Evidence map›Paper›PMID 28869475›Full record

Trial reportJournal of Alzheimer's disease : JAD2017

Effect of Attention Training in Mild Cognitive Impairment Patients with Subcortical Vascular Changes: The RehAtt Study.

Leonardo Pantoni, Anna Poggesi, Stefano Diciotti, Raffaella Valenti, Stefano Orsolini, Eleonora Della Rocca, Domenico Inzitari, Mario Mascalchi, Emilia Salvadori

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Alzheimer's disease : JAD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02033850 (The Rehabilitation of Attention in Patients With Mild Cognitive Impairment and Brain Subcortical Vascular Changes Using the Attention Process Training-II), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02033850 nacompletednot on this map

The Rehabilitation of Attention in Patients With Mild Cognitive Impairment and Brain Subcortical Vascular Changes Using the Attention Process Training-II

TypeinterventionalSponsorAzienda Ospedaliero-Universitaria CareggiRan2012 to 2016Enrolled46ConditionsMild Cognitive ImpairmentArmsAttention Process Training-II
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Clinical Effectiveness of Treatments for Mild Cognitive Impairment in Adults: A Systematic Review.European journal of investigation in health, psychology and education · 2025
    Review
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  9. Review
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  12. Vascular Cognitive Impairment and Dementia.Continuum (Minneapolis, Minn.) · 2022
    Review
  13. Article
  14. Article
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  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Leonardo PantoniNEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy.
Anna PoggesiNEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy.
Stefano DiciottiDepartment of Electrical, Electronic, and Information Engineering 'Guglielmo Marconi', University of Bologna, Cesena, Italy.
Raffaella ValentiNEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy.
Stefano OrsoliniDepartment of Electrical, Electronic, and Information Engineering 'Guglielmo Marconi', University of Bologna, Cesena, Italy.
Eleonora Della RoccaStroke Unit, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
Domenico InzitariNEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy.
Mario Mascalchi'Mario Serio' Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Emilia SalvadoriNEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy.
University of Florence · ITMarconi University · ITAzienda Ospedaliero-Universitaria Careggi · ITMeyer Children's Hospital · ITNational Research Council · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveMild cognitive impairment (MCI) patients with small vessel disease (SVD) are at high dementia risk. We tested the effects of cognitive rehabilitation in these patients using the Attention Process Training-II (APT-II) program in a single-blinded, randomized clinical trial.

methodsPatients were randomized to APT-II or standard care and evaluated at baseline, 6, and 12 months with functional, quality of life, cognitive tests, and resting state functional MRI (rsfMRI).

resultsForty-six patients were enrolled and 43 (mean±SD age 75.1±6.8) completed the study. No change was seen in functionality and quality of life between treated and non-treated patients. However, the Rey Auditory-Verbal Learning Test immediate recall showed a significant improvement in treated compared to non-treated group (change score 6 versus 12 months: 1.8±4.9 and -1.4±3.8, p = 0.021; baseline versus 12 months: 3.8±6.1 and 0.2±4.4, p = 0.032). A higher proportion of treated patients had stable/better evaluation compared to non-treated group on Visual search test (6 versus 12 months: 95% versus 71%, p = 0.038) and Rey-Osterrieth Complex Figure copy (6 versus 12 months: 95% versus 67%, p = 0.027). RsfMRI, performed in a subsample, showed that the difference between follow-up and baseline in synchronization of activity in cerebellar areas was significantly greater in treated than in non-treated patients.

conclusionWe were unable to show a significant effect in quality of life or functional status in treated patients with MCI and SVD. However, APT-II produces some beneficial effects in focused attention and working memory and seems to increase activity in brain circuits involved in cognitive processes.

Indexed as

AgedAged, 80 and overAttentionBrain MappingCerebral Small Vessel DiseasesCognitive Behavioral TherapyCognitive DysfunctionCohort StudiesDisability EvaluationFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsQuality of LifeSingle-Blind MethodCerebrovascular disordersclinical trialcognitive dysfunctionfunctional magnetic resonance imagingrehabilitation

Identifiers

PMID28869475
PMCPMC5611829
OpenAlexW2750674998

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.