Home/community-based interventions to improve function in persons with mild cognitive impairment/early dementia

Emerald Jenkins; Binu Koirala; Tamar Rodney; Ji Won Lee; Valerie T. Cotter; Sarah L. Szanton; Janiece L. Taylor

doi:10.1016/j.gerinurse.2021.06.023

Home/community-based interventions to improve function in persons with mild cognitive impairment/early dementia

Emerald Jenkins, Binu Koirala, Tamar Rodney, Ji Won Lee, Valerie T. Cotter, Sarah L. Szanton, Janiece L. Taylor

School of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Persons with mild cognitive impairment/early dementia have a possible 20-year trajectory of disability and dependence with little information on the effectiveness of interventions to improve function. This review investigates the literature of home/community-based interventions for physical and executive function in persons with mild cognitive impairment/early dementia. A 2007–2020 systematic literature search was conducted through PubMed, CINAHL Plus with Full Text and PsycINFO. Of the 1749 articles retrieved, 18 eligible studies were identified and consisted of three types of interventions: cognitive training-only (n = 7), multicomponent (n = 9), and physical activity-only (n = 2). Results showed that the interventions impacting function in persons with cognitive impairment incorporated a visual/written element, technology-based training, caregiver support, and modified duration/increased frequency of interventions. In studies improving function, participants simulated Instrumental Activities of Daily Living. They addressed cognitive function using both objective and subjective cognitive measures. We found gaps in the literature in incorporating race/ethnicity and appropriate socioeconomic status measures.

Original language	English (US)
Pages (from-to)	1109-1124
Number of pages	16
Journal	Geriatric Nursing
Volume	42
Issue number	5
DOIs	https://doi.org/10.1016/j.gerinurse.2021.06.023
State	Published - Sep 1 2021

Keywords

Early dementia
Executive function
Home
Intervention
Mild cognitive impairment
Physical function

ASJC Scopus subject areas

Gerontology

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10.1016/j.gerinurse.2021.06.023

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title = "Home/community-based interventions to improve function in persons with mild cognitive impairment/early dementia",

abstract = "Persons with mild cognitive impairment/early dementia have a possible 20-year trajectory of disability and dependence with little information on the effectiveness of interventions to improve function. This review investigates the literature of home/community-based interventions for physical and executive function in persons with mild cognitive impairment/early dementia. A 2007–2020 systematic literature search was conducted through PubMed, CINAHL Plus with Full Text and PsycINFO. Of the 1749 articles retrieved, 18 eligible studies were identified and consisted of three types of interventions: cognitive training-only (n = 7), multicomponent (n = 9), and physical activity-only (n = 2). Results showed that the interventions impacting function in persons with cognitive impairment incorporated a visual/written element, technology-based training, caregiver support, and modified duration/increased frequency of interventions. In studies improving function, participants simulated Instrumental Activities of Daily Living. They addressed cognitive function using both objective and subjective cognitive measures. We found gaps in the literature in incorporating race/ethnicity and appropriate socioeconomic status measures.",

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author = "Emerald Jenkins and Binu Koirala and Tamar Rodney and Lee, {Ji Won} and Cotter, {Valerie T.} and Szanton, {Sarah L.} and Taylor, {Janiece L.}",

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AU - Szanton, Sarah L.

AU - Taylor, Janiece L.

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N2 - Persons with mild cognitive impairment/early dementia have a possible 20-year trajectory of disability and dependence with little information on the effectiveness of interventions to improve function. This review investigates the literature of home/community-based interventions for physical and executive function in persons with mild cognitive impairment/early dementia. A 2007–2020 systematic literature search was conducted through PubMed, CINAHL Plus with Full Text and PsycINFO. Of the 1749 articles retrieved, 18 eligible studies were identified and consisted of three types of interventions: cognitive training-only (n = 7), multicomponent (n = 9), and physical activity-only (n = 2). Results showed that the interventions impacting function in persons with cognitive impairment incorporated a visual/written element, technology-based training, caregiver support, and modified duration/increased frequency of interventions. In studies improving function, participants simulated Instrumental Activities of Daily Living. They addressed cognitive function using both objective and subjective cognitive measures. We found gaps in the literature in incorporating race/ethnicity and appropriate socioeconomic status measures.

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Home/community-based interventions to improve function in persons with mild cognitive impairment/early dementia

Abstract

Keywords

ASJC Scopus subject areas

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