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Article pour les cliniciens

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La formation cognitive informatisée chez les personnes âgées ayant une déficience cognitive ou une démence légère: une revue systématique et méta-analyse.

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• Hill NT
• Mowszowski L
• Naismith SL
• Chadwick VL
• Valenzuela M
• Lampit A

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Commentaires cliniques (en anglais)

Family Medicine (FM)/General Practice (GP)

The headline is impressive, but I can`t work out whether the effect size (deemed up to `moderate` using Hedges` g, which is a new one to me) is really worthwhile. I wonder how, if confirmed, we could put this into clinical practice? (Perhaps my mild cognitive impairment is obscuring something more obvious to me.)

FM/GP/Mental Health

As a general practitioner, it is relevant to learn that results from 17 RCTs of moderate quality conclude that CCT is possibly a viable intervention for enhancing cognition in people with mild cognitive impairment.

General Internal Medicine-Primary Care(US)

This sort of computerized cognitive training has hit big time in American cultural offerings. There is nothing new here.

General Internal Medicine-Primary Care(US)

I enrolled in Luminosity and realized I was much better at memory on the memory tests. However, the question is: Does this generalize to everyday life? I know where the 8 tiles are when flashed in front of me, but I still can't remember the name of a new employee, etc. So I agree that more work is needed and that's it's good to be able to use this info to counsel patients, but there is a cost in many cases. It is fun, though!!!

Neurology

This study confirmed that, in people with dementia, it is not straightforward to translate the results from other RCTs/meta-analyses. The main limitation of this study is the absence of meta-regression analyses that might clarify the huge heterogeneity in the effect size in the population with dementia. The results on MCI were well-known; although, the best technique to use in the population is still a matter of debate. Again, I would be happy to get meta-regression analyses for this outcome too.

Neurology

As a neurologist, I would have expected these results. The benefit of this article to me is that it provides evidence when I am asked to give an opinion or advice to my colleagues.

Psychiatry

Although the results are statistically significant, the magnitude of benefit is modest and the clinical meaningfulness of the finding is uncertain. As a practical matter, however, patients of all age groups should always be counseled to engage in mentally challenging activities throughout their life.