Review Article

Cognitive Stimulation Programs in Healthy Elderly: A Review

Table 1

Cognitive training in healthy elderly.

AuthorPopulationAge-education % women Study designIntervention duration (weeks) # of sessionsTime of followupCognitive functions targetedStrategiesOutcome measuresResults

Auffray
and Juhel [12]
Community-dwelling A: 79.7
(8.9)
E: 9.8
71%
82
64 in EC
18 in CC
pRC N/A
6 sessions
6 & 9 monthsAttentionPractice of selective
and divided attention
Digit-symbol/b in EC & CC
MemoryFace-name association Semantic organizationVerbal immediate and delayed recall/g
Star counting task/g at FU-6 months
ReasoningRules explicationRaven’s matrices=/b
Verbal reasoning=/b
Competencies in daily life=/b

Ball et al. [13] Community-dwelling and senior centers A: 73.6
(5.9)
75.9%
2832 total 711 in MT 705 in RT 712 in ST 704 in CC RC
SB
5-6 weeks
10 sessions
12 & 24 monthsMemorySemantic organization Mental imageryComposite score from: HVLT, AVLT, and RBMT/g in MT
ReasoningAbstract reasoning Reasoning about everyday problemsComposite score from: Word series, Letter series, and Letter sets/g in RT
Speed of processingPractice under divided attentionComposite score from : UFV/g in ST

Belleville et al. [14] Community-dwelling and from memory clinics for MCI A: 66.8
(3.4)
E: 13.3
47 total
9 HE in EC
20 MCI in EC
8 HE in CC
8 MCI in CC
C 8
8 sessions
No FU Episodic memoryMental imagery
Method of loci
Face-name recall/b in both EC groups
Face-name associationUnrelate word list immediate and delayed recall/b in both EC groups, =/b
PQRST
Memo-text; short story immediate and delayed recall=/b
AttentionPractice of visual detection & arithmetic tasksBrown-Peterson=/b

Bherer et al. [15] Community-dwellingHE
A: 71.0
(0.9)
E: N/A
55%
88 total
32 HE in EC
12 HE in CC
RC 3
6 sessions
No FU Attention Priorization of a task Practice of orienting attention RT/b in both EC
Accuracy/g in both EC, greater for elderly
HA
A: 21.4
(0.9)
E: N/A
59%
32 HA in EC
12 HA in CC

Buiza
et al. [16]
Community-dwelling with complaint of memory impairment A: 74.4
(8.3)
73%
238 total 85 in EC1 68 in EC2 85 in CC Quasiexperimental DB, stratified random 104
180 sessions
No FUAttention/orientationN/ADigit span of WMS/b in EC1 at FU2
Information & orientation of WMS-R/b in all groups at FU2
MemoryN/ALogic memory of
WMS-R
/b in EC1
AVLT
STMN/AN/A/b in EC1, EC2 & CC /b in EC1
Working memoryN/AN/A/b in EC1
Executive functionsN/AVerbal fluency/b in EC1
Visual motor speedN/ATMT-A /b in EC1, EC2 & CC
AbstractionN/A /b in EC2 & CC

Calero and Navarro [17] Healthy elderly from retirement home A: 76.9
(8.4)
65%
133 total 78 in EC
55 in CC
Quasiexperimental SB, C 7
14 sessions
9 monthsMemoryPaired association
Method of loci
Categorisation
MEC/g at posttest
& 9 months-FU
WM/b in EC at posttest
& 9 months-FU
Attention spatial & temporal orientation
verbal fluency
Digit-span (WAIS-III)/g at posttest & 9 months-FU

Craik
et al. [18]
Healthy elderly with subjective complaint of cognitive memory impairment, no MCI A: 78.7
(3.9)
55%
49 total
29 in ETG
20 in LTG
W-S crossover, BR 14
14 sessions
6 months Memory Psychoeducation categorisationAlpha-Span=/b
Story making
Mental imagery
Spaced retrieval
Brown-Peterson=/b
AssociationHVLT-R/g
Logical stories/g and /b in both groups

Envig
et al. [19]
Community-dwelling 42 total
22 in EC
20 in CC
RC 8
8 sessions
No FU Serial verbal recollection memory Method of lociComputerized test of word recognition/g
Computerized test of source memory/g

Levine et al. [20]Healthy elderly with subjective complaint of memory impairment, no MCIA: 78.7
(3.9)
55%
49 total
29 in ETG
20 in LTG
W-S crossover, BR14
14 sessions
6 monthsStrategic behaviorSequencing
Splitting task in subtasks Prioritization of subgoals
SRLTs/g
MonitoringDEX=/b in EGT & LGT

Mahncke et al. [21] Community-dwelling A: 70.9
E: 16.3
50%
182 total 62 in EC 61 in AC 59 in CC RC 8–10
40–50 sessions
3 monthsSpeed of processing Practice of
computerized exercises
Tasks similar to exercises executed during training/b in EC for speed of processing & word span
Verbal memoryRBANS/g (both AC & CC)

Mozolic
et al. [22]
Community-dwelling A: 69.4
E: N/A
53%
62 total
30 in EC
32 in CC
RC
SB
8
8 sessions
1 month Selective attention Practice of exercises aiming at detecting, identifying, classifying, and sequencing visual and auditory stimuliRT and accuracy
in modality-
specific tasks
RT: /g
Accuracy:  /g
Audiovisual multisensory integration taskRT: /g in selective visual and auditory tasks
SDMT/g
Walk and Talk paradigm/g
1-Back
2-Back
/b
/b
Stroop-Color-Word test=/b in both groups
TMT=/b in both groups
HVLT=/b in both groups
POMS=/b in both groups
HSQ-12=/b in both groups

Slegers
et al. [23]
Community-dwelling A: between 64 and 75
E: N/A
Total: 236 T/I: 62 T/N-I: 61 NT: 68
CC: 45
RC 2
3 sessions + personal use at home
4 & 12 months No specific cognitive functions Training on computer operating system, software skills, or on internet applicationsVVLT_Sum 1 to 3T/I: /compared to T/N-I
MCRT=/g
LDST=/g
SCWTT/NI: compared to T/I; NT and CC
CFQ=/b
CSTT/I :  compared to T/N-I

Smith
et al., [24]
Community-dwelling A: 75.3
(6.45)
E: 15.65
(2.6)
52.4%
Total: 487 EC: 242 CC: 245 RC
DB
8
40 sessions
No FU Information processing Practice of computerized exercisesRBANS/g
RAVLT/g
RBMT=/g
WMS-III/g
LNS/g
Digit-span backward/g
Measure of exercises performance/g
CSRQ-25/g

Willis
et al. [25]
Community-dwelling and senior centers A: 73.6
(5.9)
75.9%
2832 total 711 in MT 705 in RT 712 in ST 704 in CC RC
SB
5-6 weeks
10 sessions
60 months MemorySemantic organization Mental imageryComposite score from: HVLT, AVLT, and RBMT/g in MT
ReasoningAbstract reasoning
Reasoning about everyday problems
Composite score from: Word series, Letter series Letter sets/g in RT
Speed of processing Practice under divided attentionComposite score from : UFV/g in ST
MDS-HC/g for RT
EPT=/g
OTDL=/g