Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2026
Maintenance of Technology-Based Functional Skills Training Gains in Older Participants With and Without Mild Cognitive Impairment: The Role of Booster Training.
Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivePrior research has demonstrated that the technology-based Functional Skills Assessment and Training program (FUNSAT™) improves functional skills among older adults with and without Mild Cognitive Impairment (MCI). The current study examined maintenance of training gains and the role of booster sessions on sustaining training gains.
designRandomized clinical trial with post-training follow-ups.
setting14 Community centers in New York City and Miami.
participantsOlder adults with normal cognition (n = 74) or MCI (n = 90), ranging in age from 60 to 90 years.
interventionComputerized cognitive and skills trainings delivered at home 2x weekly for 12 weeks or until mastery. MEASUREMENTS: The FUNSAT™ program includes financial, medication management, and transportation skills. Completion time and errors were assessed pretraining (T1), post-training (T2), one-month post-training (T3) and 3-months post-training (T4). Participants whose T2 training gains were not sustained at T3 (according to predetermined criteria) received booster training.
resultsThe percentage of participants needing a booster was low (13% to 34% across tasks); need for booster training was greater for more complex tasks (e.g., internet banking). Participants who did not need a booster improved in performance from T2 to T3. Booster training was efficacious as those receiving booster training subsequently regained training gains and their performance did not differ from the no-booster group at T4.
conclusionsThe findings further support the efficacy of the FUNSAT™ training program; most participants maintained or increased their training gains over time. Booster training was beneficial in terms of sustaining gains, indicating that booster sessions play a critical role in skills training.
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