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Comparing Web-based and Classroom-based Memory Training for Older Adults: The ACTIVE Memory WorksTM Study.

OBJECTIVES
Compare the efficacy of a web-based versus a classroom-based memory training program in enhancing cognition and everyday functioning in older adults, and program satisfaction and acceptability.


METHOD
Participants (N=208; Mean age=71.1) were randomly assigned to web-based or classroom-based training, or to a wait-list control condition. Cognitive and everyday functioning measures were administered at baseline, immediate, and 6-months post-training; both training groups evaluated program satisfaction and acceptability at immediate post-training. Repeated-measures ANOVAs assessed training effects on cognitive and functioning outcomes; independent-samples t-tests assessed group differences in program satisfaction and acceptability.


RESULTS
Compared to controls, neither training group showed a significant improvement on measures of memory or everyday functioning as assessed by dependence or difficulty on instrumental activities of daily living over time. Training effects did not transfer to non-trained cognitive abilities. The web-based group was as satisfied with the training as the classroom-based group (p>.05).


DISCUSSION
Although no significant training effects were found, we demonstrated that a web-based platform is an acceptable and feasible mode to provide memory training to healthy older adults. Further studies are needed to investigate the potential of web-based memory training programs for improving cognition and function in cognitively healthy older adults.