期刊
MOLECULAR ASPECTS OF MEDICINE
卷 43-44, 期 -, 页码 38-53出版社
ELSEVIER
DOI: 10.1016/j.mam.2015.06.003
关键词
Mild cognitive impairment; Dementia; Alzheimer's disease; Cognitive rehabilitation; Non-pharmacological interventions; Behavioral interventions
资金
- National Institutes of Health [KL2TR000146, P30 MH090333, 8315, UL1 TR000005]
The purpose of this scoping review was to examine the science related to non-pharmacological interventions designed to-slow decline for older adults with Mild Cognitive Impairment or early-stage dementia. We reviewed 32 unique randomized controlled trials that employed cognitive training (remediation or compensation approaches), physical exercise, or psychotherapeutic interventions that were published before November 2014. Evidence suggests that cognitive training focused on remediation and physical exercise interventions may promote small improvements in selected cognitive abilities. Cognitive training focused on compensation interventions and selected psychotherapeutic interventions may influence how cognitive changes impact daily living. However, confidence in these findings is limited due to methodological limitations. To better assess the value of non-pharmacological interventions for this population, we recommend: (1) adoption of universal criteria for early stage cognitive decline among studies, (2) adherence to guidelines for the conceptualization, operationalization, and implementation of complex interventions, (3) consistent characterization of the impact of interventions on daily life, and (4) long-term follow-up of clinical outcomes to assess maintenance and meaningfulness of reported effects over time. (C) 2015 Elsevier Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据