Cognitive Intervention Using Information and Communication Technology for Older Adults with Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

Abstract

Background: Outside activities have decreased due to the spread of the COVID-19 since 2019; therefore, the need for education using information and communication technology (ICT) for older adults with mild cognitive impairment (MCI) has increased. This study systematically evaluated the effects of cognitive enhancement interventions using ICT on older adults with MCI. Methods: Six electronic databases (CINAHL, Cochrane CENTRAL, EMBASE, PubMed, RISS, and KISS) were searched for relevant articles published from 25 January to 10 February, 2021. Results: As a result of the systematic literature review, 12 research papers were finally selected as the literature for quality evaluation, and 11 final papers were selected, excluding one in the quality evaluation. From the synthesis in this study, it was found that cognitive intervention using ICT showed a statistically significant positive effect on cognitive function when compared with various control groups (SMD = 0.4547; p < 0.001; 95% CI: 0.1980–0.7113). Conclusions: Through this study, cognitive intervention using ICT showed a small effect size for older adults with mild cognitive impairment, and statistically significant results were found.

Effectiveness of online‐based cognitive intervention in community‐dwelling older adults with cognitive dysfunction: A systematic review and meta‐analysis

“…This indicates that cognitive training using ICT is more effective than traditional cognitive training. By contrast, a systematic review 19 stated that there was no difference in effectiveness between the ICT‐based intervention and active control groups. In a systematic review, 19 some results of the study, 51 showed that ICT‐based cognitive training was more effective than active control.…”

“…By contrast, a systematic review 19 stated that there was no difference in effectiveness between the ICT‐based intervention and active control groups. In a systematic review, 19 some results of the study, 51 showed that ICT‐based cognitive training was more effective than active control. As technology advances, it has gradually become easier to use and more interesting for older adults with MCI or mild dementia 53–55 .…”

“…Given that ICT‐based interventions for community‐dwelling older adults are being actively used, evaluating the effectiveness of ICT‐based interventions for patients with MCI and mild dementia is needed. Several recent systematic reviews have analyzed the effects of ICT‐based interventions in patients with MCI or mild dementia 17–22 . However, some systematic reviews 17,18,21 have not conducted quantitative syntheses, such as meta‐analyses.…”

“…Several recent systematic reviews have analyzed the effects of ICT‐based interventions in patients with MCI or mild dementia. 17 , 18 , 19 , 20 , 21 , 22 However, some systematic reviews 17 , 18 , 21 have not conducted quantitative syntheses, such as meta‐analyses. Moreover, two other systematic reviews 19 , 20 appear to have not conducted a comprehensive literature search because they included only 11 and 12 studies when compared with that of 44 studies included in our systematic review.…”

“…Cognitive training using ICT was found to be effective when administered for more than 30 min per session for older adults with MCI or mild dementia. Another systematic review19 also demonstrated that the intervention wasF I G U R E 4 (Continued)…”