Introduction: Cognitive training is a key component of multidomain interventions to prevent cognitive decline; however, low adherence remains a challenge. In this post hoc analysis of the Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT), factors associated with cognitive training adherence in older adults with mild cognitive impairment were investigated.
Methods: J-MINT was an 18-month randomized controlled trial. The analyses included 191 participants (intervention group) who completed the trial. Adherence was assessed by calculating the number of days the participants engaged in tablet-based cognitive training for at least 30 min.
Results: Vision difficulty and a larger friend network were negatively associated with adherence. Female sex, higher cognitive function, and satisfaction with training tasks and implementation goals were positively associated with adherence.
Discussion: The results imply that not only the participants' characteristics but also the training task design and implementation goal setting (training duration and frequency) are associated with adherence.
Clinical Trial Registration Number: This trial was registered with the University hospital Medical Information Network (UMIN) Clinical Trial Registry (UMIN000038671).
Highlights: Factors associated with adherence to cognitive training were evaluated.Vision difficulty was negatively associated with adherence.A larger network of friends was negatively associated with adherence.Female sex and higher cognitive function were positively associated with adherence.Satisfaction with training tasks and implementation goals was related to adherence.
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http://dx.doi.org/10.1002/trc2.70062 | DOI Listing |
Front Neurol
February 2025
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Objective: Falls in brain rehabilitation centers can negatively impact patient recovery, increase injury risk, and adversely affect rehabilitation outcomes. This study aimed to analyze the incidence of falls and identify associated risk factors among patients with brain lesions in a tertiary hospital's brain rehabilitation center from June 2021 to May 2024.
Methods: A retrospective chart review was conducted to examine patient characteristics, fall-related risk factors, functional assessments, and circumstances surrounding falls.
Brain Commun
February 2025
School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou 510631, China.
Long-term intensive training has enabled world class gymnasts to attain exceptional skill levels, inducing notable neuroplastic changes in their brains. Previous studies have identified optimized brain modularity related to long-term intensive training based on resting-state functional MRI, which is associated with higher efficiency in motor and cognitive functions. However, most studies assumed that functional topological networks remain static during the scans, neglecting the inherent dynamic changes over time.
View Article and Find Full Text PDFAlzheimers Dement (N Y)
March 2025
Department of Prevention and Care Science, Research Institute National Center for Geriatrics and Gerontology Obu Aichi Japan.
Introduction: Cognitive training is a key component of multidomain interventions to prevent cognitive decline; however, low adherence remains a challenge. In this post hoc analysis of the Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT), factors associated with cognitive training adherence in older adults with mild cognitive impairment were investigated.
Methods: J-MINT was an 18-month randomized controlled trial.
Background: Dementia is a multifaceted disorder that affects cognitive function, necessitating accurate diagnosis for effective management and treatment. Although the Mini-Mental State Examination (MMSE) is widely used to assess cognitive impairment, its standalone efficacy is debated. This study examined the effectiveness of the MMSE alone versus in combination with other cognitive assessments in predicting dementia diagnosis, with the aim of refining the diagnostic accuracy for dementia.
View Article and Find Full Text PDFDent Traumatol
March 2025
Department of Restorative Dentistry, Federal University of Ceará, Fortaleza, Brazil.
The natural dynamics of the jaw during physical activity and its physiological mechanisms are not fully understood. However, teeth clenching during certain sports activities may be associated with increased strength, power, flexibility, and performance. This behavior is termed awake bruxism (AB) and can lead to intraoral damage, highlighting the importance of patient education and management.
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