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [65]
Immediately post-interventional assessments in smaller randomized controlled (n = 64) and non-randomized waiting-list controlled (n = 40) studies described significant improvements in depressive symptoms (p < 0.01; p = 0.01), subjective memory functioning (p = 0.03), and sleep quality (p = 0.01) in the intervention group as compared to a control group.
“Immediately post-interventional assessments in smaller randomized controlled (n = 64 [65]) and non-randomized waiting-list controlled (n = 40 [38]) studies, described significant improvements in depressive symptoms (p < 0.01 [38]; p = 0.01 [65]), subjective memory functioning (p = 0.03 [65]), and sleep quality (p = 0.01 [65]) in the intervention group as compared to a control group.”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [65]
Although psychoeducational interventional studies with small sample sizes detected some positive immediate post-interventional therapeutic effects on well-being (n = 16) and mood (n = 64; n = 40), this review underlines that the majority of existing evidence from randomized controlled and randomized non-controlled trials with mostly large cohorts and longitudinal follow-ups, ranging from 3 to 24
“Although psychoeducational interventional studies with small sample sizes detected some positive immediate post-interventional therapeutic effects on well-being (n = 16 [67]) and mood (n = 64 [65]; n = 40 [38]), this review underlines that the majority of existing evidence from randomized controlled”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [65]

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Authors: Diamond, K., Mowszowski, L., Cockayne, N., Norrie, L., Paradise, M., Hermens, D. F., Lewis, S. J. G., Hickie, I. B., & Naismith, S. L.
Affiliations: The University of Sydney (AU)
Corresponding author: Naismith, Sharon L.
ORCID: Mowszowski, Loren
Cockayne, Nicole
Paradise, Matthew
Hermens, Daniel F.
Lewis, Simon J.G.
Hickie, Ian B.
Naismith, Sharon L.
Venue: Journal of Alzheimer’s Disease
Publisher: SAGE Publications
Published: 2015-02-19
Volume: 44
Issue: 4
Pages: 1181-1191
ISSN: 1387-2877 (ISSN-L)
1875-8908
DOI: 10.3233/jad-142061
OpenAlex: W2135729680
Cited by: 95
References: 45
Citations by year: 2026: 2 · 2025: 8 · 2024: 9 · 2023: 3 · 2022: 15 · 2021: 12 · 2020: 7 · 2019: 13 · 2018: 9 · 2017: 5 · 2016: 8 · 2015: 4
FWCI: 7.07
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Alzheimer s Disease (publishedVersion)
PubMed (publishedVersion)
Funders: Eli Lilly and Company
Cilag
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
MeSH terms: Affect, Aged, Aging, Dementia, Female, Humans, Male, Memory, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Sleep, Verbal Learning, Cognitive Behavioral Therapy, Single-Blind Method, Treatment Outcome

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Randomized Controlled Trial of a Healthy Brain Ageing Cognitive Training Program: Effects on Memory, Mood, and Sleep

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