The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer鈥檚 Disease

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head id="Head1"><script type="text/javascript" src="https://web-static.archive.org/_static/js/bundle-playback.js?v=7YQSqjSh" charset="utf-8"></script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.healio.com:80/nursing/journals/rgn/%7Bac64810f-adbf-4431-9383-d6e6df915be3%7D/the-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease","20131023190128","https://web.archive.org/","web","https://web-static.archive.org/_static/", "1382554888"); </script> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/banner-styles.css?v=p7PEIJWi" /> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/iconochive.css?v=3PDvdIFv" />  <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/><title> The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer鈥檚 Disease | Research in Gerontological Nursing </title>  <meta name="google-site-verification" content="TCYGZWR7Qscjc3GO_imiutAfXMSCFLpchm8rXzIk-5M"/><meta name="msvalidate.01" content="AB0F11E889D663098DB556BB5ACBB719"/><meta id="metaDescription" name="description" content="Research in Gerontological Nursing | This intervention study compared an in-home cognitive training program to life story interview in 68 individuals with mild cognitive impairment or early-stage Alzheimer&rsquo;s disease. Family caregivers participated in sessions and reinforced learning between sessions. Analyses of covariance controlling for baseline levels were conducted. In comparison with the life story group, participants in "/><meta id="metaKeywords" name="keywords" content="Research in Gerontological Nursing,Nursing,Geriatric Medicine,Geriatric Nursing,Featured Intervention Study"/><meta id="Meta1" name="scID"/><meta id="scID" name="scID"/><meta name="pubabbv" content="RGN"/><meta name="authors" content="Ruth M. Tappen EdD RN FAAN, Debra Hain PhD APRN ANP-BC GNP-BC"/><meta name="articleid" content="{AC64810F-ADBF-4431-9383-D6E6DF915BE3}"/><meta name="legacyarticleid" content=""/><meta name="article-title" content="The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer鈥檚 Disease"/><meta name="article-link" content="/nursing/journals/rgn/{ac64810f-adbf-4431-9383-d6e6df915be3}/the-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease"/><meta name="doi" content="10.3928/19404921-20131009-01"/><meta name="pubname" content="Research in Gerontological Nursing"/><meta name="pubtype" content="oar"/><meta name="author" content="Ruth M. Tappen, EdD, RN, FAAN"/><meta name="author" content=" Debra Hain, PhD, APRN, ANP-BC, GNP-BC"/><meta name="ModifiedDate" content="2013-10-16"/> <meta name="specialties" content="Nursing,Geriatric Medicine"/> <meta name="specialty" content="Nursing"/> <meta name="specialty" content="Geriatric Medicine"/> <meta name="primary_specialty" content="Nursing"/> <meta name="subspecialties" content="Geriatric Nursing"/> <meta name="subspecialty" content="Geriatric Nursing"/> <meta name="departments" content="Featured Intervention Study"/> <meta name="department" content="Featured Intervention Study"/> <meta name="content_type" content="Journal Article"/> <meta name="PostedDate" content="2013-10-16"/> <meta name="pageid" content="{AC64810F-ADBF-4431-9383-D6E6DF915BE3}"/> <meta property="og:image" content="https://web.archive.org/web/20131023190128im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/healio_safe_image.png"/>  <link href="https://web.archive.org/web/20131023190128cs_/http://c341130.r30.cf1.rackcdn.com/styles.css" rel="stylesheet" type="text/css"/>  <link href="https://web.archive.org/web/20131023190128cs_/http://c341130.r30.cf1.rackcdn.com/styles2.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20131023190128cs_/http://c341130.r30.cf1.rackcdn.com/tb-ec-lb-min.css" rel="stylesheet" type="text/css" media="screen"/><link href="https://web.archive.org/web/20131023190128cs_/http://0043b493b06d545127da-d7c71b4c9ba1dd44e0cf6fa474e637d7.r99.cf1.rackcdn.com/healiojobs.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20131023190128cs_/http://6af4390358a281e0b439-028b17272c3ee5c2953a93a8c54187e2.r22.cf1.rackcdn.com/MediaKits.css" rel="stylesheet" type="text/css"/>  <link rel="shortcut icon" type="image/x-icon" href="https://web.archive.org/web/20131023190128im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/favicon.ico"/> <style type="text/css"> #wrap:before, #wrap:after { content: " "; display: table; } #wrap:after { clear: both; } </style> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20131023190128js_/http://ajax.googleapis.com/ajax/libs/jquery/1.8.2/jquery.min.js"></script> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20131023190128js_/http://cdn.jquerytools.org/1.2.7/full/jquery.tools.min.js"></script> <script type="text/javascript" language="javascript">$j = $.noConflict();</script> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20131023190128js_/http://c341136.r36.cf1.rackcdn.com/thickbox-compressed.js"></script> <script type="text/javascript">var globalUserID = 0;</script>  <script type="text/javascript" charset="utf-8"> var pd_tags = new Array; if (globalUserID !== undefined || globalUserID !== null) { pd_tags['customer_ID'] = globalUserID; } </script> <script type="text/javascript" charset="utf-8" src="https://web.archive.org/web/20131023190128js_/http://static.polldaddy.com/p/3191508.js"></script> <script type="text/javascript"> var googletag = googletag || {}; googletag.cmd = googletag.cmd || []; (function() { var gads = document.createElement('script'); gads.async = true; gads.type = 'text/javascript'; var useSSL = 'https:' == document.location.protocol; gads.src = (useSSL ? 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Nursing</a> </p>    <div id="SeeAlso" class="related-links"><h3>See Also</h3><ul><li><a href="https://web.archive.org/web/20131023190128/http://www.healio.com/nursing/journals/rgn/%7Bbc3c1756-354d-491b-8049-8a5e727cf05b%7D/nursing-home-employee-perceptions-of-culture-change">Nursing Home Employee Perceptions of Culture Change ...</a></li><li><a href="https://web.archive.org/web/20131023190128/http://www.healio.com/nursing/journals/rgn/%7B986b7fee-6b6f-4ce6-b93e-9932e7f00bf0%7D/pain-and-persistent-pain-in-nursing-home-residents-in-norway">Pain and Persistent Pain in Nursing Home Residents in ...</a></li><li><a href="https://web.archive.org/web/20131023190128/http://www.healio.com/nursing/journals/rgn/%7Bc5c3781f-006b-4190-baca-93e7b39cea44%7D/aging-in-place-versus-nursing-home-care-comparison-of-costs-to-medicare-and-medicaid">Aging in Place Versus Nursing Home Care: Comparison of ...</a></li></ul></div> <input name="layout_0$maincontent_0$seeAlsoInsertUnderParagraph" type="hidden" id="layout_0_maincontent_0_seeAlsoInsertUnderParagraph" value="1"/> <div class="journals-content"><div class="journal-tab-group"><ul class="journal-tabs"><li><a href="/web/20131023190128/http://www.healio.com/journals/rgn">Current Issue</a></li><li><a href="/web/20131023190128/http://www.healio.com/journals/rgn/m/oar">Online Advanced Release</a></li><li><a href="/web/20131023190128/http://www.healio.com/journals/rgn/m/past-issues">Past Issues</a></li></ul><div class="journal-panes"><div class="abstract-content"><p class="kicker-top">Featured Intervention Study </p><h2><a href="#">The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer鈥檚 Disease</a></h2><p class="authors">Ruth M. Tappen, EdD, RN, FAAN; Debra Hain, PhD, APRN, ANP-BC, GNP-BC</p><div class="journal-info"><ul class="full-text"><li class="header">Read Full Text Article</li><li class="html"><a class="active" title="View Html Version" alt="View Html Version" rel="nofollow" href="/web/20131023190128/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2frgn%2f%7bac64810f-adbf-4431-9383-d6e6df915be3%7d%2fthe-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease&a={AC64810F-ADBF-4431-9383-D6E6DF915BE3}&jrnl=J0279">Html Icon</a></li><li class="pdf"><a id="pdf" href="/web/20131023190128/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2frgn%2f%7bac64810f-adbf-4431-9383-d6e6df915be3%7d%2fthe-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease&a={AC64810F-ADBF-4431-9383-D6E6DF915BE3}&pdf=1&jrnl=J0279" class="active" title="View Pdf Version" alt="View Pdf Version" rel="nofollow">Pdf Icon</a></li></ul><ul class="article-citation"><li>Research in Gerontological Nursing</li>Posted October 16, 2013<li class="doi">DOI: 10.3928/19404921-20131009-01</li></ul></div><div class="copyrights" style="float:right;"><a onclick="RightsLinkPopUpV2();" href="#"><img alt="Rights and Permissions" title="Rights and Permissions" border="0" src="https://web.archive.org/web/20131023190128im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/request-permissions.gif"></img></a><script type="text/javascript" language="javascript">function RightsLinkPopUpV2() { var location="https://web.archive.org/web/20131023190128/https://s100.copyright.com/AppDispatchServlet?publisherName=slack&publication=1940-4921&contentID=10.3928/19404921-20131009-01&publicationDate=-2147483648&copyright=Copyright%20%26copy%3B%202013%2C%20Slack%20Inc.&title=The%20Effect%20of%20In-Home%20Cognitive%20Training%20on%20Functional%20Performance%20of%20Individuals%20with%20Mild%20Cognitive%20Impairment%20and%20Early-Stage%20Alzheimer%E2%80%99s%20Disease&volumeNum=&issueNum=&author=Ruth%20M.%20Tappen%2C%20EdD%2C%20RN%2C%20FAAN%3B%20Debra%20Hain%2C%20PhD%2C%20APRN%2C%20ANP-BC%2C%20GNP-BC&orderBeanReset=TRUE"; window.open(location,'RightsLink','location=no,toolbar=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=yes,width=650,height=550'); } </script></div><div class="article-tab-group"><ul class="article-tabs"><li><a id="anchor-tab-abstract" href="#">Abstract</a></li><li><a id="anchor-tab-article" href="/web/20131023190128/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2frgn%2f%7bac64810f-adbf-4431-9383-d6e6df915be3%7d%2fthe-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease&fulltext=1&a={AC64810F-ADBF-4431-9383-D6E6DF915BE3}&jrnl=J0279">Article</a></li><li><a id="anchor-tab-figures" href="/web/20131023190128/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2frgn%2f%7bac64810f-adbf-4431-9383-d6e6df915be3%7d%2fthe-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease&fulltext=1&a={AC64810F-ADBF-4431-9383-D6E6DF915BE3}&jrnl=J0279">Figures/Tables</a></li><li class="last"><a id="anchor-tab-refs" href="/web/20131023190128/http://www.healio.com/buy-journal-or-article?returnUrl=%2fnursing%2fjournals%2frgn%2f%7bac64810f-adbf-4431-9383-d6e6df915be3%7d%2fthe-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease&fulltext=1&a={AC64810F-ADBF-4431-9383-D6E6DF915BE3}&jrnl=J0279">References</a></li><li class="cite-link"><a href="#" onclick="showCitation();">Get Citation</a><script type="text/javascript">function showCitation() {var w = window.open('', '', 'width=400,height=400,resizeable,scrollbars');w.document.write('Tappen R., Hain D.(2013). The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer鈥檚 Disease. <i>Research in Gerontological Nursing.</i> doi: 10.3928/19404921-20131009-01 <a href="https://web.archive.org/web/20131023190128/http://www.healio.com/nursing/journals/rgn/{ac64810f-adbf-4431-9383-d6e6df915be3}/the-effect-of-in-home-cognitive-training-on-functional-performance-of-individuals-with-mild-cognitive-impairment-and-early-stage-alzheimers-disease">[online advanced release]</a>');w.document.close(); }</script></li></ul></div><div id="abstractPortion"><h4>Abstract</h4><p>This intervention study compared an in-home cognitive training program to life story interview in 68 individuals with mild cognitive impairment or early-stage Alzheimer’s disease. Family caregivers participated in sessions and reinforced learning between sessions. Analyses of covariance controlling for baseline levels were conducted. In comparison with the life story group, participants in the cognitive training group demonstrated significant improvement in all face-name association measures, several of the money-related tasks, and one of two event-related memory tasks. There were no differences in language outcomes or caregiver ratings of functional tasks except shopping. Caregivers in the life story group reported higher perceived satisfaction from being a caregiver. Comparison with earlier studies suggests in-home training is modestly more effective than office-based intervention. Results suggest that improvements are related to specific training and do not generalize to other tasks. Focusing on tasks of critical significance to participant and caregiver is recommended.</p></div><h5>Authors</h5><div class="ftAuthorNotes"> <p>Dr. Tappen is Christine E. Lynn Eminent Scholar and Professor, Florida Atlantic University, Christine E. Lynn College of Nursing, Boca Raton, and Dr. Hain is Assistant Professor, Florida Atlantic University, Christine E. Lynn College of Nursing, Boca Raton, and Nurse Practitioner, Cleveland Clinic Florida, Department of Nephrology, Weston, Florida.</p> <p>The authors have disclosed no potential conflicts of interest, financial or otherwise. The study entitled “The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer’s Disease” was funded by the Alzheimer’s Association.</p> <p>Address correspondence to Ruth M. Tappen, EdD, RN, FAAN, Christine E. Lynn Eminent Scholar and Professor, Florida Atlantic University, Christine E. Lynn College of Nursing, 777 Glades Road, NU84, Room 307, Boca Raton, FL 33431-0991; e-mail: rtappen@fau.edu.</p> </div> <div class="ftHistory-received"> Received: July 09, 2013</div> <div class="ftHistory-accepted"> Accepted: September 26, 2013</div> <div class="ftPubDate"> Posted Online: October 16, 2013</div><p>10.3928/19404921-20131009-01</p></div></div></div></div> <script type="text/javascript" language="javascript"> var $artContent = $('.ftArticle').html(); </script> <div class="social-links"> <div class="fb-like" data-send="false" data-width="300" data-show-faces="true" data-action="recommend"></div> <ul class="share"> <li><a href="javascript:void(0)" id="twitter" class="twitter-link" target="_new">Tweet</a></li> <li><a href="javascript:void(0)" id="facebook" class="facebook-link" target="_new">Share</a></li> <li class="linkedin"><a href="javascript:void(0)" id="linkedin" class="linkedin-link">Link</a></li> <li><span class="db-wrapper"><span class="g-plusone" data-size="tall" data-annotation="none"></span></span></li> <li><a href="javascript:void(0)" id="email">Email</a></li> <li class="last"><a href="javascript:void(0)" id="print">Print</a></li> </ul> <input name="layout_0$maincontent_3$articleItemForTweet" type="hidden" id="layout_0_maincontent_3_articleItemForTweet" value="{16A8B0BC-DDAB-4DD1-BD0E-C8E898DDABBD}"/> <input name="layout_0$maincontent_3$tweettext" type="hidden" id="layout_0_maincontent_3_tweettext" class="tweettext" value="Proximal Femoral Replacement for Metastatic Bone Disease "/> <input name="layout_0$maincontent_3$tweeturl" type="hidden" id="layout_0_maincontent_3_tweeturl" class="tweeturl"/> </div> <div id="respond"> <h4> Comments</h4> <script language="javascript" type="text/javascript"> var idcomments_acct = 'aa6ff53f9870e40f92f83e1b5df3cddf'; var idcomments_post_id = 'ac64810f-adbf-4431-9383-d6e6df915be3'; var idcomments_post_url; </script> <span id="IDCommentsPostTitle" style="display: none"></span> <script type="text/javascript" src="https://web.archive.org/web/20131023190128js_/http://www.intensedebate.com/js/genericCommentWrapperV2.js"></script> <p class="comment-notes"> Healio is intended for health care provider use and all comments will be posted at the discretion of the editors. 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The Effect of In-Home Cognitive Training on Functional Performance of Individuals with Mild Cognitive Impairment and Early-Stage Alzheimer鈥檚 Disease | Research in Gerontological Nursing