Evidence map›Paper›PMID 37953132›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2024

Computerized Cognitive and Skills Training in Older People With Mild Cognitive Impairment: Using Ecological Momentary Assessment to Index Treatment-Related Changes in Real-World Performance of Technology-Dependent Functional Tasks.

Courtney Dowell-Esquivel, Sara J Czaja, Peter Kallestrup, Colin A Depp, John N Saber, Philip D Harvey

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Maintenance of Technology-Based Functional Skills Training Gains in Older Participants With and Without Mild Cognitive Impairment: The Role of Booster Training.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Trial
  2. Article
  3. Article
  4. Article
  5. A Pilot Study of the Effect of Repeated Practice in Virtual Reality on Everyday Action Performance in Real Life.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  6. Review
  7. Article
  8. Technology that CARES: Enhancing dementia care through everyday technologies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  9. Article
  10. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Courtney Dowell-EsquivelUniversity of Miami Miller School of Medicine (CDE, PDH), Miami, FL.
Sara J CzajaWeil Cornell School of Medicine (SJC), New York, NY; i-Function, Inc. (SJC, PK, PDH) Miami, FL.
Peter Kallestrupi-Function, Inc. (SJC, PK, PDH) Miami, FL.
Colin A DeppUCSD Medical Center (CAD), La Jolla, CA.
John N SaberEMA Wellness (JNS), Boston, MA.
Philip D HarveyUniversity of Miami Miller School of Medicine (CDE, PDH), Miami, FL; i-Function, Inc. (SJC, PK, PDH) Miami, FL. Electronic address: pharvey@miami.edu.
University of Miami · USCornell University · USUniversity of California San Diego Medical Center · US

Funding

A Technology-Based Novel Functional Skills Assessment and Training Program for Adults with and without Cognitive Impairments. Develop the next generation software solution.R44AG057238 · NIA · I-FUNCTION, INC. · PI KALLESTRUP, PETER · 2020 to 2021
$1.6M
A novel computer-based functional skills assessment and training programR43AG057238 · NIA · I-FUNCTION, INC. · PI CZAJA, SARA J, HARVEY, PHILIP D. · 2017 to 2018
$450k
Improving the Functional Outcomes in Older Adults with SchizophreniaR21AG041740 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CZAJA, SARA J, HARVEY, PHILIP D. · 2012 to 2013
$412k
NIA NIH HHS R21 AG041740NIA NIH HHS R43 AG057238NIA NIH HHS R44 AG057238
6 · The paper itself

Abstract

objectivesCognitive and functional skills training improves skills and cognitive test performance, but the true test of efficacy is real-world transfer. We trained participants with mild cognitive impairment (MCI) or normal cognition (NC) for up to 12 weeks on six technology-related skills using remote computerized functional skills assessment and training (FUNSAT) software. Using ecological momentary assessment (EMA), we measured real-world performance of the technology-related skills over 6 months and related EMA-identified changes in performance to training gains.

designRandomized clinical trial with post-training follow-up.

settingA total of 14 Community centers in New York City and Miami.

participantsOlder adults with normal cognition (n = 72) or well-defined MCI (n = 92), ranging in age from 60 to 90, primarily female, and racially and ethnically diverse.

interventionComputerized cognitive and skills training. MEASUREMENTS: EMA surveys measuring trained and untrained functional skills 3 or more days per week for 6 months and training gains from baseline to end of training.

resultsTraining gains in completion times across all 6 tasks were significant (p <0.001) for both samples, with effect sizes more than 1.0 SD for all tasks. EMA surveys detected increases in performance for both trained (p <0.03) and untrained (p <0.001) technology-related skills for both samples. Training gains in completion times predicted increases in performance of both trained and untrained technology-related skills (all p <0.001).

conclusionsComputerized training produces increases in real-world performance of important technology-related skills. These gains continued after the end of training, with greater gains in MCI participants.

Indexed as

Cognitive DysfunctionEcological Momentary AssessmentActivities of Daily LivingAgedCognitionFemaleHumansNeuropsychological TestsComputerized Cognitive Trainingecological momentary assessmentfunctional skills trainingmild cognitive impairment

Identifiers

PMID37953132
PMCPMC10950539
OpenAlexW4388179818

What OpenQuestion holds

Textmetadata
LicenceTDM
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.