Author(s)

Elke Kalbe^1*, Christophe Bintener^2*, Anja Ophey¹, Christian Reuter³, Stefan Göbel³, Silvie Klöters⁴, Gisela Baller², Josef Kessler⁴

¹Department of Medical Psychology/Neuropsychology and Gender Studies & Center for Neuropsychological Diagnostics and Intervention (CeNDI), University Hospital Cologne, Cologne, Germany.
²Institute of Gerontology, Department of Psychological Gerontology, University of Vechta, Vechta, Germany.
³Multimedia Communications Lab-KOM, Technische Universit?t Darmstadt, Darmstadt, Germany.
⁴Department of Neurology, University Hospital Cologne, Cologne, Germany.

Computerized cognitive training (CCT) can improve cognition in older adults. However, specific programs for this target group have rarely been developed, and predictors of training success are largely unclear. In a randomized controlled pilot trial, we examined effects of a six-week CCT, tailored to the cognitive profile of healthy older adults (EG, n = 21) as compared to a nonspecific CCT (CG, n = 18) matched in frequency and intensity. No interaction effects between Group and Time were found. However, within-group analysis showed significant gains in verbal and non-verbal memory, executive and visuospatial functions and subjective cognitive concerns (SCC) in the EG, while the CG only benefitted in non-verbal memory and set-shifting. Low cognitive performance and lower SCC at baseline were the most consistent predictors of cognitive gains in the EG. Thus, CCTs specifically tailored to older adults seem advantageous compared to non-specific CCT. Further, we conclude that SCC may be related to reduced cognitive plasticity.

Computerized Cognitive Training, Older Adults, Subjective Cognitive Decline, Psychoeducation, Predictors

Kalbe, E. , Bintener, C. , Ophey, A. , Reuter, C. , Göbel, S. , Klöters, S. , Baller, G. and Kessler, J. (2018) Computerized Cognitive Training in Healthy Older Adults: Baseline Cognitive Level and Subjective Cognitive Concerns Predict Training Outcome. Health, 10, 20-55. doi: 10.4236/health.2018.101003.