Evidence map›Paper›PMID 38230719›Full record

Trial reportThe journal of prevention of Alzheimer's disease2024

Expectancy Does Not Predict 18-month Treatment Outcomes with Cognitive Training in Mild Cognitive Impairment.

J N Motter, S N Rushia, M Qian, C Ndouli, A Nwosu, J R Petrella, P M Doraiswamy, T E Goldberg, D P Devanand

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of prevention of Alzheimer's disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Clinical Effectiveness of Treatments for Mild Cognitive Impairment in Adults: A Systematic Review.European journal of investigation in health, psychology and education · 2025
    Review
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.

J N MotterJeffrey N. Motter, Department of Psychiatry, Division of Geriatric Psychiatry, 1051 Riverside Drive, New York, NY 10032, United States. Email: jm5077@cumc.columbia.edu.
S N Rushia
M Qian
C Ndouli
A Nwosu
J R Petrella
P M Doraiswamy
T E Goldberg
D P Devanand

Funding

COGNITIVE TRAINING AND NEUROPLASTICY IN MILD COGNITIVE IMPAIRMENTR01AG052440 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DAVANGERE P DEVANAND · 2017 to 2026
$9.3M
Research Training in Late-Life NeuroPsychiatric DisordersT32MH020004 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Patrick J Brown · 1998 to 2026
$6.1M
NIA NIH HHS R01 AG052440NIMH NIH HHS T32 MH020004
6 · The paper itself

Abstract

backgroundComputerized cognitive training (CCT) has emerged as a potential treatment option for mild cognitive impairment (MCI). It remains unclear whether CCT's effect is driven in part by expectancy of improvement.

objectivesThis study aimed to determine factors associated with therapeutic expectancy and the influence of therapeutic expectancy on treatment effects in a randomized clinical trial of CCT versus crossword puzzle training (CPT) for older adults with MCI.

designRandomized clinical trial of CCT vs CPT with 78-week follow-up.

settingTwo-site study - New York State Psychiatric Institute and Duke University Medical Center.

participants107 patients with MCI.

intervention12 weeks of intensive training with CCT or CPT with follow-up booster training over 78 weeks. MEASUREMENTS: Patients rated their expectancies for CCT and CPT prior to randomization.

resultsPatients reported greater expectancy for CCT than CPT. Lower patient expectancy was associated with lower global cognition at baseline and older age. Expectancy did not differ by sex or race. There was no association between expectancy and measures of everyday functioning, hippocampus volume, or apolipoprotein E genotype. Expectancy was not associated with change in measures of global cognition, everyday functioning, and hippocampus volume from baseline to week 78, nor did expectancy interact with treatment condition.

conclusionsWhile greater cognitive impairment and increased age was associated with low expectancy of improvement, expectancy was not associated with the likelihood of response to treatment with CPT or CCT.

Indexed as

Cognitive DysfunctionCognitive TrainingAgedCognitionHumansTreatment Outcomeagecomputerized cognitive trainingcrossword puzzlesExpectancymild cognitive impairment

Identifiers

PMID38230719
PMCPMC10794849

What OpenQuestion holds

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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.