000151685 001__ 151685 000151685 005__ 20251017144631.0 000151685 0247_ $$2doi$$a10.1016/j.aprim.2021.102053 000151685 0248_ $$2sideral$$a126237 000151685 037__ $$aART-2021-126237 000151685 041__ $$aspa 000151685 100__ $$0(orcid)0000-0002-0061-3312$$aGómez-Soria I.$$uUniversidad de Zaragoza 000151685 245__ $$aAnálisis del efecto a largo plazo de un programa de estimulación cognitiva en mayores con deterioro cognitivo leve en Atención Primaria: ensayo controlado aleatorizado 000151685 260__ $$c2021 000151685 5060_ $$aAccess copy available to the general public$$fUnrestricted 000151685 5203_ $$aObjective: To provide evidence about the efficacy of a community health intervention through a cognitive stimulation program at long term in older people with mild cognitive impairment. Design: Randomized controlled trial (CONSORT group norms). Location: San José Norte-Centro Primary Care Center and La Caridad Foundation (Zaragoza, Spain). Participants: Twenty-nine people over 65 years old with a 24-27 MEC score that completed 48 months follow up. They were randomized between the intervention group (15) and the control group (14). Interventions: The intervention was applied in 10 sessions of 45 min for 10 weeks using the red notebook tool for mental activation that works memory, orientation, language, praxis, gnosis, calculation, perception, logical reasoning, attention and executive functions. Main measurements: The main outcome variables were MEC-35, Set-test, Barthel index, Lawton-Brody scale, Goldberg anxiety scale and Yesavage geriatric depression scale short form. Results: Increases of the main result variable over the baseline level of MEC-35 were analyzed. On average, the intervention group obtained higher scores than control: 3.14 points post intervention, 3.76 points after 6 months and 2.26 points more than control group after 12 months. All the differences were statistically significant. After 48 months the intervention group obtained 2 points more than control group. The intervention did not improve verbal fluency, activity daily living and mood. Conclusions: Our cognitive stimulation program seems to improve cognitive performance, measured with the variable MEC-35 at post intervention, 6, 12 and 48 months. There is no evidence of improvement in verbal fluency, activity daily livings and mood. Clinicaltrials.gov Identifier: NCT03831061. 000151685 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 000151685 590__ $$a2.206$$b2021 000151685 591__ $$aMEDICINE, GENERAL & INTERNAL$$b110 / 172 = 0.64$$c2021$$dQ3$$eT2 000151685 591__ $$aPRIMARY HEALTH CARE$$b14 / 18 = 0.778$$c2021$$dQ4$$eT3 000151685 592__ $$a0.282$$b2021 000151685 593__ $$aMedicine (miscellaneous)$$c2021$$dQ3 000151685 593__ $$aFamily Practice$$c2021$$dQ3 000151685 594__ $$a1.9$$b2021 000151685 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000151685 700__ $$aAndrés Esteban E.M. 000151685 700__ $$0(orcid)0000-0002-0520-1640$$aGómez Bruton A.$$uUniversidad de Zaragoza 000151685 700__ $$aPeralta-Marrupe P. 000151685 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor. 000151685 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000151685 773__ $$g53, 7 (2021), 102053 [11 pp]$$pAten. prim.$$tAtencion Primaria$$x0212-6567 000151685 8564_ $$s385071$$uhttps://zaguan.unizar.es/record/151685/files/texto_completo.pdf$$yVersión publicada 000151685 8564_ $$s1870803$$uhttps://zaguan.unizar.es/record/151685/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000151685 909CO $$ooai:zaguan.unizar.es:151685$$particulos$$pdriver 000151685 951__ $$a2025-10-17-14:26:22 000151685 980__ $$aARTICLE