Arts-based interventions to improve cognition in older persons with mild cognitive impairment: A systematic review of randomized controlled trials

Fong, Zhi Hui; Tan, Ser Hong; Mahendran, Rathi; Kua, Ee Heok; Chee, Tji Tjian

doi:10.1080/13607863.2020.1786802

Cited by 17 publications

(17 citation statements)

References 53 publications

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“…The most registered outcomes delivered by music therapy were improvements in general cognition, QoL, emotional wellbeing, or self-esteem and reductions in depression signs. It is important to add that although none of the ICTs included reported it, significant verbal and language fluency improvements were reported in three SRs ( Schwartz et al, 2019 ; Fong et al, 2020 ; Lam et al, 2020 ).…”

Section: Resultsmentioning

confidence: 98%

Benefits of Cultural Activities on People With Cognitive Impairment: A Systematic Review

2021

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Museums and cultural institutions are increasingly striving to respond to the interests and needs of the society that hosts them. This means, apart from other actions, that these institutions must be involved in the health and wellbeing of society, and the creation of cultural activities aimed at people with cognitive impairment, a group of individuals that is growing worldwide due to the aging of society and the increasing prevalence of dementia. The involved sectors are aware of the potential and benefits of activities for this population, even though there is much research to be conducted. To date, no systematic review has focused on the benefits of cultural activities for cognitively impaired people. This study aimed to explore the benefits of different modalities of cultural activities with evidence from 145 studies from various databases, which met the inclusion criteria. Significant improvements in general cognition, quality of life (QoL), emotional wellbeing, socialization, and communication were generally reported after interventions, with a reduction in depression symptoms. There was not enough evidence to prove memory, language, or daily functioning improvements attributable to cultural interventions. There were no significant reductions reported in apathy, sadness, agitation, or anxiety.

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Section: Resultsmentioning

confidence: 98%

Benefits of Cultural Activities on People With Cognitive Impairment: A Systematic Review

2021

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“…A meta-analysis has shown that compared with other forms of exercise intervention, dance intervention has a specific positive effect on improving physical functions, such as muscle strength, balance, and flexibility (Fong et al, 2020 ). It also has a specific effect on improving participants' cardiovascular function.…”

Section: Introductionmentioning

confidence: 99%

Effects of Dance Interventions on Cognition, Psycho-Behavioral Symptoms, Motor Functions, and Quality of Life in Older Adult Patients With Mild Cognitive Impairment: A Meta-Analysis and Systematic Review

Liu

Jiao

et al. 2021

Front. Aging Neurosci.

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Background: Dance interventions are considered beneficial for older patients with mild cognitive impairment in many aspects. We conducted a comprehensive systematic review and meta-analysis to assess the effects of dance on different aspects (cognitive function, emotions, physical function, and quality of life) of this population.Methods: A systematic search of PubMed, Web of Science, the Cochrane Central Register of Controlled Trials, Embase, American Psychological Association PsycInfo, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, the Chinese BioMedical Literature Database, the VIP Database for Chinese Technical Periodicals, China National Knowledge Infrastructure, and Wanfang Data database was performed. Two reviewers independently assessed the study quality.Results: Fourteen studies were retrieved from the databases for analysis. The pooled results showed that dance interventions significantly improved global cognition (standardized mean difference [SMD] = 0.73, 95% confidence interval [CI]: 0.47 to 0.99, P < 0.00001), rote memory (mean difference [MD] = −2.12, 95% CI: −4.02 to −0.21, P = 0.03), immediate recall (SMD = 0.54, 95% CI: 0.30 to 0.78, P < 0.0001), delayed recall (SMD = 0.56, 95% CI: 0.26 to 0.86, P = 0.0002) and attention (SMD = 0.38, 95% CI: 0.13 to 0.64, P = 0.003). No significant improvement was found in executive function, language, depression, anxiety, dementia-related behavioral symptoms, motor function, and quality of life.Conclusion: Dance interventions benefit most aspects of cognitive functions. The evidence for the effects of dance on psycho-behavioral symptoms, motor function and quality of life remains unclear. More trials with rigorous study designs are necessary to provide this evidence.

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“…One-third of the studies did not have a control group at all, and out of 12 RCT studies, six studies include an active control group for comparison [ 57 , 60 , 73 , 74 , 78 , 84 ]. Evidently, considering routine care as a control group will increase the risk of bias; that is, the positive effect of the intervention may not be due to increased physical, group, and social activity [ 86 ]. Therefore, it is recommended that future studies include active control groups.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review on Serious Games in Attention Rehabilitation and Their Effects

Shahmoradi

Mohammadian

Katigari

2022

Behavioural Neurology

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Attention is a basic and main mental task and can play an important role in the functioning of other brain abilities such as intelligence, memory, learning, and perception, and its deficit occurs in 80% of patients with traumatic brain injury. The use of game-based tools for rehabilitation is rapidly expanding. Cognitive rehabilitation via video games is an emerging hot topic in cognitive science. Serious games serve a specific purpose in addition to entertainment. They can be more engaging than exercises since they replace reward and motivation systems with real-world motivations as a complement for rehabilitation activities. This study was aimed at identifying and categorizing serious computer games used for attention rehabilitation and evaluating their effects. Six electronic databases (Scopus, PubMed, ISI, Embase, IEEE, and Cochrane) were searched in August 2021. The search strategy consisted of three main concepts of “serious game”, “cognitive deficits”, and “cognitive rehabilitation”. The inclusion criteria were (1) journal articles, (2) English language, (3) being published in the last 10 years, (4) human participants, and (5) game-based intervention. In the 30 included studies, 22 unique games were utilized for attention rehabilitation. Lumosity (20%), Brain Age (Dr. Kawashima’s Brain Training) (10%), and MoHRS (6.66%) were the most common games among the studies. There were (57%) casual, (23%) action, (10%) simulation, and (10%) multiple genres. Of the 47 tools used in the studies, 5 utilized cross-modal oddball attention tasks, 4 utilized game performance, 3 utilized the paced auditory serial additional test (PASAT), and the rest employed other tools. A total of 73 outcome measures were related to attention, 42 measures did not have significant results, 30 were significantly improved, 1 was significantly deteriorated, and 4 articles did not have any specific measures for attention evaluation. Thus, the results revealed the positive effect of serious games on attention. However, issues such as absence of scientific teams, the variety of the disorders that cause defects, the variety of criteria, differences in measurements, lack of long-term follow-up, insufficient RCT studies, and small sample sizes should be considered when designing, developing, and using game-based systems to prevent bias.

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Arts-based interventions to improve cognition in older persons with mild cognitive impairment: A systematic review of randomized controlled trials

Cited by 17 publications

References 53 publications

Benefits of Cultural Activities on People With Cognitive Impairment: A Systematic Review

Benefits of Cultural Activities on People With Cognitive Impairment: A Systematic Review

Effects of Dance Interventions on Cognition, Psycho-Behavioral Symptoms, Motor Functions, and Quality of Life in Older Adult Patients With Mild Cognitive Impairment: A Meta-Analysis and Systematic Review

A Systematic Review on Serious Games in Attention Rehabilitation and Their Effects

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