151685 20251017144631.0 doi 10.1016/j.aprim.2021.102053 sideral 126237 ART-2021-126237 spa Gómez-Soria I. Universidad de Zaragoza (orcid)0000-0002-0061-3312 Análisis del efecto a largo plazo de un programa de estimulación cognitiva en mayores con deterioro cognitivo leve en Atención Primaria: ensayo controlado aleatorizado 2021 Access copy available to the general public Unrestricted Objective: 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. info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 2.206 2021 MEDICINE, GENERAL & INTERNAL 110 / 172 = 0.64 2021 Q3 T2 PRIMARY HEALTH CARE 14 / 18 = 0.778 2021 Q4 T3 0.282 2021 Medicine (miscellaneous) 2021 Q3 Family Practice 2021 Q3 1.9 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Andrés Esteban E.M. Gómez Bruton A. Universidad de Zaragoza (orcid)0000-0002-0520-1640 Peralta-Marrupe P. 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 53, 7 (2021), 102053 [11 pp] Aten. prim. Atencion Primaria 0212-6567 385071 http://zaguan.unizar.es/record/151685/files/texto_completo.pdf Versión publicada 1870803 http://zaguan.unizar.es/record/151685/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:151685 articulos driver 2025-10-17-14:26:22 ARTICLE