Cognitive predictors of everyday functioning in older adults: Results from the active cognitive intervention trial

Alden L. Gross, George W. Rebok, Frederick W. Unverzagt, Sherry L. Willis, Jason Brandt

Research output: Contribution to journalArticle

55 Scopus citations


Objective. The present study sought to predict changes in everyday functioning using cognitive tests. Methods. Data from the Advanced Cognitive Training for Independent and Vital Elderly trial were used to examine the extent to which competence in different cognitive domains-memory, inductive reasoning, processing speed, and global mental status-predicts prospectively measured everyday functioning among older adults. Coefficients of determination for baseline levels and trajectories of everyday functioning were estimated using parallel process latent growth models. Results. Each cognitive domain independently predicts a significant proportion of the variance in baseline and trajectory change of everyday functioning, with inductive reasoning explaining the most variance (R2 = .175) in baseline functioning and memory explaining the most variance (R2 = .057) in changes in everyday functioning. Discussion. Inductive reasoning is an important determinant of current everyday functioning in community-dwelling older adults, suggesting that successful performance in daily tasks is critically dependent on executive cognitive function. On the other hand, baseline memory function is more important in determining change over time in everyday functioning, suggesting that some participants with low baseline memory function may reflect a subgroup with incipient progressive neurologic disease.

Original languageEnglish (US)
Pages (from-to)557-566
Number of pages10
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume66 B
Issue number5
StatePublished - Sep 2011


  • Cognition
  • Cognitive training
  • Everyday functioning
  • Structural equation modeling

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Clinical Psychology
  • Social Psychology
  • Medicine(all)

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