Cognitive Training Intervention Adherence in Older Women with Cardiovascular Disease: A Secondary Analysis of the MindMoves Trial.
Christina A Rogers, Charleen Yeager, Michael Schoeny and 5 others
PMID 41418039WHAT IT FOUND
Older women with cardiovascular disease completed an average of 1.6 of 3 prescribed weekly cognitive training sessions, dropping to 0.7 later.
Higher income, education, and having a partner were associated with better adherence; health, technology, and loneliness were not.
Key findings
01Participants completed an average of 1.6 of 3 prescribed weekly cognitive training sessions during the active intervention, and 0.7 weekly during maintenance.
02Adherence during the active intervention was associated with higher income, partner status, and education, but not with health, technology experience, or social isolation.
03In the regression model, married or committed relationship and personal income remained, and the model explained 11% of variance.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a secondary analysis of a completed trial, not a randomized test of whether cognitive training helps cognition. Only 110 of 128 participants were analysed, and missing data were mostly about income. Baseline factors were measured once, so the study could not see whether changes in income, health, loneliness, or technology comfort affected adherence over time. The analysis was correlational, so it cannot show that income, education, or partner status caused better adherence. The final model accounted for 11% of the variance. It did not measure broader social determinants such as housing insecurity, food insecurity, healthcare access, or neighborhood environment. It did not include objective hearing or vision testing, or a measure of digital literacy.
The easy way to misread this
Do not conclude that BrainHQ prevented cognitive decline or that income and partner status caused better adherence. This paper analysed adherence only, and the associations were weak and correlational.