Nonpharmacological treatment for older adults with mild cognitive impairment: Considerations for culturally informed clinical practice and research.

IF 2.6 3区 心理学 Q3 NEUROSCIENCES
Neuropsychology Pub Date : 2024-10-01 Epub Date: 2024-08-29 DOI:10.1037/neu0000965
Martina Azar, Julija Stelmokas, Anthony Stringer, Franchesca Arias
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引用次数: 0

Abstract

Objective: Numerous nonpharmacological treatments (NPTs) have been developed for older adults with mild cognitive impairment (MCI). Two forms of cognition-focused NPTs, cognitive rehabilitation (CR) and cognitive training (CT), demonstrate cognitive benefit, but limitations remain regarding the contribution of cultural and demographic factors to study outcome heterogeneity, generalizability to diverse populations, and feasibility. This article aimed to review demographic and culturally informed NPTs and provides recommendations for culturally informed clinical practice and research.

Method: We conducted a PubMed review to identify CR and CT interventions that incorporated cultural adaptations. Results from the review, combined with the authors' clinical expertise, were used to identify methodological, demographic, social, cultural, and systemic variables relevant to NPTs.

Results: Existing CR and CT studies that included cultural adaptations adopted modifications to language, measures (cognition, function), and lifestyle factors (diet, physical activity) among others. In addition, provider, patient, and group-level factors were then raised to promote inclusivity and increase NPT generalizability. Nevertheless, there is a paucity of research considering cultural and demographic factors when delivering cognition-focused NPTs. Recommendations were generated that incorporated current literature as well as the authors' clinical and research experiences.

Conclusions: Culturally informed NPTs are understudied. Social, demographic, and cultural factors may contribute to the heterogeneity of outcomes, lack of generalizability of findings to diverse groups, and application of intervention to said groups. Several tools are available and can focus on broadening collection of information regarding patients' identities, social network, adapting to literacy level and linguistic diversity needs, and responding to social and structural determinants of health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

对患有轻度认知障碍的老年人进行非药物治疗:考虑文化因素的临床实践和研究。
目的:针对患有轻度认知障碍(MCI)的老年人开发了许多非药物疗法(NPT)。认知康复(CR)和认知训练(CT)这两种以认知为重点的非药物治疗方法显示出了认知方面的益处,但在文化和人口因素对研究结果异质性的影响、对不同人群的普适性以及可行性方面仍存在局限性。本文旨在回顾人口和文化因素的 NPT,并为文化因素的临床实践和研究提供建议:方法:我们在 PubMed 上进行了综述,以确定包含文化适应性的 CR 和 CT 干预措施。综述结果与作者的临床专业知识相结合,用于确定与 NPT 相关的方法、人口、社会、文化和系统变量:包括文化适应性在内的现有 CR 和 CT 研究对语言、测量方法(认知、功能)和生活方式因素(饮食、体育活动)等进行了修改。此外,还增加了提供者、患者和群体层面的因素,以促进包容性并提高 NPT 的普遍性。然而,在提供以认知为重点的 NPT 时,考虑文化和人口因素的研究还很少。我们结合当前的文献以及作者的临床和研究经验提出了一些建议:结论:基于文化的 NPT 研究不足。社会、人口和文化因素可能会导致结果的异质性、研究结果缺乏对不同群体的普适性以及对上述群体的干预应用。有几种工具可供选择,重点是扩大收集有关患者身份、社会网络、适应文化水平和语言多样性需求的信息,以及应对健康的社会和结构性决定因素。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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
Neuropsychology
Neuropsychology 医学-神经科学
CiteScore
4.10
自引率
4.20%
发文量
132
审稿时长
6-12 weeks
期刊介绍: Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.
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