Evidence map›Paper›PMID 41626290›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Cognitive training, alone and combined with acetylcholinesterase inhibitors, in neurocognitive disorders: long-term efficacy and the role of cognitive reserve on 30 months of intervention.

Adele Ravelli, Chiara Ceolin, Marina De Rui, Alessandra Coin, Giuseppe Sergi, Daniela Mapelli, Maria Devita

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Adele RavelliGeriatrics Unit, Department of Medicine (DIMED) University of Padua Padua Italy.ORCID https://orcid.org/0000-0002-6345-6836
Chiara CeolinGeriatrics Unit, Department of Medicine (DIMED) University of Padua Padua Italy.
Marina De RuiGeriatrics Unit, Department of Medicine (DIMED) University of Padua Padua Italy.
Alessandra CoinGeriatrics Unit, Department of Medicine (DIMED) University of Padua Padua Italy.
Giuseppe SergiGeriatrics Unit, Department of Medicine (DIMED) University of Padua Padua Italy.
Daniela MapelliDepartment of General Psychology (DPG) University of Padua Padua Italy.
Maria DevitaGeriatrics Unit, Department of Medicine (DIMED) University of Padua Padua Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNon-pharmacological interventions are increasingly relevant in neurocognitive disorders (NCDs) management. Cognitive training (CT) may benefit early stages, when functional resources allow targeted stimulation. However, its long-term effects and interaction with acetylcholinesterase inhibitors (AChEI) remain underexplored. This study aimed to investigate the 30-month efficacy of CT, alone or combined with AChEI, in older adults with mild NCD, considering the moderating role of cognitive reserve (CR) and individual characteristics.

methodsA total of 108 individuals (mean age = 75.1 ± 6.5; 56.5% females) received either repeated CT alone (

resultsCT-only individuals showed greater and more consistent cognitive improvements over time compared to the CT+AChEI group (MMSE: DISCUSSION: Sustained CT supports cognition in NCDs, particularly for those with lower CR. The combination with AChEI did not provide additional benefit and may reduce long-term effectiveness, warranting further investigation. Findings emphasize the importance of tailored, long-term approaches accounting for individual profiles. Highlights: Cognitive training improved cognition over 30 months in mild NCDs.CT alone outperformed combined CT+AChEI treatment in long-term cognitive outcomes.Individuals with lower CR benefited most from CT.Males showed greater cognitive gains, particularly in the CT-only group.Long-term CT efficacy supports real-world applicability in early NCD care.

Indexed as

acetylcholinesterase inhibitorscognitive reservecognitive traininglongitudinal studynon‐pharmacological treatmentolder adults

Identifiers

PMID41626290
PMCPMC12856706

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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.