A scoping review and comprehensive needs assessment for developing an intergenerational cognitive and physical activity program for MCI patients and their adult children

IF 11.1 1区医学 Q1 CLINICAL NEUROLOGY

Alzheimer's & Dementia Pub Date : 2025-09-27 DOI:10.1002/alz.70696

Julie Latomme, Tim Van Langenhove, Marijke Miatton, Greet Cardon

{"title":"A scoping review and comprehensive needs assessment for developing an intergenerational cognitive and physical activity program for MCI patients and their adult children","authors":"Julie Latomme, Tim Van Langenhove, Marijke Miatton, Greet Cardon","doi":"10.1002/alz.70696","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <p>Mild cognitive impairment (MCI) is a high-risk state for dementia, marked by cognitive decline with preserved daily functioning. Combined physical and cognitive activity (PA+CA) programs show promising benefits for MCI patients. Involving adult children through intergenerational approaches may enhance participation and impact, yet little is known about tailoring such programs to both generations’ needs. This study aimed to (1) identify cognitive, physical, and psychosocial challenges experienced by MCI patients, and (2) explore the needs, preferences, barriers, and facilitators regarding participation in an intergenerational PA+CA program. A mixed-methods design combined a scoping review of 45 studies with eight semi-structured interviews involving eight MCI patient–adult child dyads. Results highlight challenges such as memory loss, fatigue, social withdrawal, and a desire for meaningful, safe, and structured activities. Barriers included overload, physical limitations, and time constraints; facilitators involved routine, emotional support, and family connection. Findings offer guidance for designing effective intergenerational PA+CA programs.</p>\n </section>\n \n <section>\n \n <h3> Highlights</h3>\n \n <div>\n <ul>\n \n <li>A scoping review and interviews identified key challenges in mild cognitive impairment (MCI) across domains.</li>\n \n <li>Physical, cognitive, and psychosocial needs were mapped for MCI patients and their children.</li>\n \n <li>Barriers to participation included cognitive overload, low motivation, and time constraints.</li>\n \n <li>Facilitators included emotional safety, routine, and meaningful family connection.</li>\n \n <li>Findings support the design of tailored, intergenerational combined physical and cognitive support programs for MCI.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":7471,"journal":{"name":"Alzheimer's & Dementia","volume":"21 10","pages":""},"PeriodicalIF":11.1000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://alz-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70696","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alzheimer's & Dementia","FirstCategoryId":"3","ListUrlMain":"https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.70696","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Mild cognitive impairment (MCI) is a high-risk state for dementia, marked by cognitive decline with preserved daily functioning. Combined physical and cognitive activity (PA+CA) programs show promising benefits for MCI patients. Involving adult children through intergenerational approaches may enhance participation and impact, yet little is known about tailoring such programs to both generations’ needs. This study aimed to (1) identify cognitive, physical, and psychosocial challenges experienced by MCI patients, and (2) explore the needs, preferences, barriers, and facilitators regarding participation in an intergenerational PA+CA program. A mixed-methods design combined a scoping review of 45 studies with eight semi-structured interviews involving eight MCI patient–adult child dyads. Results highlight challenges such as memory loss, fatigue, social withdrawal, and a desire for meaningful, safe, and structured activities. Barriers included overload, physical limitations, and time constraints; facilitators involved routine, emotional support, and family connection. Findings offer guidance for designing effective intergenerational PA+CA programs.

Highlights

A scoping review and interviews identified key challenges in mild cognitive impairment (MCI) across domains.
Physical, cognitive, and psychosocial needs were mapped for MCI patients and their children.
Barriers to participation included cognitive overload, low motivation, and time constraints.
Facilitators included emotional safety, routine, and meaningful family connection.
Findings support the design of tailored, intergenerational combined physical and cognitive support programs for MCI.

Abstract Image

查看原文本刊更多论文

为轻度认知障碍患者及其成年子女制定代际认知和身体活动计划的范围审查和综合需求评估

轻度认知障碍（MCI）是痴呆症的高危状态，其特征是认知能力下降，但日常功能得以保留。结合身体和认知活动（PA+CA）方案显示MCI患者有希望的益处。通过代际方式让成年子女参与进来可能会提高参与度和影响力，但人们对如何根据两代人的需求定制这样的项目知之甚少。本研究旨在(1)识别MCI患者所经历的认知、身体和社会心理挑战，(2)探索参与代际PA+CA项目的需求、偏好、障碍和促进因素。混合方法设计结合了45项研究的范围回顾和8个半结构化访谈，涉及8名轻度认知障碍患者-成年儿童。结果突出了记忆丧失、疲劳、社交退缩以及对有意义、安全和有组织的活动的渴望等挑战。障碍包括超载、物理限制和时间限制；促进者包括日常事务、情感支持和家庭联系。研究结果为设计有效的代际PA+CA方案提供了指导。一个范围审查和访谈确定了轻度认知障碍（MCI）跨领域的关键挑战。对轻度认知障碍患者及其子女的身体、认知和社会心理需求进行了映射。参与的障碍包括认知超载、低动机和时间限制。促进因素包括情感安全、日常生活和有意义的家庭联系。研究结果支持为轻度认知障碍设计量身定制的、代际结合的身体和认知支持项目。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Alzheimer's & Dementia 医学-临床神经学

CiteScore

14.50

自引率

5.00%

发文量

299

审稿时长

3 months

期刊介绍： Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.