Effectiveness of the maximising cognition (MAXCOG) information resource for clients with mild cognitive impairment and their families

Abstract

Some family supporters appeared to benefit from using the new resource but people with MCI may require further face-to-face support to learn new strategies.

The effectiveness of non‐pharmacological interventions targeting neuropsychiatric symptoms among persons with preclinical and mild dementia: A systematic review and network meta‐analysis

“…A high level of performance bias and insufficient reporting of methods were the major concerns. Twelve studies indicated that no blinding strategy was adopted, [58][59][60][61][62][63][64][65][66][67][68][69] and the others had inadequate documentation of the blinding strategy. [70][71][72][73][74][75][76][77][78] Detection bias was unclear in six studies due to missing assessor blinding status.…”

“…[70][71][72][73][74][75][76][77][78] Detection bias was unclear in six studies due to missing assessor blinding status. 59,66,70,[74][75][76] One study 63 did not blind the post-test outcome assessors, resulting in a high risk of detection bias. For selection bias, unclear methods for allocation concealment (n ¼ 11) [59][60][61][65][66][67]69,73,74,76,77 and the generation of random sequences (n ¼ 6) 59,60,65,66,69,76 were reported.…”

“…Table S2 outlines the study characteristics. The included studies were grouped into four categories: (1) art-based intervention (n ¼ 1) 73 incorporating drawing; (2) psycho-behavioral educative intervention (n ¼ 9) 62,64,[68][69][70][75][76][77][78] to enhance participants' understanding of their condition and engage them in positive thinking, effective coping, behavioral activation, a more active lifestyle, and better social relationships; (3) cognitive training (n ¼ 4) 58,61,63,66 consisting of strategies to compensate for cognitive deficits; and (4) multimodal interventions (n ¼ 7) 59,60,65,67,71,72,74 including a combination of cognitive training and psycho-behavioral educative intervention. The funnel plot (Table S3) indicated that two studies 62,72 were beyond the inverted funnel, which implied potential publication bias.…”

“…Four studies compared cognitive training 58,61,63,66 (n ¼ 322) with waitlist control, 61 attention control 66 and usual care, 58,63 with dosage ranging from 4 to 24 h. All studies measured the effects on depression using either the GDS 58,61,66 or Hospital Anxiety and Depression Scale. 63 Data pooling of the three studies indicated a non-significant treatment effect (SMD ¼ À 0.27, 95% CI: À 0.58-0.05], p ¼ 0.10, (Figure 3). One study 61 was excluded from data pooling as the standard deviation (SD) was missing.…”

Maximizing cognition in mild cognitive impairment and early stage dementia

“…A manual was developed to encourage consistency between counsellors in implementing the approach. A set of information handouts provided easy access to range of ideas and strategies that could be utilized as part of a face-to-face intervention (Regan & Wells, 2018). The primary outcomes were goal performance and satisfaction.…”