Juleen Rodakowski|Ester Saghafi|Meryl A. Butters|Elizabeth Skidmore
Non-pharmacological interventions for adults with mild cognitive impairment and early stage dementia: An updated scoping review
University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh
purpose scoping review examine science related nonpharmacological interventions designed slow decline older adults mild cognitive impairment earlystage dementia reviewed 32 unique randomized controlled trials employed cognitive training remediation compensation approaches physical exercise psychotherapeutic interventions published november 2014 evidence suggests cognitive training focused remediation physical exercise interventions may promote small improvements selected cognitive abilities cognitive training focused compensation interventions selected psychotherapeutic interventions may influence cognitive changes impact daily living however confidence findings limited due methodological limitations better assess value nonpharmacological interventions population recommend 1 adoption universal criteria early stage cognitive decline among studies 2 adherence guidelines conceptualization operationalization implementation complex interventions 3 consistent characterization impact interventions daily life 4 longterm followup clinical outcomes assess maintenance meaningfulness reported effects time