Research Article

Simultaneous Dual-Task Interventions That Improve Cognition in Older Adults: A Scoping Review of Implementation-Relevant Details

Table 2

Ways in which the studied interventions were effective ().

StudyIntervention typeCognitive domains assessed (as stated in individual studies)Cognitive measures that improved statistically significantly (within and between group differences)Effect sizes (within and between group differences)Effectiveness timeframeReported adverse outcomes

[28] Anderson-Hanley et al.Cybercycle exergame groupExecutive function
Visuospatial function
Attention
Verbal fluency
Verbal memory
Neuroplasticity
Between groups:
colour trails, digit span backward, neuroplasticity assessment and Stroop C.
Within group:
colour trails, digit span backward, neuroplasticity assessment and Stroop C
Between groups: (ηp2)
large effect size: colour trails test, digit span backward and Stroop C.
Within group: (d)
medium effect size: colour trails, digit span backward, Stroop C, and reduction in risk of clinical progression to mild cognitive impairment
Cognitive measures: baseline and after intervention (3 months).
Neuroplasticity assessment: immediately before and after intervention
Not reported
[29] Eggenberger et al.Dance exergameInformation processing
Shifting attention
Inhibition
Working memory
General cognitive ability
Between groups:
fNIRS treadmill test:
reduced at preferred walking speed in the left and right prefrontal cortex (PFC). At preferred and fast walking speed, higher left PFC activity than right. levels higher at fast compared to preferred walking speed.
Cognitive measures: unclear.
Within group:
unclear
Between groups: (r)
medium effect sizes: fNIRS treadmill test.
Within groups: (r)
unclear
Immediately before and after intervention (8 weeks)Nil adverse outcomes
[30] Esmail et al.Dance/movement trainingExecutive function
Nonexecutive function
Global cognition
Within group:
N-back test, digit Stroop and dual-task tests
Within group: (ηp2)
large effect size: N-back test, digit Stroop test, and dual-task tests
Immediately before and after intervention (12 weeks)Nil adverse outcomes
[31] Hars et al.Music-based multitask exercise classesGeneral cognition
Executive functioning
Between groups:
sensitivity to interference subtest of the frontal assessment battery.
Within group:
Mini-Mental State Examination
Not reportedImmediately before and after intervention (6 months)Not reported
[32] Kitazawa et al.Net step exerciseVisuospatial function.
Level of cognitive decline
Between groups:
Touch-M, accuracy of the order of a process and naming fingers subtests of the touch-panel type dementia assessment scale.
Within group:
Touch-M total score and naming fingers subtest of the touch-panel type dementia assessment scale
Not reportedImmediately before and after intervention (2 months)Not reported
[33] Li et al.Tai Chi Quan exerciseGlobal cognitionBetween 2 intervention groups and stretching control group:
Montreal cognitive assessment
Within group:
improvement on Montreal cognitive assessment scores; it is unclear if statistical significance was reached
Not reportedImmediately before and after intervention (6 months)
[34] Monteiro-Junior et al.Exergame Wii groupSemantic memory
Short-term memory
Working memory
Within group:
verbal fluency test
Within group: (Δ before and after)
large effect size: verbal fluency and digit span forward tests.
Small effect size: digit span backward test.
Between groups (Δ%):
large effect size: verbal fluency, digit span forward and backward tests
Immediately before and after intervention (after 1 session)Not reported
[35] Mortimer et al.Tai Chi groupNot reportedBetween 2 intervention groups and control group: increased whole brain volume.
Within group:
category verbal fluency test, auditory verbal learning test (delayed recognition),
rail making test part A and B, Mattis dementia rating scale total score and attention, initiation and memory subtests of the Mattis dementia rating scale
Not reportedBefore intervention and at follow-up (40 weeks).
19-20 weeks between conclusion of intervention and follow-up assessment
Not reported
[36] Noice and NoiceTheatre groupWord recall
Category fluency
Episodic memory
Problem solving
Experiment 1
Between group:
means-end problem solving procedure, east Boston memory, verbal fluency, and
Word list recall tests.
Within group:
means-end problem solving procedure.
Experiment 2
Between group:
means-end problem solving procedure, east Boston memory, verbal fluency and word list recall tests.
Within group:
means-end problem solving procedure, verbal fluency, and word list recall (immediate) tests
Experiment 1
Between groups (ηp2):
large effect size: means-end problem solving procedure, east Boston memory, verbal fluency, and word list recall tests.
Within group (ηp2):
medium effect size: means-end problem solving procedure;
small effect size: verbal fluency.
Experiment 2
Between group (ηp2):
large effect size: means-end problem solving procedure, east Boston memory, verbal fluency, and word list recall tests.
Within group (ηp2):
large effect size: means-end problem solving procedure, verbal fluency, and word list recall (immediate) tests
Immediately before and after intervention (4 weeks)Not reported
[37] Norouzi et al.Motor-cognition dual-task groupWorking memoryBetween groups:
N-back test.
Within group:
N-back test
Large effect size: N-back test, after test and at follow-up.
Between groups: unclear ηp2 or d; large effect size:
N-back test, after test and at follow-up
Before intervention, after intervention, and at follow-up (4 weeks),
8 weeks between conclusion of intervention and follow-up assessment
Not reported
[38] Schoene et al.Exergame groupCombined stepping and executive function
Processing speed
Executive function
Attention
Inhibition
Visuospatial function
Between groups:
letter digit test, hand reaction and choice stepping reaction times, mental rotation, and executive subtest of the attentional network test.
Within group:
difference between low and high adherers: letter digit, alerting subtest of the attentional network test and trail making test B/A
Not reportedBefore and after intervention (16 weeks)One participant with post-polio
syndrome reporting severe leg pain.
No other adverse effects reported.
[39] Silsupadol et al.Simultaneous balance and cognitive task groupNot reportedBetween groups:
counting backwards by threes and auditory Stroop tests whilst sitting.
Within group:
counting backwards by threes and auditory Stroop tests whilst sitting
Within group: (ηp2)
large effect size: counting backwards by threes and auditory Stroop tests.
Between groups: (ηp2)
large effect size: counting backwards by threes and auditory Stroop tests
Before and after intervention (4 weeks)Not reported
[40] Sungkarat et al.Tai Chi groupEpisodic memory
Visuospatial function
Executive function
Hand reaction time
Between group:
logical memory-delayed recall subtest of the Wechsler memory scale, block design, trail making test B-A and hand reaction time.
Within group:
not reported
Not reportedBefore and after intervention (15 weeks)No adverse effects
[41] Tsang et al.Qigong exercise groupGlobal cognitionBetween groups:
acute and mid intervention effects;
thinking operations subtest of the LOTCA-G.
Within group:
not reported
Between groups: (ηp2)
small effect size: acute affects;
orientation, visuomotor organisation, thinking operations, memory and attention subtests of the LOTCA-G
Acute effects: baseline to after intervention (12 weeks).
Mid-intervention effects:
baseline to mid intervention (6 weeks).
Maintenance effects: post- to follow-up assessment (20 weeks)
No adverse events

The within group data relates to the SDT group only.