The StrongerMemory program aims to improve cognitive health in older adults through three daily brain exercises stimulating the prefrontal cortex: reading aloud, writing, and math activities. The brain’s prefrontal cortex governs memory retrieval, decision-making, concentration, planning, insight, and judgment. This paper reports on focus groups conducted to understand participants’ perspectives of the StrongerMemory program and their continuation of the exercises post-study. Thirty older adults, mostly female, white, married, and holding advanced degrees, participated. Rigorous data analysis involving coding, memoing, and constant comparative analysis generated 132 codes leading to the emergence of five themes: motivating, appreciating, taxing, committing, and enhancing. Social work practitioners can gain valuable insights from this study to enhance the creation and implementation of accessible and meaningful brain health interventions for older adults.
Alzheimer’s Association. (2023). 2023 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, 17(4), 1598–1695. https://doi.org/10.1002/alz.13016
2.
AndersonK.GrossbergG. T. (2014). Brain games to slow cognitive decline in Alzheimer’s disease. Journal of the American Medical Directors Association, 15(8), 536–537. https://doi.org/10.1016/j.jamda.2014.04.014
3.
AraiH.OuchiY.YokodeM.ItoH.UematsuH.EtoF.OshimaS.OtaK.SaitoY.SasakiH.TsubotaK.FukuyamaH.HondaY.IguchiA.TobaK.HosoiT.KitaT. (2011). Toward the realization of a better aged society: Messages from gerontology and geriatrics. Geriatrics & Gerontology International, 12(1), 16–22. https://doi.org/10.1111/j.1447-0594.2011.00776.x
4.
BallesterosS.Voelcker-RehageC.BhererL. (2018). Editorial: Cognitive and brain plasticity induced by physical exercise, cognitive training, video games, and combined interventions. Frontiers in Human Neuroscience, 12, Article 169. https://doi.org/10.3389/fnhum.2018.00169
5.
BerryA. S.ZantoT. P.ClappW. C.HardyJ. L.DelahuntP. B.MahnckeH. W.GazzaleyA. (2010). The influence of perceptual training on working memory in older adults. PLOS ONE, 5(7), Article e11537. https://doi.org/10.1371/journal.pone.0011537
6.
BuschertV. C.FrieseU.TeipelS. J.SchneiderP.MerenskyW.RujescuD.BuergerK. (2011). Effects of a newly developed cognitive intervention in amnestic mild cognitive impairment and mild Alzheimer’s disease: A pilot study. Journal of Alzheimer’s Disease, 25(4), 679–694.
7.
CabezaR.AlbertM.BellevilleS.CraikF. I.DuarteA.GradyC. L.LindenbergerU.NybergL.ParkD. C.Reuter-LorenzP. A.RuggM. D.SteffenerJ.RajahM. N. (2018). Maintenance, reserve and compensation: The cognitive neuroscience of healthy ageing. Nature Reviews Neuroscience, 19(11), 701–710. https://doi.org/10.1038/s41583-018-0068-2
8.
ChandlerM. J.LockeD. E.CrookJ. E.FieldsJ. A.BallC. T.PhatakV. S.DeanP. M.MorrisM.SmithG. E. (2019). Comparative effectiveness of behavioral interventions on quality of life for older adults with mild cognitive impairment: A randomized clinical trial. JAMA Network Open, 2(5), Article e193016.
9.
ChangY.-H.WuI.-C.HsiungC. A. (2021). Reading activity prevents long-term decline in cognitive function in older people: Evidence from a 14-year longitudinal study. International Psychogeriatrics, 33(1), 63–74.
10.
ChiuH.-L.ChuH.TsaiJ.-C.LiuD.ChenY.-R.YangH.-L.ChouK.-R. (2017). The effect of cognitive-based training for the healthy older people: A meta-analysis of randomized controlled trials. PLOS ONE, 12(5), Article e0176742. https://doi.org/10.1371/journal.pone.0176742
11.
de MedeirosK.KennedyQ.ColeT.LindleyO. ‘.HaraR. (2007). The impact of autobiographic writing on memory performance in older adults: A preliminary investigation. The American Journal of Geriatric Psychiatry, 15(3), 257–261. https://doi.org/10.1097/01.jgp.0000240985.10411.3e
IizukaA.SuzukiH.OgawaS.Kobayashi-CuyaK. E.KobayashiM.TakebayashiT.FujiwaraY. (2019). Can cognitive leisure activity prevent cognitive decline in older adults? A systematic review of intervention studies. Geriatrics & Gerontology International, 19(6), 469–482. https://doi.org/10.1111/ggi.13671
14.
JosephssonS.BäckmanL.BorellL.BernspångB.NygårdL.RönnbergL. (1993). Supporting everyday activities in dementia: An intervention study. International Journal of Geriatric Psychiatry, 8(5), 395–400. https://doi.org/10.1002/gps.930080505
15.
Kaci FairchildJ.ScoginF. R. (2010). Training to Enhance Adult Memory (TEAM): An investigation of the effectiveness of a memory training program with older adults. Aging & Mental Health, 14(3), 364–373. https://doi.org/10.1080/13607860903311733
16.
KawashimaR.OkitaK.YamazakiR.TajimaN.YoshidaH.TairaM.IwataK.SasakiT.MaeyamaK.UsuiN.SugimotoK. (2005). Reading aloud and arithmetic calculation improve frontal function of people with dementia. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(3), 380–384. https://doi.org/10.1093/gerona/60.3.380
17.
KulasonK.NouchiR.HoshikawaY.NodaM.OkadaY.KawashimaR. (2018). The beneficial effects of cognitive training with simple calculation and reading aloud (SCRA) in the elderly postoperative population: A pilot randomized controlled trial. Frontiers in Aging Neuroscience, 10, Article 68. https://www.frontiersin.org/article/10.3389/fnagi.2018.00068
18.
KwokT. C.BaiX.KaoH. S.LiJ. C.HoF. K. (2011). Cognitive effects of calligraphy therapy for older people: A randomized controlled trial in Hong Kong. Clinical Interventions in Aging, 6, 269–273. https://doi.org/10.2147/CIA.S25395
19.
LatchemJ. M.GreenhalghJ. (2014). The role of reading on the health and well-being of people with neurological conditions: A systematic review. Aging & Mental Health, 18(6), 731–744. https://doi.org/10.1080/13607863.2013.875125
20.
LeeS.HaradaK.BaeS.HaradaK.MakinoK.AnanY.SuzukiT.ShimadaH. (2023). A non-pharmacological multidomain intervention of dual-task exercise and social activity affects the cognitive function in community-dwelling older adults with mild to moderate cognitive decline: A randomized controlled trial. Frontiers in Aging Neuroscience, 15, Article 1005410. https://doi.org/10.3389/fnagi.2023.1005410
21.
LiZ. M.JinY. H.WangY. Y.CuiL.GaoW. J.SiJ. H.LiuY. H. (2019). A summary of the evidence and evaluation of the effectiveness of nonpharmacological interventions for mild cognitive impairment. Frontiers of Nursing, 6(4), 301–316.
22.
LövdénM.FratiglioniL.GlymourM. M.LindenbergerU.Tucker-DrobE. M. (2020). Education and cognitive functioning across the life span. Psychological Science in the Public Interest, 21(1), 6–41. https://doi.org/10.1177/1529100620920576
23.
MakiY.YamaguchiT.YamagamiT.MuraiT.HachisukaK.MiyamaeF.ItoK.AwataS.UraC.TakahashiR.YamaguchiH. (2014). The impact of subjective memory complaints on quality of life in community-dwelling older adults. Psychogeriatrics, 14(3), 175–181. https://doi.org/10.1111/psyg.12056
24.
McEwenS. C.SiddarthP.AbedelsaterB.KimY.MuiW.WuP.EmersonN. D.LeeJ.GreenbergS.SheltonT.KaiserS.SmallG. W.MerrillD. A. (2018). Simultaneous aerobic exercise and memory training program in older adults with subjective memory impairments. Journal of Alzheimer’s Disease, 62(2), 795–806. https://doi.org/10.3233/jad-170846
25.
NganduT.LehtisaloJ.SolomonA.LevälahtiE.AhtiluotoS.AntikainenR.BäckmanL.HänninenT.JulaA.LaatikainenT.LindströmJ.MangialascheF.PaajanenT.PajalaS.PeltonenM.RauramaaR.Stigsdotter-NeelyA.StrandbergT.TuomilehtoJ.KivipeltoM. (2015). A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (finger): A randomised controlled trial. The Lancet, 385(9984), 2255–2263. https://doi.org/10.1016/s0140-6736(15)60461-5
26.
NybergL.BoraxbekkC.-J.SörmanD. E.HanssonP.HerlitzA.KauppiK.LjungbergJ. K.LövheimH.LundquistA.AdolfssonA. N.OudinA.PudasS.RönnlundM.StiernstedtM.SundströmA.AdolfssonR. (2020). Biological and environmental predictors of heterogeneity in neurocognitive ageing. Ageing Research Reviews, 64, 101184. https://doi.org/10.1016/j.arr.2020.101184
27.
RajanK. B.WeuveJ.BarnesL. L.McAninchE. A.WilsonR. S.EvansD. A. (2021). Population estimate of people with clinical Alzheimer’s disease and mild cognitive impairment in the United States (2020-2060). Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, 17(12), 1966–1975. https://doi.org/10.1002/alz.12362
28.
ReijndersJ.van HeugtenC.van BoxtelM. (2013). Cognitive interventions in healthy older adults and people with mild cognitive impairment: A systematic review. Ageing Research Reviews, 12(1), 263–275. https://doi.org/10.1016/j.arr.2012.07.003
29.
StewartD. B.Berg-WegerM.TebbS.SakamotoM.RoselleK.DowningL.LundyJ.HaydenD. (2017). Making a difference: A study of cognitive stimulation therapy for persons with dementia. Journal of Gerontological Social Work, 60(4), 300–312. https://doi.org/10.1080/01634372.2017.1318196
Studer-LuethiB.BoeschV.LustiS.MeierB. (2023). Fostering cognitive performance in older adults with a process- and a strategy-based cognitive training. Aging, Neuropsychology, and Cognition, 30, 837–859. https://doi.org/10.1080/13825585.2022.2105298
32.
VanceD. E.StruzickT.FarrK. (2010). Spaced retrieval technique—a cognitive tool for social workers and their clients. Journal of Gerontological Social Work, 53(2), 148–158. https://doi.org/10.1080/01634370903409745
33.
YangJ.-G.ThapaN.ParkH.-J.BaeS.ParkK. W.ParkJ.-H.ParkH. (2022). Virtual reality and exercise training enhance brain, cognitive, and physical health in older adults with mild cognitive impairment. International Journal of Environmental Research and Public Health, 19(20), 13300. https://doi.org/10.3390/ijerph192013300
34.
ZhangY.SuD.ChenY.TanM.ChenX. (2022). Effect of socioeconomic status on the physical and mental health of the elderly: The mediating effect of social participation. BMC Public Health, 22(1), Article 605. https://doi.org/10.1186/s12889-022-13062-7
35.
ZinkeK.ZeintlM.RoseN. S.PutzmannJ.PyddeA.KliegelM. (2014). Working memory training and transfer in older adults: Effects of age, baseline performance, and training gains. Developmental Psychology, 50(1), 304–315. https://doi.org/10.1037/a0032982
