The efficacy of cognitive interventions on the performance of instrumental activities of daily living in individuals with mild cognitive impairment or mild dementia: protocol for a systematic review and meta-analysis

Abstract

Background Cognitive changes associated with mild cognitive impairment or mild dementia can lead to difficulties in completing instrumental activities of daily living. The ability to live independently at home and in the community is often compromised due to the inability to complete these activities. Cognitive interventions have been reported as beneficial in maintaining or improving cognitive functions among this group of adults. However, the effectiveness of different types of cognitive interventions on the performance of instrumental activities of daily living in older adults with mild cognitive impairment and mild dementia is not well established. The aim of this paper is to develop a protocol for a systematic review and meta-analysis to investigate the effectiveness of cognitive interventions in maintaining or improving the performance of instrumental activities of daily living in individuals with mild cognitive impairment or mild dementia. Methods Randomised control studies which investigate the effectiveness of cognitive interventions on the performance in instrumental activities of daily living for older adults with mild cognitive impairment and mild dementia will be sought. A systematic search will be conducted in five databases: CINAHL, MEDLINE, EMBASE, PsycINFO and Cochrane Central Register of Controlled Trials. The search strategy was developed with assistance from a health science librarian. Two independent reviewers will perform the study selection and data extraction. Quality assessment will be implemented using the Physiotherapy Evidence Database (PEDro) scale. A narrative synthesis of the findings will be used to report outcomes of all included studies. If appropriate, a meta-analysis will combine the results of individual studies. Discussion This systematic review and meta-analysis will determine the effectiveness of cognitive interventions in maintaining or improving the performance of IADL in individuals with MCI or mild dementia. It is anticipated that the results will inform rehabilitation professionals of the most effective cognitive interventions to be implemented into clinical practice. It will potentially provide substantial benefit to both the persons with MCI or dementia and the health care system by keeping more people out of full-time care and allowing those in full-time care to require less intensive support. Systematic review registration PROSPERO CRD42016042364

Efficacy of cognitive remediation on activities of daily living in individuals with mild cognitive impairment or early-stage dementia: a systematic review and meta-analysis

“…The methods were published as a protocol before conducting the review [ 15 ]. The review was registered on PROSPERO (registration number: CRD42016042364).…”

Interface Design for Products for Users with Advanced Age and Cognitive Impairment

“…Some of the control participants considered the operating procedure of the electric rice cooker overly complex and difficult to memorize, and some of the participants with MCI and mild dementia were unfamiliar with the procedure. MCI affects abilities involved in performing complex daily living activities, such as using technological products [ 5 ], and dementia leads to introduce anomalies in performing such activities. The participants with mild dementia invited in this study have the symptom of obvious decline in cognitive ability.…”

“…Subjective cognitive decline is a prevalent symptom among individuals with MCI; they perceive their memory as having declined even though examinations indicate that their memory is normal. Specifically, they exhibit signs of memory decline but not dementia, and their daily living behaviors and capabilities have not been severely affected; only abilities required for complex daily living activities have been impeded [ 5 ], such as using technological products, cooking, and taking medication. Daily living technologies have become critical for self-care and daily living activities [ 6 ], and MCI may hamper their use [ 7 ], negatively affecting independent living at home and increasing the burden on nursing homes [ 6 ].…”

Effect of combined use of transcranial direct current stimulation and cognitive training on executive function and activities of daily living after stroke

“…This test comprised 2 sub-scales of basic activities of daily living (BADL) and instrumental activities of daily living (IADL). The BADL scale included basic daily activities including dressing, washing, and transferring with a total score of 32, while the IADL scale included complex daily activities including shopping, financial management, and telephone use, with a total score of 48 ( 26 ).…”