| Autor: |
Jeremy M. Silverman, Carolyn W. Zhu, James Schmeidler, Pearl G. Lee, Neil B. Alexander, Elizabeth Guerrero-Berroa, Michal S. Beeri, Rebecca K. West, Mary Sano, Martina Nabozny, Martha Karran |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Diabetes research and clinical practice. |
| ISSN: |
1872-8227 |
| Popis: |
1.This randomized control trial compared an adaptive computerized cognitive training intervention with a non-adaptive version. The primary hypothesis predicted better diabetes self-management in type 2 diabetes patients at 6 months post-intervention than baseline, with seven secondary outcomes. 2.Intent-to-treat analysis of veterans without dementia aged 55+ from the Bronx, NY and Ann Arbor, MI (N=90/per arm) used linear mixed model analyses. 3.Contrary to the hypothesis, only memory showed more improvement in the adaptive arm (p0.01). Post-hoc analyses combined the two arms; self-management improved at six-months post-intervention (p0.001). Memory, executive functions/attention, prospective memory, diastolic blood pressure, and systolic blood pressure improved (p0.05); hemoglobin A1c and medication adherence did not improve significantly. 4.The adaptive computerized cognitive training was not substantially better than non-adaptive, but may improve memory. Post-hoc results for the combined arms suggest computer-related activities may improve diabetes self-management and other outcomes for middle-aged and older patients with type 2 diabetes. Practice effects or awareness of being studied cannot be ruled out. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect