Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Sep-Oct;42(5):1109-1124.
doi: 10.1016/j.gerinurse.2021.06.023. Epub 2021 Jul 16.

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

Emerald Jenkins  1 , Binu Koirala  2 , Tamar Rodney  2 , Ji Won Lee  2 , Valerie T Cotter  3 , Sarah L Szanton  4 , Janiece L Taylor  5
Affiliations
Review

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

Emerald Jenkins et al. Geriatr Nurs. 2021 Sep-Oct.

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.

Keywords: Early dementia; Executive function; Home; Intervention; Mild cognitive impairment; Physical function.

PubMed Disclaimer

Figures

Fig 1.
Fig 1.
Flow chart of study selection process for the review.
See this image and copyright information in PMC

References

    1. Lauer EA, Houtenville AJ. 2017 annual disability statistics compendium. Institute on Disability, University of New Hampshire. 2018.
    1. Black SA, Rush RD. Cognitive and functional decline in adults aged 75 and older. J Am Geriatr Soc. 2002;50(12):1978–1986. - PubMed
    1. Lauer EA, Houtenville AJ. Annual disability statistics compendium: 2016. Durham, NH: University of New Hampshire, Institute on Disability. 2017.
    1. Njegovan V, Man-Son-Hing M, Mitchell SL, Molnar FJ. The hierarchy of functional loss associated with cognitive decline in older persons. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56(10):M638–M643. - PubMed
    1. Robertson DA, Savva GM, Kenny RA. Frailty and cognitive impairment—a review of the evidence and causal mechanisms. Ageing Research Reviews. 2013;12(4):840–851. - PubMed

Publication types