Umeå universitets logga

umu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Cognition-Oriented Treatments for Older Adults: a Systematic Overview of Systematic Reviews
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi. Academic Unit for Psychiatry of Old Age, University of Melbourne, Melbourne, Australia.ORCID-id: 0000-0003-3256-9018
University of Melbourne, Australia.
Charité–Universitätsmedizin Berlin, Germany.
University of Melbourne, Australia.
Visa övriga samt affilieringar
2020 (Engelska)Ingår i: Neuropsychology Review, ISSN 1040-7308, E-ISSN 1573-6660, Vol. 30, nr 2, s. 167-193Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

Cognition-oriented treatments - commonly categorized as cognitive training, cognitive rehabilitation and cognitive stimulation - are promising approaches for the prevention of cognitive and functional decline in older adults. We conducted a systematic overview of meta-analyses investigating the efficacy of cognition-oriented treatments on cognitive and non-cognitive outcomes in older adults with or without cognitive impairment. Review quality was assessed by A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR). We identified 51 eligible reviews, 46 of which were included in the quantitative synthesis. The confidence ratings were "moderate" for 9 (20%), "low" for 13 (28%) and "critically low" for 24 (52%) of the 46 reviews. While most reviews provided pooled effect estimates for objective cognition, non-cognitive outcomes of potential relevance were more sparsely reported. The mean effect estimate on cognition was small for cognitive training in healthy older adults (mean Hedges' g = 0.32, range 0.13-0.64, 19 reviews), mild cognitive impairment (mean Hedges' g = 0.40, range 0.32-0.60, five reviews), and dementia (mean Hedges' g = 0.38, range 0.09-1.16, seven reviews), and small for cognitive stimulation in dementia (mean Hedges' g = 0.36, range 0.26-0.44, five reviews). Meta-regression revealed that higher AMSTAR score was associated with larger effect estimates for cognitive outcomes. The available evidence supports the efficacy of cognition-oriented treatments improving cognitive performance in older adults. The extent to which such effects are of clinical value remains unclear, due to the scarcity of high-quality evidence and heterogeneity in reported findings. An important avenue for future trials is to include relevant non-cognitive outcomes in a more consistent way and, for meta-analyses in the field, there is a need for better adherence to methodological standards. PROSPERO registration number: CRD42018084490.

Ort, förlag, år, upplaga, sidor
Springer, 2020. Vol. 30, nr 2, s. 167-193
Nyckelord [en]
Cognitive rehabilitation, Cognitive stimulation, Cognitive training, Older adults, Overview, Systematic review
Nationell ämneskategori
Neurovetenskaper
Identifikatorer
URN: urn:nbn:se:umu:diva-170274DOI: 10.1007/s11065-020-09434-8ISI: 000524391900001PubMedID: 32266520Scopus ID: 2-s2.0-85083365673OAI: oai:DiVA.org:umu-170274DiVA, id: diva2:1428874
Tillgänglig från: 2020-05-06 Skapad: 2020-05-06 Senast uppdaterad: 2020-09-14Bibliografiskt granskad

Open Access i DiVA

fulltext(17322 kB)190 nedladdningar
Filinformation
Filnamn FULLTEXT02.pdfFilstorlek 17322 kBChecksumma SHA-512
63c7c02f60c910d3d0f7a327bfb232ae42edf036aae609911e8957c55a6b69e1c0b6b375107bc2bd0fa6778e2cf50a7c59fd1f4d21e816dc62a87177860857df
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Person

Malmberg Gavelin, Hanna

Sök vidare i DiVA

Av författaren/redaktören
Malmberg Gavelin, Hanna
Av organisationen
Institutionen för psykologi
I samma tidskrift
Neuropsychology Review
Neurovetenskaper

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 251 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 331 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf