Effect of digital technology interventions for cognitive function improvement in mild cognitive impairment and dementia: A systematic review and meta‐analysis

IF 2.1 4区医学 Q2 NURSING

Research in Nursing & Health Pub Date : 2024-04-03 DOI:10.1002/nur.22383

Hyojin Park, Juyoung Ha

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引用次数: 0

Abstract

The development and commercialization of digital therapeutics are increasing. The aim of this study was to determine the effects of digital technology interventions on cognitive function, thereby providing evidence for the development and practical application of interventions to manage cognitive function in patients with mild cognitive impairment and dementia. We conducted a systematic review and meta‐analysis of randomized controlled trials according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analysis) guidelines. Randomized controlled trials on digital technology interventions published until April 2023 were searched in PubMed, Embase, Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases without a period limit. Articles that identified the effects of digital technology interventions on cognitive function improvement in dementia and mild cognitive impairment were integrated and analyzed. RevMan software 5.4 was used for quality assessment and meta‐analysis. Twelve out of 708 studies were included in the review and meta‐analysis. Digital technology interventions had significant effects on global cognitive function (standardized mean difference [SMD] = 0.31; 95% confidence interval [CI] = 0.04–0.57; p = 0.02; I² = 60%). In addition, these interventions had significant effects on neuropsychological characteristics, including attention (SMD = 1.17; 95% CI = 0.36–1.97; p = 0.004; I² = 84%), visuospatial perception (SMD = 0.68; 95% CI = 0.19–1.17; p = 0.006; I² = 57%), and memory (SMD = 0.45; 95% CI = 0.19–0.71; p = 0.0007; I² = 22%). The results suggest that digital technology interventions help improve cognitive function in patients with dementia and mild cognitive impairment.

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数字技术干预对改善轻度认知障碍和痴呆症认知功能的效果：系统回顾与荟萃分析

数字疗法的开发和商业化正在不断增加。本研究旨在确定数字技术干预对认知功能的影响，从而为开发和实际应用干预措施管理轻度认知障碍和痴呆症患者的认知功能提供证据。我们根据 PRISMA（系统综述和元分析首选报告项目）指南对随机对照试验进行了系统综述和元分析。在 PubMed、Embase、Cochrane Library 和 Cumulative Index to Nursing and Allied Health Literature (CINAHL) 数据库中检索了 2023 年 4 月之前发表的有关数字技术干预的随机对照试验，没有时间限制。对确定了数字技术干预对痴呆症和轻度认知障碍患者认知功能改善效果的文章进行了整合和分析。采用RevMan软件5.4进行质量评估和荟萃分析。708 项研究中有 12 项被纳入综述和荟萃分析。数字技术干预对总体认知功能有显著影响（标准化平均差异 [SMD] = 0.31；95% 置信区间 [CI] = 0.04-0.57；P = 0.02；I² = 60%）。此外，这些干预措施对神经心理学特征也有显著影响，包括注意力（SMD = 1.17；95% CI = 0.36-1.97；p = 0.004；I² = 84%）、视觉空间感知（SMD = 0.68；95% CI = 0.19-1.17；p = 0.006；I² = 57%）和记忆（SMD = 0.45；95% CI = 0.19-0.71；p = 0.0007；I² = 22%）。结果表明，数字技术干预有助于改善痴呆症和轻度认知障碍患者的认知功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Nursing & Health 医学-护理

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Research in Nursing & Health ( RINAH ) is a peer-reviewed general research journal devoted to publication of a wide range of research that will inform the practice of nursing and other health disciplines. The editors invite reports of research describing problems and testing interventions related to health phenomena, health care and self-care, clinical organization and administration; and the testing of research findings in practice. Research protocols are considered if funded in a peer-reviewed process by an agency external to the authors’ home institution and if the work is in progress. Papers on research methods and techniques are appropriate if they go beyond what is already generally available in the literature and include description of successful use of the method. Theory papers are accepted if each proposition is supported by research evidence. Systematic reviews of the literature are reviewed if PRISMA guidelines are followed. Letters to the editor commenting on published articles are welcome.