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

• Published in: International journal of geriatric psychiatry Vol. 35; no. 5; pp. 537 - 546
• Main Authors: Yang, Hui‐Ling, Chu, Hsin, Kao, Ching‐Chiu, Miao, Nae‐Fang, Chang, Pi‐Chen, Tseng, Philip, O'Brien, Anthony Paul, Chou, Kuei‐Ru
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Inc 01.05.2020; Wiley Subscription Services, Inc
• Subjects: alertness; Attention; attention training; Clinical trials; Cognitive ability; Geriatric psychiatry; Geriatrics; mild cognitive impairment; Older people; Orientation behavior; randomized controlled trial; sustained attention; Vigilance; Visual perception; visual‐spatial attention; alertness; mild cognitive impairment; attention training; sustained attention; visual-spatial attention; randomized controlled trial
• ISSN: 0885-6230; 1099-1166; 1099-1166
• DOI: 10.1002/gps.5269

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.