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首页> 外文期刊>International journal of geriatric psychiatry >Construction and evaluation of multidomain attention training to improve alertness attention, sustained attention, and visual‐spatial attention in older adults with mild cognitive impairment: A randomized controlled trial
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Construction and evaluation of multidomain attention training to improve alertness attention, sustained attention, and visual‐spatial attention in older adults with mild cognitive impairment: A randomized controlled trial

机译：多麦田注意培训的建设与评估，以提高较轻认知障碍的老年人持续关注，持续关注和视觉空间关注：随机对照试验

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Abstract Objectives We aimed to analyze the effects of multidomain attention training on alertness, sustained attention, and visual‐spatial attention in older adults with mild cognitive impairment (MCI). Design The design used in this study was a two‐arm, parallel group, double‐blind randomized controlled trial. Setting and participants The participants of the study were seventy‐eight older adults with MCI (mean age: 79.5?±?7.9?years) from retirement centers and community housing for the elderly. Intervention The participants were randomly assigned to an experimental group (multidomain attention training, n = 39) or an active control group (n = 39). Both groups underwent training sessions for 45?minutes three times per week for 6?weeks (18 sessions in total). Measures The main efficacy indicator was alertness (Trail Making Test Part B), sustained attention (Digit Vigilance Test), and visual‐spatial attention (Trail Making Test Part A). The secondary outcome indicators were other cognitive functions (Mini‐Mental State Examination [MMSE] and Montreal Cognitive Assessment [MoCA] subscales). Measurements were obtained at pretest, posttest, and 3 and 6?months after training. Results The results were analyzed by a generalized estimating equation (GEE), which indicated that attention outcomes (alertness, sustained attention, and visual‐spatial attention) of the experimental group did not improve after training. However, the experimental group displayed a significant improvement in the attention, memory, and orientation of MMSE and MoCA subscales over a period of 6?months and also showed superior results compared with the control group. Conclusions Multidomain attention training demonstrated improved alertness and visual‐spatial attention for posttest after 6?months. We also outline potential future advances in attention training for improving attention in older adults with MCI.
机译：摘要目标我们旨在分析多麦田注意培训对较老年人认知障碍（MCI）的老年人的警觉性，持续关注和视觉空间的影响。设计本研究中使用的设计是双臂，平行组，双盲随机对照试验。设定和参与者该研究的参与者是七十八名老年人，MCI（平均年龄：79.5？±79.5？±7.9岁）来自退休中心和老年人的社区住房。干预参与者被随机分配给实验组（多域注意训练，N = 39）或活性对照组（n = 39）。两组两组接受了45次培训课程，每周三次为6？周（总共18次）。测量主要疗效指标是警觉性（TRAIL制作测试部分B），持续注意（数字警惕性测试），以及视觉空间注意（TRAIL制作测试部分A）。二次结果指标是其他认知功能（迷你态度[MMSE]和蒙特利尔认知评估[MOCA]分量表）。测量是在预测试，后塔和3次和6个月的训练后的时间。结果通过广义估计方程（GEE）分析了结果，表明实验组的注意结果（警觉，持续，关注和视觉空间关注）在训练后没有改善。然而，实验组在6个月的时间内展示了MMSE和MOCA分量的注意力，记忆和方向，并且与对照组相比也显示出优异的结果。结论多麦田注意力培训表明6岁以下后最新的警觉性和视觉空间关注。我们还概述了潜在的未来进展，以改善更高的MCI老年人的注意力。

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