Everyday Impact of Cognitive Interventions in Mild Cognitive Impairment: a Systematic Review and Meta-Analysis

Chandler, Melanie; Parks, Adam; Marsiske, Michael; Rotblatt, Lindsay J; Smith, Glenn E.

doi:10.1007/s11065-016-9330-4

Cited by 142 publications

(129 citation statements)

References 125 publications

(255 reference statements)

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“…Three reviews reported meta-analytical results for both CT and CS (Folkerts et al, 2017;Huntley et al, 2015;Kurz et al, 2011). Six were classified as mixed COTs (Chandler et al, 2016;Lee et al, 2019;P. Leung et al, 2017;Rogers et al, 2018;Sherman et al, 2017;Yang et al, 2018), one of which focused specifically on COTs with caregiver involvement (P. Leung et al, 2017).…”

Section: Interventionsmentioning

confidence: 99%

“…three in MCI (mixed COTs:Chandler et al, 2016; CT: Gates, Vernooij, et al, 2019;Hill et al, 2017), four in dementia (CT:Bahar-Fuchs et al, 2019;Hill et al, 2017; CS: Kim et al, 2017; Woods et al, 2012), one in PD (CT: I. H Leung et al, 2015),. two in stroke (CT: dasNair et al, 2016;Loetscher & Lincoln, 2013) and one in mixed MCI and dementia (CT:Hoefler, 2016).…”

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confidence: 99%

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Cognition-oriented treatments for older adults: A systematic overview of systematic reviews

Gavelin¹,

Lampit²,

Hallock³

et al. 2019

Preprint

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Cognition-oriented treatments (COTs) -commonly categorized as cognitive training, cognitive rehabilitation and cognitive stimulation -are promising approaches for the prevention of cognitive and functional decline in older adults. We conducted a systematic overview of meta-analyses investigating the efficacy of COTs on cognitive and non-cognitive outcomes in older adults with or without cognitive impairment. Review quality was assessed by AMSTAR 2. We identified 51 eligible reviews, 46 of which were included in the quantitative synthesis. The confidence ratings were "moderate" for 9 (20%), "low" for 13 (28%) and "critically low" for 24 (52%) of the 46 reviews. While most reviews provided pooled effect estimates for objective cognition, non-cognitive outcomes of potential relevance were more sparsely reported. The mean effect estimate on cognition was small for cognitive training in healthy older adults (Hedge's g 0.32, range 0.13-0.64, 19 reviews), mild cognitive impairment (Hedge's g 0.40, range 0.32-0.60, five reviews), and dementia (Hedge's g 0.38, range 0.09-1.16, seven reviews), and small for cognitive stimulation in dementia (Hedge's g 0.36, range 0.26-0.44, five reviews). Meta-regression revealed that higher AMSTAR score was associated with larger effect estimates for cognitive outcomes. The available evidence supports the efficacy of COTs improving cognitive performance in older adults. The extent to which such effects are of clinical value remains unclear, due to the scarcity of high-quality evidence and heterogeneity in reported findings. An important avenue for future trials is to include relevant non-cognitive outcomes in a more consistent way and, for meta-analyses in the field, there is a need for better adherence to methodological standards. PROSPERO registration number: CRD42018084490.

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Section: Interventionsmentioning

confidence: 99%

mentioning

confidence: 99%

Cognition-oriented treatments for older adults: A systematic overview of systematic reviews

Gavelin¹,

Lampit²,

Hallock³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…A few small‐scale cognitive training studies have reported positive findings in persons with MCI, and a number of reviews have concluded that it is a potentially effective method for improving cognition and postponing cognitive decline, but many studies rely on a waitlist rather than an active control as a condition of reference, do not provide information on long‐term maintenance of cognitive improvements, do not report data on mood and quality of life, and lack information on whether the learned strategies transfer to real life. These issues limit our ability to conclude that cognitive training improves cognition in MCI and to recommend its use as a strategy to reduce cognitive decline …”

mentioning

confidence: 99%

MEMO+: Efficacy, Durability and Effect of Cognitive Training and Psychosocial Intervention in Individuals with Mild Cognitive Impairment

Belleville

Hudon

Bier

et al. 2018

J American Geriatrics Society

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Background/Objectives There is no consensus on the efficacy of cognitive training in persons with mild cognitive impairment (MCI) because of the paucity of well‐designed randomized controlled trials. The objective was to assess the effect of memory training on the cognitive functioning of persons with MCI and its durability and to evaluate whether this effect generalizes to daily life and whether positive effects could be obtained from psychosocial intervention. Design Single‐blind randomized controlled trial. Setting Research centers of the Institut Universitaire de Gériatrie de Montréal and Institut Universitaire en Santé Mentale de Québec. Participants Older adults meeting criteria for amnestic MCI (N = 145). Intervention Participants were randomized to cognitive training, a psychosocial intervention, or a no‐contact control condition. Interventions were provided in small groups in eight 2‐hour sessions. Measurement Outcome measures were immediate and delayed composite performance memory scores, psychological health (depression, anxiety, well‐being), and generalization effects of the intervention (strategy use in everyday life, difficulties in complex activities of daily living, memory complaints). Testing was administered before training and immediately, 3 months, and 6 months after training. Results Participants in the cognitive training condition improved on the delayed composite memory score and on strategy use in everyday life. Improvement was maintained at the 3‐ and 6‐month follow‐up assessments. Participants in the psychosocial and no‐contact conditions did not show any significant improvement. Conclusion Cognitive training improves the memory of persons with amnestic MCI. The effect persists over a 6‐month period, and learned strategies are used in everyday life. Cognitive training is a valid way to promote cognition in MCI.

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“…There is growing recognition, however, that these may not be the most suitable outcomes, and that it may be more important to consider whether, and how, a memory intervention impacts daily life. Besides measures of everyday function, impact on daily life encompasses mood, quality of life, and metacognitive outcomes (i.e., how one thinks or feels about cognitive processes) (Chandler, Parks, Marsiske, Rotblatt, & Smith, ). Moreover, improved memory self‐efficacy—not change in memory test performance—is one of the most important outcomes reported by participants of memory interventions (Barrios et al, ).…”

Section: Outcome Measurementmentioning

confidence: 99%

Providing Online Memory Interventions for Older Adults: A Critical Review and Recommendations for Development

Pike

Chong

Hume

et al. 2018

Australian Psychologist

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Objective: Online psychological therapy, or e-therapy, has proliferated. e-Therapy enables clinicians to reach clients otherwise unable to access health services. This should be particularly valuable to services, such as Clinical Neuropsychology, that are scarce or unavailable outside major metropolitan centres, but little is known regarding the potential for online neuropsychological therapy. This discussion paper focuses on memory interventions for older adults, and aims to determine whether it is feasible to create an effective online memory intervention. Method: The approach used was to review the literature regarding e-Health generally and factors associated with effective online delivery, as well as specific issues related to Internet usage and current memory interventions for older adults. Regard was given to ethical considerations and practical suggestions were made about the way forward to implement online memory interventions for older adults.Results: There is good evidence that memory interventions for older adults improve memory and increase functional independence. Barriers to online delivery of memory interventions are identified and recommendations for practice provided. Conclusions: Despite various barriers, translation of memory interventions to an online format appears feasible, and would enable delivery to many older adults who would be otherwise unable to access these services.

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Everyday Impact of Cognitive Interventions in Mild Cognitive Impairment: a Systematic Review and Meta-Analysis

Cited by 142 publications

References 125 publications

Cognition-oriented treatments for older adults: A systematic overview of systematic reviews

Cognition-oriented treatments for older adults: A systematic overview of systematic reviews

MEMO+: Efficacy, Durability and Effect of Cognitive Training and Psychosocial Intervention in Individuals with Mild Cognitive Impairment

Providing Online Memory Interventions for Older Adults: A Critical Review and Recommendations for Development

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