The ACTIVE Study: Association of Race and Social Determinants of Health (SDoH) with Long-Term Outcomes and Cognitive Training Effects.

Autor:	Rebok GW; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Johns Hopkins Alzheimer's Disease Resource Center for Minority Aging Research, Baltimore, MD, USA.; Johns Hopkins Center on Aging and Health, Baltimore, MD, USA., Clay OJ; Department of Psychology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.; Deep South Resource Center for Minority Aging Research, Birmingham, AL, USA.; UAB Alzheimer's Disease Research Center, Birmingham, AL, USA., Thorpe RJ Jr; Johns Hopkins Alzheimer's Disease Resource Center for Minority Aging Research, Baltimore, MD, USA.; Johns Hopkins Center on Aging and Health, Baltimore, MD, USA.; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Willis SL; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Jazyk:	angličtina
Zdroj:	Journal of aging and health [J Aging Health] 2023 Oct; Vol. 35 (9_suppl), pp. 3S-10S.
DOI:	10.1177/08982643231204931
Abstrakt:	Objective: The purpose of this article is to introduce a special issue on the ACTIVE project examining the association between race and social determinants of health (SDoH) and long-term participant outcomes and training effectiveness for older Black/African Americans and Whites in the ACTIVE (for Advanced Cognitive Training for Independent and Vital Elderly) Trial on cognitive abilities, everyday functioning, and incidence of dementia. The ACTIVE study is the largest randomized clinical trial ( N = 2802) of the efficacy of three types of cognitive training (memory, reasoning, speed of processing) in improving cognitive and everyday functioning in normal older adults, with follow-ups extending through 5 and 10 years post-intervention. Method: We provide background and context for studying the multiple domains of SDoH in understanding long-term participant outcomes in the ACTIVE trial and racial disparities in the efficacy of cognitive training and summarize the 11 articles in this special issue. Results: Articles in this special issue address several cross-cutting themes. These include 1) a focus on SDoH and race in relation to three cognitive abilities and driving; 2) cognitive training outcomes in older Black/African Americans (B/AA); 3) race differences in everyday function; and 4) associations of various risk factors (e.g., cardiovascular disease, obesity, depression) and protective factors (e.g., occupational complexity) for cognitive decline with health disparities in incident dementia and mortality. Conclusion: In cognitive training studies with cognitively healthy older adults, it is important to consider how factors such as race and SDoH relate to long-term participant outcomes and how they moderate intervention effects. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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