Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study
Objective To investigate the efficacy of a 5-month computerized cognitive training programme (CCT) “Exercise your Brain” using mobile devices in improving cognitive functioning in community-dwelling older adults with and without risk of mild cognitive impairment (MCI). Methods One hundred thirty-fou...
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| Language: | English |
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SAGE Publishing
2025-08-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076251362117 |
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| author | Kenneth N K Fong Alex W K So Kevin C H Cheung Jack Y L Cheung Anson M H Lee Ryan C Y Wong Joyce S Y Lau Pablo Cruz Gonzalez Wilson W S Wong Danny K F Li Diana S H Kam |
| author_facet | Kenneth N K Fong Alex W K So Kevin C H Cheung Jack Y L Cheung Anson M H Lee Ryan C Y Wong Joyce S Y Lau Pablo Cruz Gonzalez Wilson W S Wong Danny K F Li Diana S H Kam |
| author_sort | Kenneth N K Fong |
| collection | DOAJ |
| description | Objective To investigate the efficacy of a 5-month computerized cognitive training programme (CCT) “Exercise your Brain” using mobile devices in improving cognitive functioning in community-dwelling older adults with and without risk of mild cognitive impairment (MCI). Methods One hundred thirty-four older adults were recruited from 5-day activity centres for the older adults in Hong Kong using convenience sampling to participate in a 5-month CCT training. Participants were stratified into older adults with and without risk of MCI. Results There was significant improvement (p < 0.001) in MoCA 5-min for the whole sample after 5-month CCT (d = 0.72) and the effects were maintained at 3-month follow-up. The group at risk of MCI improved their cognitive functioning immediately after intervention more than the non-MCI group (p < 0.001, d = 1.37 vs d = 0.55). In the task-based performance, there was significant interaction effect between memory and calculation with and without risk of MCI when years of formal education was a covariate, and that the non-MCI group had the highest improvement in Judgement (6.23%) and memory (5.43%), compared with that (1.47% and 2.33%) in the group at risk of MCI. The risk-of-MCI group had the highest improvement in attention (2.67%) and eye-hand coordination (4.87%), compared with that of the healthy older adults. Conclusion Cognitive functioning in both older adults with or without risk of MCI was enhanced immediately after CCT using a mobile device and endured over a three-month follow-up. The training effect on the group at risk of MCI was significantly greater than that for the non-MCI group. With recent advances in mobile technology, remote cognitive training in terms of using mobile devices for older adults as primary and secondary preventions is applicable and practicable. |
| format | Article |
| id | doaj-art-40076dcb216d48e394a6f06f2e89f494 |
| institution | DOAJ |
| issn | 2055-2076 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-40076dcb216d48e394a6f06f2e89f4942025-08-20T03:03:51ZengSAGE PublishingDigital Health2055-20762025-08-011110.1177/20552076251362117Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal studyKenneth N K Fong0Alex W K So1Kevin C H Cheung2Jack Y L Cheung3Anson M H Lee4Ryan C Y Wong5Joyce S Y Lau6Pablo Cruz Gonzalez7Wilson W S Wong8Danny K F Li9Diana S H Kam10 Research Centre for Assistive Technology, , Hong Kong SAR Department of Rehabilitation Sciences, , Hong Kong SAR Department of Rehabilitation Sciences, , Hong Kong SAR Department of Rehabilitation Sciences, , Hong Kong SAR Department of Rehabilitation Sciences, , Hong Kong SAR Department of Rehabilitation Sciences, , Hong Kong SAR Research Centre for Assistive Technology, , Hong Kong SAR Rehabilitation Research Institute of Singapore, , Singapore The Hong Kong Society for the Aged, Hong Kong, Hong Kong SAR The Hong Kong Society for the Aged, Hong Kong, Hong Kong SAR The Hong Kong Society for the Aged, Hong Kong, Hong Kong SARObjective To investigate the efficacy of a 5-month computerized cognitive training programme (CCT) “Exercise your Brain” using mobile devices in improving cognitive functioning in community-dwelling older adults with and without risk of mild cognitive impairment (MCI). Methods One hundred thirty-four older adults were recruited from 5-day activity centres for the older adults in Hong Kong using convenience sampling to participate in a 5-month CCT training. Participants were stratified into older adults with and without risk of MCI. Results There was significant improvement (p < 0.001) in MoCA 5-min for the whole sample after 5-month CCT (d = 0.72) and the effects were maintained at 3-month follow-up. The group at risk of MCI improved their cognitive functioning immediately after intervention more than the non-MCI group (p < 0.001, d = 1.37 vs d = 0.55). In the task-based performance, there was significant interaction effect between memory and calculation with and without risk of MCI when years of formal education was a covariate, and that the non-MCI group had the highest improvement in Judgement (6.23%) and memory (5.43%), compared with that (1.47% and 2.33%) in the group at risk of MCI. The risk-of-MCI group had the highest improvement in attention (2.67%) and eye-hand coordination (4.87%), compared with that of the healthy older adults. Conclusion Cognitive functioning in both older adults with or without risk of MCI was enhanced immediately after CCT using a mobile device and endured over a three-month follow-up. The training effect on the group at risk of MCI was significantly greater than that for the non-MCI group. With recent advances in mobile technology, remote cognitive training in terms of using mobile devices for older adults as primary and secondary preventions is applicable and practicable.https://doi.org/10.1177/20552076251362117 |
| spellingShingle | Kenneth N K Fong Alex W K So Kevin C H Cheung Jack Y L Cheung Anson M H Lee Ryan C Y Wong Joyce S Y Lau Pablo Cruz Gonzalez Wilson W S Wong Danny K F Li Diana S H Kam Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study Digital Health |
| title | Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study |
| title_full | Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study |
| title_fullStr | Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study |
| title_full_unstemmed | Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study |
| title_short | Efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community-dwelling older adults with or without risk of mild cognitive impairment: A multi-centre longitudinal study |
| title_sort | efficacy of computerized cognitive training using mobile devices to promote cognitive functioning in community dwelling older adults with or without risk of mild cognitive impairment a multi centre longitudinal study |
| url | https://doi.org/10.1177/20552076251362117 |
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