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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Geriatrics 1/2018

Technology-based cognitive training and rehabilitation interventions for individuals with mild cognitive impairment: a systematic review

Zeitschrift:
BMC Geriatrics > Ausgabe 1/2018
Autoren:
Shaoqing Ge, Zheng Zhu, Bei Wu, Eleanor S. McConnell
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12877-018-0893-1) contains supplementary material, which is available to authorized users.

Abstract

Background

Individuals with mild cognitive impairment (MCI) are at heightened risk of developing dementia. Rapid advances in computing technology have enabled researchers to conduct cognitive training and rehabilitation interventions with the assistance of technology. This systematic review aims to evaluate the effects of technology-based cognitive training or rehabilitation interventions to improve cognitive function among individuals with MCI.

Methods

We conducted a systematic review using the following criteria: individuals with MCI, empirical studies, and evaluated a technology-based cognitive training or rehabilitation intervention. Twenty-six articles met the criteria.

Results

Studies were characterized by considerable variation in study design, intervention content, and technologies applied. The major types of technologies applied included computerized software, tablets, gaming consoles, and virtual reality. Use of technology to adjust the difficulties of tasks based on participants’ performance was an important feature. Technology-based cognitive training and rehabilitation interventions had significant effect on global cognitive function in 8 out of 22 studies; 8 out of 18 studies found positive effects on attention, 9 out of 16 studies on executive function, and 16 out of 19 studies on memory. Some cognitive interventions improved non-cognitive symptoms such as anxiety, depression, and ADLs.

Conclusion

Technology-based cognitive training and rehabilitation interventions show promise, but the findings were inconsistent due to the variations in study design. Future studies should consider using more consistent methodologies. Appropriate control groups should be designed to understand the additional benefits of cognitive training and rehabilitation delivered with the assistance of technology.
Zusatzmaterial
Additional file 1: Table S1. Searching Strategy. Table S2. Results of quality assessment based on JBI critical appraisal checklist for randomized controlled trials*. Table S3. Results of quality assessment based on JBI critical appraisal checklist for quasi-experimental studies*. Figure S1. Forest plot - RBANS score (computer-based intervention VS. Control). (DOCX 34 kb)
12877_2018_893_MOESM1_ESM.docx
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