Purpose: This study was conducted to verify the effects of a memory and visual-motor integration program for older adults based on self-efficacytheory. Methods: A non-equivalent control group pretest–posttest design was implemented in this quasi-experimental study. The participantswere 62 older adults from senior centers and older adult welfare facilities in D and G city (Experimental group=30, Control group=32). The experimentalgroup took part in a 12-session memory and visual-motor integration program over 6 weeks. Data regarding memory self-efficacy,memory, visual-motor integration, and depression were collected from July to October of 2014 and analyzed with independent t-test and Mann-Whitney U test using PASW Statistics (SPSS) 18.0 to determine the effects of the interventions. Results: Memory self-efficacy (t=2.20, p=.031),memory (Z=-2.92, p=.004), and visual-motor integration (Z=-2.49, p=.013) increased significantly in the experimental group as compared to thecontrol group. However, depression (Z=-0.90, p=.367) did not decrease significantly. Conclusion: This program is effective for increasing memory,visual-motor integration, and memory self-efficacy in older adults. Therefore, it can be used to improve cognition and prevent dementia inolder adults.