Effectiveness of multiple mnemonic strategies for improving verbal memory in older adults.

Yu-Ruei Lin, Yu-Hsiang Cheng, Dai-Wei Lin, Yu-Chen Chuang, Hsiu-Ling Huang, Yann-Ying Hsiao, Chieh-Ning Huang, Ting-Jung Hsu, Jong-Ling Fuh
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Abstract

Background: Cognitive training is an evidence-based intervention for preserving memory in older adults. The effectiveness of cognitive training varies, depending on the approach used. This study examined the efficiency of cognitive training using multiple mnemonic strategies in older adults.

Methods: This study adopted a pretest-posttest control group design, with all participants undergoing two neuropsychological assessments. The cognitive training program consisted of four 60-minute sessions over a month. In the interventions, participants practiced the mnemonic strategies of elaboration and self-reference. The effect of cognitive training was analyzed using both dependent and independent t tests.

Results: The mean ages were 69.7 ± 12.0 for the control group (n = 23) and 70.7 ± 5.6 for the intervention group (n = 27), with educational attainment of 11.9 ± 3.2 and 12.1 ± 3.9 years, respectively. Both groups showed an overall improvement in memory tests, but only the intervention group's learning and delayed recall aspects of the verbal memory test remained statistically significant after adjusting for multiple comparisons ( p < 0.00625).

Conclusion: Our study demonstrates that multiple mnemonic strategy-based cognitive training effectively enhances memory function in older adults and should be regarded as an alternative intervention for older adults.

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多种记忆策略对提高老年人言语记忆的有效性。
背景:认知训练是一种基于证据的老年人记忆保护干预措施。认知训练的效果因所采用的方法而异。本研究考察了在老年人中使用多种记忆策略进行认知训练的效率。方法:本研究采用前测后测对照组设计,所有受试者接受两次神经心理评估。认知训练项目包括在一个月内进行四次60分钟的训练。在干预中,参与者练习了阐述和自我参照的记忆策略。认知训练的效果采用独立t检验和依赖t检验进行分析。结果:对照组(n= 23)平均年龄69.7±12.0岁,干预组(n= 27)平均年龄70.7±5.6岁,受教育程度分别为11.9±3.2岁和12.1±3.9岁。两组在记忆测试中均有整体改善,但在多重比较调整后,只有干预组在言语记忆测试中的学习和延迟回忆方面仍有统计学意义(p < 0.00625)。结论:基于多重记忆策略的认知训练可有效提高老年人的记忆功能,可作为老年人的一种替代干预手段。
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