نوع مقاله : مقاله پژوهشی
نویسنده
گروه روانشناسی، دانشگاه آزاد اسلامی، واحد تهران غرب، تهران، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسنده [English]
Background: Individuals’ cognitive functions often decline with advancing age. One of the most vital cognitive functions is memory, which holds particular importance in the human ability to store, retain, and recall information. Therefore, this study aimed to investigate the effectiveness of the Captain’s Log cognitive rehabilitation software (CLCRS) on attention-concentration and working memory in older adults.
Method: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population of the study comprised all older adults residing in care and rehabilitation centers in Tehran in 2024, among whom 30 older adults over 65 years of age were selected through convenience sampling and based on eligibility criteria and randomly assigned to experimental and control groups (n=15 in each group). Data collection instruments included Rosvold et al.’s Continuous Performance Test and Daneman and Carpenter’s Working Memory Test. The experimental group underwent a therapeutic intervention with CLCRS for 15 sessions, while the control group received no intervention. Following the posttest administration, data analysis was performed using ANCOVA in SPSS version 22.
Results: The results indicated that, by controlling for the pretest effect, there was a significant difference between the control and experimental groups in terms of attention-concentration and working memory at the posttest stage (p<.001). Such that the experimental group demonstrated a significant increase in two aforementioned variables.
Conclusion: Therefore, it can be concluded that CLCRS resulted in significant improvements in attention-concentration and working memory in older adults, and it can be utilized as an effective interventional method to improve attention-concentration and working memory in older adults.
EXTENDED ABSTRACT
Introduction
tudies indicate that advancing age is accompanied by senescence and the deterioration of physical abilities related to cognition, resulting in increased cognitive errors and deficits, as well as reduced performance. The primary objective of cognitive rehabilitation is to ameliorate cognitive deficits and enhance cognitive functions such as working memory, executive functioning, social cognition, and attention-concentration. Enhancing the cognitive capabilities of older adults can contribute to increased personal independence, reduced reliance on caregivers, decreased healthcare system costs, and the more active integration of older adults into society. This approach aligns with the principles of “active aging” and “cognitive health as a human right,” as emphasized by WHO. Based on the principle of neuroplasticity, cognitive rehabilitation facilitates the improvement of these functions through the provision of targeted exercises. The Captain’s Log software is a computerized system designed to strengthen cognitive components; utilizing structured exercises, it aims to enhance working memory and attention-concentration. Despite evidence regarding the efficacy of this software in other populations, limited studies have been conducted on older adults. Consequently, the present study was designed to investigate the impact of a Captain’s Log software-based intervention on the variables of attention-concentration and working memory in older adults. It was hypothesized that: (1) the Captain’s Log cognitive rehabilitation software would significantly improve attention–concentration in older adults; and (2) the Captain’s Log cognitive rehabilitation software would significantly improve working memory in older adults.
Method
The method of the current research was quasi-experimental, employing a pretest-posttest design with a control group. The statistical population comprised all older adults aged 65 and above residing in care and rehabilitation centers in Tehran in 2024. From this population, 30 individuals were selected via convenience sampling from one of these centers and randomly assigned to either the experimental or control group (15 individuals per group). The inclusion criteria were: (1) scoring below the normative mean on the Continuous Performance Test (CPT) and the Working Memory Test; (2) possessing a minimum of middle school education; and (3) being over 65 years of age. The exclusion criteria consisted of: (1) absence from the therapeutic intervention sessions; and (2) diagnosis of acute cognitive disorders or concurrent receipt of other psychological treatments. The research instruments included CPT by Rosvold et al. and the Working Memory Test by Daneman and Carpenter. The experimental intervention utilizing the Captain’s Log cognitive rehabilitation software was administered individually by a therapist at the center, consisting of 15 sessions (45 minutes each, 3 days per week). The control group received no intervention for the duration of the study. Data analysis was conducted using SPSS version 22. Descriptive statistics included frequency (percentage), mean, and standard deviation, while inferential statistics involved univariate analysis of covariance (ANCOVA).
Results
Prior to conducting the main analysis, the assumptions of ANCOVA were examined. The Shapiro–Wilk test indicated that the distribution of scores was normal in both groups at the pretest and posttest stages. Levene’s test confirmed the homogeneity of variances for attention–concentration and working memory. Furthermore, the assumption of homogeneity of regression slopes was satisfied, as the interaction between group and pretest scores was not statistically significant for either variable. Given that all assumptions required for ANCOVA were met, a univariate analysis of covariance was conducted to examine the effect of the intervention while controlling for pretest scores.
As shown in Table 1, the results of the univariate analysis of covariance revealed a significant difference between the experimental and control groups in attention–concentration, F = 9.843, p = .004, η² = .267. This indicates that 26.7% of the variance in attention–concentration scores was explained by group membership after controlling for pretest scores. Therefore, the first hypothesis was supported. Similarly, the results demonstrated a significant difference between the two groups in working memory, F = 24.671, p< .001, η² = .447. This suggests that 44.7% of the variance in working memory scores was accounted for by the intervention after adjusting for pretest scores. Accordingly, the second hypothesis was supported.
Conclusion
The findings of the present study indicate that the Captain’s Log cognitive rehabilitation software was associated with significant improvements in attention–concentration and working memory among older adults. Age-related structural and functional changes in frontal and parietal brain regions are known to affect attentional control and working memory processes. Structured cognitive training programs may help mitigate these declines by engaging attentional networks and enhancing information processing efficiency. The Captain’s Log software provides structured tasks involving sustained attention, selective attention, and task switching, accompanied by immediate feedback. Such repeated and goal-directed cognitive exercises may enhance attentional control and the ability to filter relevant from irrelevant information. Working memory, which requires the active manipulation and monitoring of information, may also benefit from repeated cognitive engagement. From a neuroplasticity perspective, systematic cognitive training may promote functional adaptation within neural networks involved in executive functioning. Although neural changes were not directly measured in the present study, the observed behavioral improvements are consistent with training-induced cognitive enhancement. These findings are consistent with previous research demonstrating the effectiveness of computerized cognitive interventions in improving cognitive functioning among older adults.
Ethical Consideration
Ethical Code
The research was conducted following the acquisition of necessary permissions from competent authorities among the care and rehabilitation centers for older adults in Tehran, in coordination with the director of one of the older adult care and rehabilitation centers.
Financial Support
This study did not receive financial support.
Authors’ Contributions
The author contributed to all aspects of the study
Conflict of Interest
The author declares no conflicts of interest.
Acknowledgments
The author extends sincere gratitude to all older adults who participated in this study who cooperated in the implementation of this research.
References
Alonso-Tibble, M., Smith, J., & García, L. (2022). Attentional control as a buffer against psychological stress in aging: A longitudinal study. Aging & Mental Health, 26(4), 789–797. https://doi.org/10.1080/13607863.2021.1912345
Amini, M., Dolatshahi, B., Dadkhah, A., & Lotfi, M. (2010). Cognitive rehabilitation as an effective intervention to reduce cognitive deficits in adolescents with Alzheimer's disease. Iranian Journal of Aging, 5(1), 78–86. [In Persian]
Bashiri, A., Shahmoradi, L., Alizadeh Sawareh, B., & Ghazi Saeedi, M. (2022). Identifying effective computerized cognitive rehabilitation programs in improving attention in children and adolescents with attention deficit hyperactivity disorder. Journal of Health and Biomedical Informatics, 9(4), 277–289. [In Persian]
Bayrami, M., Nazari, M. A., Hashemi, T., & Movahedi, Y. (2016). The effect of neuropsychological rehabilitation on improving problem-solving performance in individuals with mathematical learning disorder. Journal of Rehabilitation Research in Nursing, 3(2), 61–67. [In Persian]
Bergo, E., Lombardi, G., Pambuku, A., Della Puppa, A., Bellu, L., D’Avella, D., & Zagonel, V. (2016). Cognitive rehabilitation in patients with gliomas and other brain tumors: State of the art. BioMed Research International, 2016, Article 3041824. https://doi.org/10.1155/2016/3041824
Bergouignan, L., Lesh, T. A., & Deouell, L. Y. (2016). Computerized cognitive training in schizophrenia: A systematic review and meta-analysis. Schizophrenia Bulletin, 42(5), 1237–1247. https://doi.org/10.1093/schbul/sbw035
Berrol, S. (1990). Issues in cognitive rehabilitation. Archives of Neurology, 47(2), 219–220.
Bertranda, R., & Camos, V. (2015). The role of attention in preschoolers’ working memory. Cognitive Development, 33, 14–27. https://doi.org/10.1016/
j.cogdev.2014.10.002
Buttelmann, F., & Karbach, J. (2017). Development and plasticity of cognitive flexibility in early and middle childhood. Frontiers in Psychology, 8, Article 1040. https://doi.org/10.3389/fpsyg.2017.01040
Caup, A. R., Mirzakhanian, H., Jeste, D. V., & Eyler, L. T. (2011). A review of the brain structure correlates of successful cognitive aging. The Journal of Neuropsychiatry and Clinical Neurosciences, 23(1), 6–15. https://doi.org/10.1176/jnp.23.1.jnp6
Chen, Y., Park, D. C., & Smith, A. D. (2023). Cognitive self-efficacy and attentional resources in older adults: A cross-lagged panel analysis. Psychology and Aging, 38(2), 210–222. https://doi.org/10.1037/pag0000721
Colcombe, S. J., Kramer, A. F., Erickson, K. I., Scalf, P., McAuley, E., Cohen, N. J., ... & Elavsky, S. (2004). Cardiovascular fitness, cortical plasticity, and aging. Proceedings of the National Academy of Sciences of the United States of America, 101(9), 3316–3321. https://doi.org/10.1073/pnas.0405744101
Daneman, M., & Carpenter, P. A. (1980). Individual differences in working memory and reading. Journal of Verbal Learning and Verbal Behavior, 19(4), 450–466. https://doi.org/10.1016/S0022-5371(80)90312-6
Delawar, A. (2016). Research methods in psychology and educational sciences. Educational Sciences Publications. [In Persian]
Delshad, A., & Kazemi, A. S. (2024). Investigating the effectiveness of Captain Log cognitive rehabilitation software on selective attention in patients with multiple sclerosis. Psychometrics, 13(50), 45–61. [In Persian]
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168. https://doi.org/10.1146/annurev-psych-113011-143750
Dixon, R. A., & Nilsson, L. G. (2004). New frontiers in cognitive aging. Oxford University Press.
Emadifar, F., & Gorji, Y. (2017). The effectiveness of attention training on attention control, focused attention, and scattered attention of female students with test anxiety. Journal of Child Mental Health, 4(1), 67–77. [In Persian]
Faghfouri Azar, M. (2023). The effectiveness of selected perceptual-motor exercises on working memory and quality of life in the elderly. Journal of Geriatric Psychology, 9(3), 293–310. [In Persian]
Fischer, U., Lindenberger, U., & Schmiedek, F. (2025). Working memory capacity predicts daily functioning in late adulthood: Evidence from the Berlin Aging Study II. Journal of Gerontology: Psychological Sciences, 80(1), 45–56. https://doi.org/10.1093/geronb/gbad089
Gallagher, M., Laidlaw, K., & Warren, F. (2020). Mindfulness-based cognitive therapy for attention regulation in older adults: A pilot randomized controlled trial. Aging & Mental Health, 24(8), 1305–1312. https://doi.org/10.1080/13607863.2019.1597010
Ghaedi, G., Khalili, M., Afshin Majd, S., Rahmati, B., & Karami, M. (2017). The effectiveness of computer-based cognitive educational intervention in improving and promoting memory, attention and executive functions in children of veterans studying at Shahed University. Daneshvar Pezeshki, 25(4), 25–31. [In Persian]
Hardy, J. L., Nelson, R. A., Thiessen, M., & Shokri, K. (2017). A multi-site clinical trial evaluating the efficacy of a web-based cognitive training program in healthy older adults. Frontiers in Aging Neuroscience, 9, Article 388. https://doi.org/10.3389/fnagi.2017.00388
Heyman, T., Van Rensbergen, B., Storms, G., Hutchison, K. A., & De Deyne, S. (2015). The influence of working memory load on semantic priming. Journal of Experimental Psychology: Learning, Memory, and Cognition, 41(3), 911–928. https://doi.org/10.1037/xlm0000058
Irazoki, E., Contreras-Somoza, L. M., Toribio-Guzmán, J. M., Jenaro-Río, C., Van der Roest, H., & Franco-Martín, M. A. (2020). Technologies for cognitive training and cognitive rehabilitation for people with mild cognitive impairment and dementia: A systematic review. Frontiers in Psychology, 11, Article 648. https://doi.org/10.3389/fpsyg.2020.00648
Jones, K. T., Peterson, D. J., & Berryhill, M. E. (2022). Non-invasive brain stimulation combined with cognitive training improves attention in older adults: A randomized controlled trial. Neurobiology of Aging, 114, 102–111. https://doi.org/10.1016/j.neurobiolaging.2022.02.015
Kan, K. J., Smith, E. E., & Jones, R. N. (2025). Attention and working memory as early markers of cognitive health in aging: A 10-year prospective cohort study. Neurobiology of Aging, 129, 112–123. https://doi.org/10.1016/j.neurobiolaging.2024.11.003
Lai, F. H., Yan, E. W., & Yu, K. K. (2020). Home-based evaluation of executive function (Home-MET) for older adults with mild cognitive impairment. Archives of Gerontology and Geriatrics, 87, Article 104012. https://doi.org/10.1016/j.archger.2019.104012
Lampit, A., Hallock, H., Moss, R., & Valenzuela, M. (2020). Cognitive training-induced short-term and long-term changes in healthy older adults: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 119, 1–12. https://doi.org/10.1016/j.neubiorev.2020.08.023
Li, L., & Yu, L. (2021). The influence of pension mode on the mental health of older adults—Evidence from older adults in China. International Journal of Environmental Research and Public Health, 19(1), Article 119. https://doi.org/10.3390/ijerph19010119
Liu, X., Wang, H., & Li, S. (2024). The bidirectional relationship between attentional functioning and sleep quality in older adults: A daily diary study. Sleep, 47(3), Article zsae012. https://doi.org/10.1093/sleep/zsae012
Madden, D. J. (2007). Aging and visual attention. Current Directions in Psychological Science, 16(2), 70–74. https://doi.org/10.1111/j.1467-8721.2007.00478.x
Mahmoud Alilou, M., Hamidi, S., & Shirvani, A. (2011). Comparison of executive functions and sustained attention in students with obsessive-compulsive symptoms, high schizotypy, and overlapping symptoms with the normal group. Behavioral Sciences Research, 9(3), 22–34. [In Persian]
McNab, F., & Klingberg, T. (2008). Prefrontal cortex and basal ganglia control access to working memory. Nature Neuroscience, 11(1), 103–107. https://doi.org/10.1038/nn2024
Mojtaba Zadeh, M., Asadzadeh, H., Karimi, Y., & Delavar, A. (2021). Investigating the relationship between working memory, anxiety level and academic achievement among students. Quarterly Journal of Educational Psychology Skills, 12(1), 59–74. [In Persian]
Montoya-Murillo, G., Ibarretxe-Bilbao, N., Peña, J., & Ojeda, N. (2020). Effects of cognitive rehabilitation on cognition, apathy, quality of life, and subjective complaints in the elderly: A randomized controlled trial. The American Journal of Geriatric Psychiatry, 28(5), 518–529. https://doi.org/10.1016/j.jagp.2019.11.001
Nazarboland, N., Nohegari, E., & Sadeghi Firoozabadi, V. (2019). The effectiveness of computer-based cognitive rehabilitation (CaptainLog) on working memory, sustained attention and mathematical performance of children with autism spectrum disorder. Journal of Applied Psychology, 13(2), 271–293. [In Persian]
Negaresh, R., Ranjbar, R., Gharibvand, M., Habibi, A., & Mokhtarzadeh, M. (2017). The effect of eight weeks of resistance training on hypertrophy, strength and myostatin in elderly and young men. Salmand: Iranian Journal of Aging, 12(1), 56–67. [In Persian]
Nejati, V. (2010). Executive–cognitive functions of the prefrontal cortex in the elderly. Behavioral Sciences Journal, 4(1), 59–64. [In Persian]
Nodehi, K., Sarami, G., & Keramati, H. (2016). The relationship between executive functions and working memory capacity with students' reading performance: The role of age, gender and intelligence. Cognitive Psychology, 4(3), 11–20. [In Persian]
Okazaki, S. (2015). Cognitive training software in clinical and educational settings. Springer.
Ortega, R., Lopez, V., Carrasco, X., & Escobar, M. (2020). Neurocognitive mechanisms underlying working memory encoding and retrieval in attention deficit hyperactivity disorder. Scientific Reports, 10, Article 7771. https://doi.org/10.1038/s41598-020-64649-9
Pumaccahua, T. T., Wong, E. H., & Wiest, D. J. (2017). Effects of computerized cognitive training on working memory in a school setting. International Journal of Learning, Teaching and Educational Research, 16(3), 88–104. https://doi.org/10.26803/ijlter.16.3.6
Rahmani, M., Rahimian Boger, E., Talepasand, S., & Nokani, M. (2017). The effectiveness of computer-based cognitive rehabilitation on improving working memory and executive functions in female patients with multiple sclerosis. Psychological Studies, 13(30), 59–76. [In Persian]
Rebok, G. W., Ball, K., Guey, L. T., & Jones, R. N. (2014). Ten-year effects of the ACTIVE cognitive training trial on cognition and everyday functioning in older adults. Journal of the American Geriatrics Society, 62(1), 16–24. https://doi.org/10.1111/jgs.12607
Rivas-Campo, Y., Aibar-Almazán, A., Afanador-Restrepo, D. F., García-Garro, P. A., & Vega-Ávila, R. (2022). The effects of high-intensity functional training on cognition in older adults with cognitive impairment: A systematic review. Healthcare, 10(4), 670. https://doi.org/10.3390/healthcare10040670
Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D., & Beck, L. H. (1956). A continuous performance test of brain damage. Journal of Consulting Psychology, 20(5), 343–350. https://doi.org/10.1037/h0043220
Roytvand Ghiyathvand, N., & Amiri Majd, M. (2018). The effectiveness of Captain Log cognitive software on the working memory of students with learning disabilities. Journal of Empowerment of Exceptional Children, 9(3), 5–15. [In Persian]
Sadeghi, J., & Cheraghpour Khankdar, R. (2018, October). The effectiveness of play therapy with CaptainLog software on attention deficit and concentration in students of Qaemshahr city. Paper presented at the National Conference on New World Achievements in Education, Psychology, Law and Socio-Cultural Studies. [In Persian]
Sale, A., Berardi, N., & Maffei, L. (2014). Environment and brain plasticity: Towards an endogenous pharmacotherapy. Physiological Reviews, 94(1), 189–234. https://doi.org/10.1152/physrev.00033.2013
Sandford, J. A., & Brown, M. G. (1988). Captain’s Log cognitive rehabilitation software [Computer software]. BrainTrain, Inc.
Sharit, J., & Czaja, S. J. (2020). Overcoming older adult barriers to learning through an understanding of perspectives on human information processing. Journal of Applied Gerontology, 39(3), 233–241. https://doi.org/10.1177/0733464818791285
Sharma, S., Balaji, G. K., Sahana, A., & Karthikbabu, S. (2021). Effects of cognitive versus mind-motor training on cognition and functional skills in the community-dwelling older adults. Indian Journal of Psychological Medicine, 43(4), 300–305. https://doi.org/10.1177/02537176211005737
Soltanipour, M., Parand, A., Hassani, A., Peyman, S., & Yazdi, S. (2021). The effect of computer-based cognitive rehabilitation on improving executive functions of students with attention deficit/hyperactivity disorder. Journal of Cognitive Psychology, 9(2), 31–51. [In Persian]
Steiger, T. K., Herweg, N. A., Menz, M. M., & Bunzeck, N. (2019). Working memory performance in the elderly relates to theta-alpha oscillations and is predicted by parahippocampal and striatal integrity. Scientific Reports, 9, Article 706. https://doi.org/10.1038/s41598-018-36793-3
Thorell, L. B., Nutley, S. B., Bohlin, G., & Klingberg, T. (2009). Training and transfer effects of executive functions in preschool children. Developmental Science, 12(1), 106–113. https://doi.org/10.1111/j.1467-7687.2008.00745.x
Toril, P., Reales, J. M., & Ballesteros, S. (2014). Video game training enhances cognition of older adults: A meta-analytic study. Psychology and Aging, 29(3), 706–716. https://doi.org/10.1037/a0037507
Wanmaker, S. (2015). The efficacy of working memory training on working memory capacity [Doctoral dissertation, Erasmus University Rotterdam]. https://repub.eur.nl/pub/77710
Wass, A. V., Scerif, G., & Johnson, M. H. (2012). Training attentional control and working memory – Is younger, better? Developmental Review, 32(4), 360–387. https://doi.org/10.1016/j.dr.2012.07.001
Yarmohammadi, N., Hashemi, Z., & Zare, H. (2025). The effectiveness of cognitive training-based rehabilitation on attention, working memory, flexibility, inhibitory control and visual memory in the elderly. Journal of Aging Psychology, 11(2), 231–250. [In Persian]
Yazdanbakhsh, K., & Azarnia, A. (2023). The effectiveness of cognitive rehabilitation on improving cognitive abilities of the elderly. Journal of the Elderly, 18(1), 32–45. [In Persian]
Zinke, K., Altgassen, M., Thöne-Otto, A., & Kliegel, M. (2014). Long-term benefits of cognitive training in older adults: A randomized controlled trial. Developmental Psychology, 50(7), 1878–1886. https://doi.org/10.1037/a0036855
کلیدواژهها [English]