Training cognition in older male prisoners: lessons learned from a feasibility study
Tóm tắt
With increasing numbers of older prisoners, effective strategies for preventing and treating age-associated diseases, such as cognitive disorders, are needed. As pharmacological therapies are limited, non-pharmacological interventions are increasingly recognized as potential treatment strategies. One approach is cognitive training (CT). However, no study has investigated CT in the prison setting. Thus, this one-arm feasibility trial aims to analyze the feasibility of (i) the study protocol and (ii) the implementation of multimodal CT for older prisoners. Eighteen older male prisoners from two specific divisions for older prisoner participated in 12 weekly CT sessions using the NEUROvitalis program. The feasibility analysis included recruitment, dropout, and CT participation rates, and motivation for and satisfaction with CT (using 6-point Likert-scales). The study protocol demonstrated sufficient feasibility with high recruitment rates between 46 and 50%. Therefore, the CT implementation was successful: Only one prisoner ceased participation; all others completed the CT sessions (i.e., attended > 75% of the sessions). Prisoners reported high CT motivation and satisfaction, and would recommend CT. This is the first study to demonstrate CT feasibility in older prisoners. Although more research is needed, these results are a starting point for expanding services to include cognitively enhancing activities for older prisoners. This one-arm feasibility study was pre-registered in the German Clinical Trials Register (DRKS; ID: DRKS00020227).), Registered 11 Mai 2021 https://drks.de/search/de/trial/DRKS00020227 .
Tài liệu tham khảo
citation_journal_title=Journal of the American Geriatrics Society; citation_title=Cognition and incarceration: Cognitive impairment and its associated outcomes in older adults in jail; citation_author=C Ahalt, I Stijacic-Cenzer, BL Miller, HJ Rosen, DE Barnes, BA Williams; citation_volume=66; citation_issue=11; citation_publication_date=2018; citation_pages=2065-2071; citation_doi=10.1111/jgs.15521; citation_id=CR1
Baller, G., Kalbe, E., Kaesberg, S., & Kessler, J. (2017). NEUROvitalis HOME. Einzelübungen für Eigentraining Und Therapie. ProLog.
Brooke, J., Diaz-Gil, A., & Jackson, D. (2018). The impact of Dementia in the prison setting: A systematic review. Dementia (London), 1471301218801715.
https://doi.org/10.1177/1471301218801715
.
citation_journal_title=International Psychogeriatrics; citation_title=Best care options for older prisoners with Dementia: A scoping review; citation_author=SHJ Du Toit; citation_volume=31; citation_issue=8; citation_publication_date=2019; citation_pages=1081-1097; citation_doi=10.1017/S1041610219000681; citation_id=CR4
citation_journal_title=Cochrane Database for Systematic Reviews; citation_title=Computerised cognitive training for 12 or more weeks for maintaining cognitive function in cognitively healthy people in late life; citation_author=NJ Gates; citation_volume=2; citation_issue=2; citation_publication_date=2020; citation_pages=CD012277; citation_doi=10.1002/14651858.CD012277.pub3; citation_id=CR5
citation_journal_title=International Psychogeriatrics; citation_title=The mental health of older prisoners; citation_author=A Kakoullis, N Mesurier, P Kingston; citation_volume=22; citation_publication_date=2010; citation_pages=693-701; citation_doi=10.1017/s1041610210000359; citation_id=CR6
citation_journal_title=Journal of Medical Internet Research; citation_title=Effectiveness of computerized cognitive training in delaying cognitive function decline in people with mild cognitive impairment: Systematic review and Meta-analysis; citation_author=R Li, J Geng, R Yang, Y Ge, T Hesketh; citation_volume=24; citation_issue=10; citation_publication_date=2022; citation_pages=e38624; citation_doi=10.2196/38624; citation_id=CR7
citation_journal_title=Frontiers in Aging Neuroscience; citation_title=Cognitive training with and without additional physical activity in healthy older adults: Cognitive effects, neurobiological mechanisms, and prediction of training success; citation_author=J Rahe; citation_volume=7; citation_publication_date=2015; citation_pages=187; citation_doi=10.3389/fnagi.2015.00187; citation_id=CR8
citation_journal_title=International Journal of Prisoner Health; citation_title=Cognitive dysfunction in older prisoners in Germany: A cross-sectional pilot study; citation_author=S Verhülsdonk, AK Folkerts, B Höft, T Supprian, J Kessler, E Kalbe; citation_volume=17; citation_issue=2; citation_publication_date=2020; citation_pages=111-127; citation_doi=10.1108/IJPH-03-2020-0019; citation_id=CR9
citation_journal_title=Cochrane Database of Systematic Reviews; citation_title=Cognitive stimulation to improve cognitive functioning in people with Dementia; citation_author=B Woods, H Kaur Rai, E Elliott, E Aguirre, M Orrell, A Spector; citation_publication_date=2023; citation_doi=10.1002/14651858.CD005562.pub3; citation_id=CR10