Does cognitive training improve internal locus of control among older adults?

Fredric D. Wolinsky, Mark W. Vander Weg, René Martin, Frederick Unverzagt, Sherry L. Willis, Michael Marsiske, George W. Rebok, John N. Morris, Karlene K. Ball, Sharon L. Tennstedt

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

Objectives. We evaluated the effect of cognitive training among 1,534 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomized controlled trial (RCT) on 5-year improvements in 3 cognitive-specific measures of locus of control - internal, chance, and powerful others. Methods.ACTIVE was a multisite RCT (age ≥ 65), with 4 groups (memory, reasoning, speed of processing, and no-contact control). Complete 5-year follow-up data were available for 1,534 (55%) of the 2,802 participants. A propensity score model was used to adjust for potential attrition bias. Clinically important improvements (and decrements) in the cognitive-specific locus of control scale scores were defined as greater than or equal to 0.5 SD (medium) and greater than or equal to 1.0 SD (large). Multinomial logistic regression was used to simultaneously contrast those who improved and those who declined with those whose locus of control scale score was unchanged. Results.Statistically significant effects reflecting medium-sized (≥0.5 SD) improvements in internal locus of control between baseline and the 5-year follow-up were found for the reasoning and speed of processing intervention groups who were 76% (p <. 01) and 68% (p <. 05) more likely, respectively, to improve than the no-contact control group. No improvement effects were found on the chance or powerful others locus of control measures or for the memory intervention group. Conclusion.Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults.

Original languageEnglish
Pages (from-to)591-598
Number of pages8
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume65 B
Issue number5
DOIs
StatePublished - Sep 2010

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Internal-External Control
locus of control
Randomized Controlled Trials
Group
contact
Propensity Score
Logistic Models
logistics
regression
Control Groups
trend

Keywords

  • cognitive status
  • personal control
  • randomized controlled trial
  • speed of processing

ASJC Scopus subject areas

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

Cite this

Does cognitive training improve internal locus of control among older adults? / Wolinsky, Fredric D.; Vander Weg, Mark W.; Martin, René; Unverzagt, Frederick; Willis, Sherry L.; Marsiske, Michael; Rebok, George W.; Morris, John N.; Ball, Karlene K.; Tennstedt, Sharon L.

In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences, Vol. 65 B, No. 5, 09.2010, p. 591-598.

Research output: Contribution to journalArticle

Wolinsky, FD, Vander Weg, MW, Martin, R, Unverzagt, F, Willis, SL, Marsiske, M, Rebok, GW, Morris, JN, Ball, KK & Tennstedt, SL 2010, 'Does cognitive training improve internal locus of control among older adults?', Journals of Gerontology - Series B Psychological Sciences and Social Sciences, vol. 65 B, no. 5, pp. 591-598. https://doi.org/10.1093/geronb/gbp117
Wolinsky, Fredric D. ; Vander Weg, Mark W. ; Martin, René ; Unverzagt, Frederick ; Willis, Sherry L. ; Marsiske, Michael ; Rebok, George W. ; Morris, John N. ; Ball, Karlene K. ; Tennstedt, Sharon L. / Does cognitive training improve internal locus of control among older adults?. In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences. 2010 ; Vol. 65 B, No. 5. pp. 591-598.
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abstract = "Objectives. We evaluated the effect of cognitive training among 1,534 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomized controlled trial (RCT) on 5-year improvements in 3 cognitive-specific measures of locus of control - internal, chance, and powerful others. Methods.ACTIVE was a multisite RCT (age ≥ 65), with 4 groups (memory, reasoning, speed of processing, and no-contact control). Complete 5-year follow-up data were available for 1,534 (55{\%}) of the 2,802 participants. A propensity score model was used to adjust for potential attrition bias. Clinically important improvements (and decrements) in the cognitive-specific locus of control scale scores were defined as greater than or equal to 0.5 SD (medium) and greater than or equal to 1.0 SD (large). Multinomial logistic regression was used to simultaneously contrast those who improved and those who declined with those whose locus of control scale score was unchanged. Results.Statistically significant effects reflecting medium-sized (≥0.5 SD) improvements in internal locus of control between baseline and the 5-year follow-up were found for the reasoning and speed of processing intervention groups who were 76{\%} (p <. 01) and 68{\%} (p <. 05) more likely, respectively, to improve than the no-contact control group. No improvement effects were found on the chance or powerful others locus of control measures or for the memory intervention group. Conclusion.Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults.",
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AU - Marsiske, Michael

AU - Rebok, George W.

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N2 - Objectives. We evaluated the effect of cognitive training among 1,534 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomized controlled trial (RCT) on 5-year improvements in 3 cognitive-specific measures of locus of control - internal, chance, and powerful others. Methods.ACTIVE was a multisite RCT (age ≥ 65), with 4 groups (memory, reasoning, speed of processing, and no-contact control). Complete 5-year follow-up data were available for 1,534 (55%) of the 2,802 participants. A propensity score model was used to adjust for potential attrition bias. Clinically important improvements (and decrements) in the cognitive-specific locus of control scale scores were defined as greater than or equal to 0.5 SD (medium) and greater than or equal to 1.0 SD (large). Multinomial logistic regression was used to simultaneously contrast those who improved and those who declined with those whose locus of control scale score was unchanged. Results.Statistically significant effects reflecting medium-sized (≥0.5 SD) improvements in internal locus of control between baseline and the 5-year follow-up were found for the reasoning and speed of processing intervention groups who were 76% (p <. 01) and 68% (p <. 05) more likely, respectively, to improve than the no-contact control group. No improvement effects were found on the chance or powerful others locus of control measures or for the memory intervention group. Conclusion.Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults.

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