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Neighborhood Predictors of Cognitive Training Outcomes and Trajectories in ACTIVE.


ABSTRACT: We examined the influence of neighborhood socioeconomic position (SEP), racial/ethnic composition, and living in a major city on cognitive trajectories and intervention outcomes. Data came from the Advanced Cognitive Training for Independent and Vital Elderly study ( N = 2,438). Mixed effects analyses examined the associations between neighborhood variables and memory, reasoning, speed of processing, and everyday cognition, estimating differences in initial gains (potentially related to practice) and long-term rate of change over 10 years. The effect of reasoning training on initial gain was weaker for individuals in a major city. For everyday cognition, there was a stronger initial gain for memory-trained and control participants in areas with more racial/ethnic minorities and for speed-trained and control individuals in higher SEP areas. The racial/ethnic minority effect was no longer significant after adjustment for multiple comparisons. Neighborhood factors may be more important in practice-related improvement than in long-term change.

SUBMITTER: Meyer OL 

PROVIDER: S-EPMC4905811 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Neighborhood Predictors of Cognitive Training Outcomes and Trajectories in ACTIVE.

Meyer Oanh L OL   Sisco Shannon M SM   Harvey Danielle D   Zahodne Laura B LB   Glymour M Maria MM   Manly Jennifer J JJ   Marsiske Michael M  

Research on aging 20160803 3


We examined the influence of neighborhood socioeconomic position (SEP), racial/ethnic composition, and living in a major city on cognitive trajectories and intervention outcomes. Data came from the Advanced Cognitive Training for Independent and Vital Elderly study ( N = 2,438). Mixed effects analyses examined the associations between neighborhood variables and memory, reasoning, speed of processing, and everyday cognition, estimating differences in initial gains (potentially related to practice  ...[more]

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