The Effects of Cognitive-Based Interventions in Older Adults Older Adults: A Systematic Review and Meta-Analysis

Ryu, S (通讯作者),Mokpo Natl Univ, Dept Nursing, Jeollanamdo, South Korea.
2022-1
Background: Cognitive -based intervention is divided into three types: Cognitive Stimulation (CS), Cognitive Training (CT), and Cognitive Rehabilitation (CR). This study was conducted to identify systematically the effects of cognitive -based interventions in randomized controlled trials (RCTs) applied to older adults in the following three groups: cognitively healthy, mild cognitive impairment (MCI), and dementia. Methods: This search was carried out using the Ovid-MEDLINE, EMBASE, Cochrane library, CINAHL, ProQuest, and Korea databases. The effectiveness of the intervention was verified using the CMA 2.0 program. Results: A total of 54 RCTs were included in systematic reviews and 38 studies were analyzed by meta -analysis. Meta-analysis showed that cognitive -based interventions were effective in improving the cognitive function (SMD=0.39, 95% CI=0.32-0.44) of older adults. The subgroup analysis of cognitive function revealed that CT was the most effective in the cognitively healthy (SMD=0.40, 95% CI=0.33-0.46) and the MCI (SMD=0.45, 95% CI=0.27-0.63) groups, and CS was the most effective in the dementia group (SMD=0.57, 95% CI=0.43-0.70). Conclusion: In order to improve the cognitive function of older adults in each group, the most effective intervention type needs to be considered first. Evidence on the appropriate type of Cognitive -based intervention will be helpful in nursing practice.
IRANIAN JOURNAL OF PUBLIC HEALTH
卷号:51|期号:1|页码:1-12
ISSN:2251-6085|收录类别:SCIE
语种
英语
来源机构
Mokpo National University
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
2
2013以来使用计数
3
EISSN
2251-6093
出版年
2022-1
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Older adults Cognitive Education Rehabilitation Systematic review