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Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
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Korean J Adult Nurs : Korean Journal of Adult Nursing

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Original Article

Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment

Myoungsuk Kim, Ph.D., RN1, Kyung-Choon Lim, Ph.D., APRN-GNP2
Korean Journal of Adult Nursing 2016;28(6):691-700.
Published online: December 31, 2016

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Corresponding author: Lim, Kyung-Choon. College of Nursing, Sungshin Women's University, 55 Dobong-ro, 76 ga-gil, Gangbuk-gu, Seoul 01133, Korea. Tel: +82-2-920-7729, Fax: +82-2-920-2092, kclim@sungshin.ac.kr
• Received: November 17, 2016   • Revised: December 13, 2016   • Accepted: December 18, 2016

© 2016 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The aim of this study was to evaluate the effects of a computerized cognitive training on older adults affected by mild cognitive impairment (MCI) in terms of cognitive function, depression, self-esteem, and activities of daily living (ADL).
  • Methods
    This study used a non-equivalent control group non-synchronized design. A total of 53 older adults who reside in long-term care facilities were recruited, 26 subjects for an experimental group and 27 subjects for a control group. A computerized cognitive training was performed for 20~40 minutes/day, three days/week for ten weeks. Data were analyzed using SPSS/WIN 21.0 with x2 test, Fisher's exact test, and t-test.
  • Results
    Scores of MMSE (t=3.30, p=.002), depression (t=-2.15, p=.036), and self-esteem (t=2.76, p=.008) were significantly better in the experimental group than the control group. However, the difference in ADL (t=-1.01, p=.316) was not significant between the two groups.
  • Conclusion
    These findings suggest that the computerized cognitive training can be used as an effective nursing intervention to improve cognitive function and self-esteem and lower depression among older adults with MCI.
  • Key Words: Cognition; Depression; Self-esteem; Activity of daily living; Mild cognitive impairment
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Table 1

Targeted Cognitive Domains of the Computerized Cognitive Training

kjan-28-691-i001.jpg
Table 2

Homogeneity Test of Experimental Group and Control Group (N=53)

kjan-28-691-i002.jpg

Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living; †Fisher's exact test.

Table 3

Comparison of Dependent Variables between Two Groups after Intervention (N=53)

kjan-28-691-i003.jpg

Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living.

Figure & Data

References

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    Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
    Korean J Adult Nurs. 2016;28(6):691-700.   Published online December 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.6.691
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    Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
    Korean J Adult Nurs. 2016;28(6):691-700.   Published online December 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.6.691
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    Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
    Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment

    Targeted Cognitive Domains of the Computerized Cognitive Training

    Homogeneity Test of Experimental Group and Control Group (N=53)

    Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living; †Fisher's exact test.

    Comparison of Dependent Variables between Two Groups after Intervention (N=53)

    Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living.
    Table 1 Targeted Cognitive Domains of the Computerized Cognitive Training

    Table 2 Homogeneity Test of Experimental Group and Control Group (N=53)

    Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living; †Fisher's exact test.

    Table 3 Comparison of Dependent Variables between Two Groups after Intervention (N=53)

    Exp.=experimental group; Cont.=control group; MMSE=mini-mental state examination; ADL=activities of daily living.

    Table 1

    Table 2

    Table 3

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