Evidence map›Paper›PMID 31291337›Full record

Trial reportPloS one2019

Computer-based cognitive training for older adults: Determinants of adherence.

Merita Turunen, Laura Hokkanen, Lars Bäckman, Anna Stigsdotter-Neely, Tuomo Hänninen, Teemu Paajanen, Hilkka Soininen, Miia Kivipelto, Tiia Ngandu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

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  4. Psychosocial Correlates of Adherence to Mind-Body Interventions.Prevention science : the official journal of the Society for Prevention Research · 2025
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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 8 institutions in 2 countries.

Merita TurunenPublic Health Promotion Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.ORCID 0000-0001-5765-6279
Laura HokkanenDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, University of Helsinki, Helsinki, Finland.
Lars BäckmanAging Research Center, Karolinska Institutet, Stockholm University, Stockholm, Sweden.
Anna Stigsdotter-NeelyDepartment of Psychology, Umeå University, Umeå, Sweden and Department of Social and Psychological Sciences, Karlstad University, Karlstad, Sweden.
Tuomo HänninenNeurocenter/Neurology, Kuopio University Hospital, Kuopio, Finland.
Teemu PaajanenResearch and Service Centre for Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland.
Hilkka SoininenNeurocenter/Neurology, Kuopio University Hospital, Kuopio, Finland.
Miia KivipeltoPublic Health Promotion Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.
Tiia NganduPublic Health Promotion Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.
Stockholm University · SEFinnish Institute for Health and Welfare · FIFinnish Institute of Occupational Health · FIKarlstad University · SEKarolinska Institutet · SEKuopio University Hospital · FIUniversity of Eastern Finland · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The possibilities of computer-based cognitive training (CCT) in postponing the onset of dementia are currently unclear, but promising. Our aim is to investigate older adults´ adherence to a long-term CCT program, and which participant characteristics are associated with adherence to the CCT. This study was part of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Participants were 60-77-year-old individuals with increased dementia risk, recruited from previous population-based studies. The participants included in this study (n = 631) had been randomized to receive a multi-domain lifestyle intervention, including CCT. The measure of adherence was the number of completed CCT sessions (max = 144) as continuous measure. Due to a substantial proportion of participants with 0 sessions, the zero inflated negative binomial regression analyses were used to enable assessment of both predictors of starting the training and predictors of completing a higher number of training sessions. Several cognitive, demographic, lifestyle, and health-related variables were examined as potential predictors of adherence to CCT. Altogether, 63% of the participants participated in the CCT at least once, 20% completed at least half of the training, and 12% completed all sessions. Previous experience with computers, being married or cohabiting, better memory performance, and positive expectations toward the study predicted greater odds for starting CCT. Previous computer use was the only factor associated with a greater number of training sessions completed. Our study shows that there is a large variation in adherence to a long-lasting CCT among older adults with an increased risk of dementia. The results indicate that encouraging computer use, and taking into account the level of cognitive functioning, may help boost adherence to CCT.

Indexed as

Life StyleAgedCognitionCognitive Behavioral TherapyDementiaFemaleFinlandHumansMaleMiddle AgedNeuropsychological TestsPatient ComplianceTherapy, Computer-AssistedTreatment Outcome

Identifiers

PMID31291337
PMCPMC6620011
OpenAlexW2959332613

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.