Maintaining Cognitive Health in Aging Veterans

保持老年退伍军人的认知健康

• 批准号: 8634918
• 负责人: Maureen Katheleen O'Connor
• 金额: --
• 依托单位: EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-02-01 至 2016-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8634918
• 关键词: Activities of Daily Living; Affective; Age; Age Factors; Aging; Aging-Related Process; Alzheimer disease prevention; Alzheimer' s Disease; American; Anxiety; Appointment; Attitude; Belief; Brain; Caring; Centers for Disease Control and Prevention (U.S.); Clinic; Clinical; Clinical Services; Clinical Trials Design; Cognition; Cognition Disorders; Cognitive; Cognitive aging; Complex; Control Groups; Dementia; Diagnosis; Distress; Education; Effectiveness; Elderly; Emotional; Evaluation; Fright; Goals; Happiness; Health; Health Personnel; Hour; Impaired cognition; Intervention; Intervention Studies; Investigation; Knowledge; Life; Literature; Measures; Memory; Mental Depression; Mental Health; Minor; National Institute of Neurological Disorders and Stroke; Neuropsychological Tests; Occupational; Older Population; Outcome; Outcome Measure; Perception; Performance; Population; Prospective Studies; Psychological Factors; Psychological Transfer; Questionnaires; Randomized; Randomized Controlled Trials; Recommendation; Research Personnel; Risk Factors; Signal Transduction; Sleep; Social Welfare; Specificity; Staging; Time; Training; Veterans; Well in self; Work; age related; cognitive change; cognitive function; cognitive training; design; diet and exercise; effective intervention; emotional distress; follow-up; functional outcomes; group intervention; health administration; improved; informant; intervention effect; lifestyle factors; mild cognitive impairment; multi-component intervention; normal aging; pathological aging; prevent; psychoeducation; psychological distress; psychological outcomes; public health relevance; response; skills; skills training; social

DESCRIPTION (provided by applicant): The proportion of Veterans over age 65 has risen from 11% to 26% from 1980 to 1990, and is estimated to rise to over 50% by 2030 (Hisnanik, 1994). Due to the growing number of older Veterans, health issues specific to the aging Veteran population is a primary concern for the Veterans Health Administration. Fear of developing dementia is common among older adults (Commisseris, Ponds, & Jollees, 1998; Corner & Bond, 2004) and minor memory lapses that were previously of little concern may be misinterpreted as signaling the beginning stages of dementia (Commissaris et al., 1994). Although normal cognitive aging is not the same as pathological aging, the impact of normal age-related changes warrants intervention since it can cause emotional distress and functional difficulties impacting occupational, recreational, and social pursuits (Royall et al., 2004, 2005; Dodge et al., 2008) and subjective cognitive impairment, defined as a noticed cognitive change without objective evidence of decline on neuropsychological testing may be the earliest precursor for dementia (Reisberg, et al., 2010). While cognitive changes can be expected as we age, there is a growing body of literature demonstrating that modifiable lifestyle factors can influence functional ability and quality of lif as one ages (Depp, Vahia, & Jeste, 2010; LaRue, 2010). In addition, cognitive training may result in improvements in cognition and functioning in older adults (Unverzagt et al., 2009; Papp et al., 2009; Lustig et al., 2009). Unfortunately, many older adults lack knowledge about cognitive aging and the factors that contribute to successful cognitive aging, which limits their ability to make changes that can improve the odds of successful cognitive aging (Anderson et al., 2009). The need to disseminate information related to brain health has recently been recognized by key agencies involved in promoting the welfare of older adults, including the National Institutes of Neurological Disorders and Stroke, Mental Health, and Aging (the Cognitive and Emotional Health Project; Hendrie et al., 2006) as well as the Centers for Disease Control and Prevention and the Alzheimer's Association (the Healthy Brain Initiative; 2007). The current study builds upon previous work on cognitive intervention in older adults by investigating a multi-component intervention which includes psychoeducation about cognitive aging, presentation of lifestyle factors that contribute to successful cognitive aging, and broad cognitiv skills training. Using a randomized controlled trial design, 72 Veterans will be assigned to either the intervention group (36) or a no treatment control group (36). Veterans will undergo baseline assessment, which will be used for comparison immediately following the intervention and at 3 and 6 month follow- up. Outcomes include knowledge of cognitive aging, measures of psychological wellness, and indicators of cognitive and functional ability.

描述（由申请人提供）： 从1980年到1990年，65岁以上的退伍军人比例从11％上升到26％，到2030年估计将上升到50％以上（Hisnanik，1994）。由于老年退伍军人的数量越来越多，老年退伍军人人口的健康问题是退伍军人卫生管理局的主要问题。对痴呆症的恐惧在老年人中很常见（Comserseris，Ponds和Jolelees，1998; Corner＆Bond，2004年），而以前几乎没有关注的次要记忆失误可能会被误解为痴呆的开始阶段（Commissaris等，1994）。尽管正常的认知衰老与病理衰老不同，但与年龄相关的正常变化的影响需要干预，因为它会导致情绪困扰和功能困难，从而影响职业，娱乐和社交追求，Royall等，2004，2004，2005; Dodge等，2008，2008年），而没有主观的危害，而不是主观的危害，而不是在定义的，而是在定义的，而不是目标的变化痴呆的前体（Reisberg等，2010）。尽管随着年龄的增长，可以预期的认知变化，但越来越多的文献表明，可修改的生活方式因素可以影响一个年龄的LIF的功能能力和质量（Depp，Vahia和Jeste，＆Jeste，2010； Larue，2010）。此外，认知训练可能会导致老年人的认知和功能改善（Unverzagt等，2009； Papp等，2009； Lustig等，2009）。不幸的是，许多老年人缺乏对认知衰老的知识以及导致成功认知衰老的因素，这限制了他们做出改变的能力，从而可以改善成功认知衰老的几率（Anderson等，2009）。最近，涉及促进老年人福利的关键机构（包括国家神经系统疾病和中风，心理健康和衰老项目（认知和情感健康项目; Hendrie等人，2006年））以及疾病控制和预告症（Alzhheimers ains in Shatsematiation and Alzhheimers ains）（Cognitive and Importiation Project; heartia）（Cognitive and Importiation Project; Heartia and Alzhheimers in Shatsept;当前的研究基于先前关于老年人认知干预的工作，通过研究多组分干预措施，其中包括有关认知衰老的心理教育，对成功认知衰老的生活方式因素的表现以及广泛的认知技能培训。使用随机对照试验设计，将分配72名退伍军人 干预组（36）或无治疗对照组（36）。退伍军人将接受基线评估，该评估将在干预后立即进行比较，并在3个月和6个月后进行。结果包括了解认知衰老，心理健康度量以及认知和功能能力的指标。