title: Reasoning Exercises in Assisted Living (REAL): a feasibility study.
abstract: Assisted living facility residents are at risk of cognitive decline that can precipitate nursing home placement. Cognitive training protects cognition and leads to maintained self-care for community dwelling elders. This pilot study tested an intervention designed to improve reasoning and everyday problem solving for assisted living residents. Volunteers (N = 4) completed six Reasoning Exercises in Assisted Living (REAL) training sessions provided over one month. Pre-intervention, immediate post-intervention, and three-month follow-up assessments of problem solving were compared. Participants' scores on Everyday Problems for Cognitively Challenged Elderly (EPCCE) increased 20% from pre-(M = 11.00, SD = 8.83) to post-intervention (M = 19.5, SD = 8.35, t = -312, p = .05). After three months, participants showed sustained EPCCE score improvement (M = 21.75, SD = 4.57, t = -3.95, p = .03).
authors.affiliation: School of Nursing, University of Kansas, Kansas City, Kansas 66160-7502, USA. kwilliams1@kumc.edu
authors.forename: Kristine N
authors.initials: KN
authors.lastname: Williams
mesh_terms: D000368:Aged; D040561:Assisted Living Facilities; D003072:Cognition Disorders / Q000175:diagnosis / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D011340:Problem Solving