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Effects of creative expression therapy for older adults with mild cognitive impairment at risk of Alzheimer's disease: a randomized controlled clinical trial.
Clin Interv Aging 2018; 13:1313-1320CI

Abstract

Objective

Elderly people with mild cognitive impairment (MCI) are at high risk for dementia. This study compared the effects of standard cognitive training with a creative expression (CrExp) program.

Methods

Adult patients with MCI aged 60 years and older (N=93) were randomly assigned to either CrExp therapy (n=48) or a control group who received standard cognitive training (n=45) for 16 weeks. The Montreal Cognitive Assessment, Chinese Version of the Auditory Verbal Learning Test, Chinese Version of the Category Verbal Fluency Test, Digit Span Test, Trail Making Test, Chinese Version of Activities of Daily Living scale, and Memory Satisfaction Questionnaire were used to measure cognitive functioning and daily living abilities. Assessments were administered at baseline, postintervention, and 6 months follow-up.

Results

At postintervention, patients receiving CrExp therapy scored significantly higher than patients receiving standard cognitive training, in general cognitive functioning, memory, executive function, functional status, and everyday living ability. The improvements in cognitive functioning were maintained at the 6 month follow-up.

Conclusion

CrExp therapy has greater positive effects on cognitive functions and daily living ability than standard cognitive training. This unique therapy may serve as a cost-effective adjunct to standard interventions for older adults with mild cognitive impairment.

Authors+Show Affiliations

School of Nursing, Fujian Medical University, Fuzhou 350108, People's Republic of China, leehong99@126.com.School of Nursing, Fujian Medical University, Fuzhou 350108, People's Republic of China, leehong99@126.com. Department of Nursing, Fujian Provincial Hospital, Fuzhou 350001, People's Republic of China, leehong99@126.com.School of Nursing, Fujian Medical University, Fuzhou 350108, People's Republic of China, leehong99@126.com.School of Nursing, Fujian Medical University, Fuzhou 350108, People's Republic of China, leehong99@126.com.School of Nursing, Fujian Medical University, Fuzhou 350108, People's Republic of China, leehong99@126.com.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30087557

Citation

Zhao, Junyu, et al. "Effects of Creative Expression Therapy for Older Adults With Mild Cognitive Impairment at Risk of Alzheimer's Disease: a Randomized Controlled Clinical Trial." Clinical Interventions in Aging, vol. 13, 2018, pp. 1313-1320.
Zhao J, Li H, Lin R, et al. Effects of creative expression therapy for older adults with mild cognitive impairment at risk of Alzheimer's disease: a randomized controlled clinical trial. Clin Interv Aging. 2018;13:1313-1320.
Zhao, J., Li, H., Lin, R., Wei, Y., & Yang, A. (2018). Effects of creative expression therapy for older adults with mild cognitive impairment at risk of Alzheimer's disease: a randomized controlled clinical trial. Clinical Interventions in Aging, 13, pp. 1313-1320. doi:10.2147/CIA.S161861.
Zhao J, et al. Effects of Creative Expression Therapy for Older Adults With Mild Cognitive Impairment at Risk of Alzheimer's Disease: a Randomized Controlled Clinical Trial. Clin Interv Aging. 2018;13:1313-1320. PubMed PMID: 30087557.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of creative expression therapy for older adults with mild cognitive impairment at risk of Alzheimer's disease: a randomized controlled clinical trial. AU - Zhao,Junyu, AU - Li,Hong, AU - Lin,Rong, AU - Wei,Yuan, AU - Yang,Aiping, Y1 - 2018/07/24/ PY - 2018/8/9/entrez PY - 2018/8/9/pubmed PY - 2018/11/6/medline KW - cognitive impairment KW - creative expression KW - health care KW - non-pharmaceutical therapy SP - 1313 EP - 1320 JF - Clinical interventions in aging JO - Clin Interv Aging VL - 13 N2 - Objective: Elderly people with mild cognitive impairment (MCI) are at high risk for dementia. This study compared the effects of standard cognitive training with a creative expression (CrExp) program. Methods: Adult patients with MCI aged 60 years and older (N=93) were randomly assigned to either CrExp therapy (n=48) or a control group who received standard cognitive training (n=45) for 16 weeks. The Montreal Cognitive Assessment, Chinese Version of the Auditory Verbal Learning Test, Chinese Version of the Category Verbal Fluency Test, Digit Span Test, Trail Making Test, Chinese Version of Activities of Daily Living scale, and Memory Satisfaction Questionnaire were used to measure cognitive functioning and daily living abilities. Assessments were administered at baseline, postintervention, and 6 months follow-up. Results: At postintervention, patients receiving CrExp therapy scored significantly higher than patients receiving standard cognitive training, in general cognitive functioning, memory, executive function, functional status, and everyday living ability. The improvements in cognitive functioning were maintained at the 6 month follow-up. Conclusion: CrExp therapy has greater positive effects on cognitive functions and daily living ability than standard cognitive training. This unique therapy may serve as a cost-effective adjunct to standard interventions for older adults with mild cognitive impairment. SN - 1178-1998 UR - https://www.unboundmedicine.com/medline/citation/30087557/Effects_of_creative_expression_therapy_for_older_adults_with_mild_cognitive_impairment_at_risk_of_Alzheimer's_disease:_a_randomized_controlled_clinical_trial_ L2 - https://dx.doi.org/10.2147/CIA.S161861 DB - PRIME DP - Unbound Medicine ER -