Community Versus Hospital Effects of an Online Group Social Work Intervention on Cognitive Function in Older Adults With Mild Cognitive Impairment in China

IF 2.1 4区社会学 Q1 SOCIAL WORK

Research on Social Work Practice Pub Date : 2026-05-07 DOI:10.1177/10497315261448821

Hui Yang, Shunyu Yao, Qilin Yi, Ying Zhang, Fanyi Meng, Honglin Chen

{"title":"Community Versus Hospital Effects of an Online Group Social Work Intervention on Cognitive Function in Older Adults With Mild Cognitive Impairment in China","authors":"Hui Yang, Shunyu Yao, Qilin Yi, Ying Zhang, Fanyi Meng, Honglin Chen","doi":"10.1177/10497315261448821","DOIUrl":null,"url":null,"abstract":"Purpose The effectiveness of online group social work interventions for older adults with mild cognitive impairment (MCI) across community and hospital settings remains unclear. Method A quasi-experimental design with 64 adults (aged ≥65 years) from a community institution and a hospital. Participants were allocated to groups based on care setting. Cognitive function was assessed using the AD8 before and after an 8-week online group intervention. Quantitative analyses included paired and nonparametric tests, while qualitative interviews explored participant experiences. Results Hospital-based participants ( n = 27) had higher baseline impairment than community counterparts ( n = 27; final sample N = 54). Significant cognitive improvement was observed in the community group, particularly among fully adherent participants, while no significant improvement was found in the hospital group. Conclusion Online group social work interventions may improve cognitive function among community-dwelling older adults with MCI, but their effectiveness is limited in hospital-based settings with more advanced impairment.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":"4 1","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research on Social Work Practice","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1177/10497315261448821","RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SOCIAL WORK","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose The effectiveness of online group social work interventions for older adults with mild cognitive impairment (MCI) across community and hospital settings remains unclear. Method A quasi-experimental design with 64 adults (aged ≥65 years) from a community institution and a hospital. Participants were allocated to groups based on care setting. Cognitive function was assessed using the AD8 before and after an 8-week online group intervention. Quantitative analyses included paired and nonparametric tests, while qualitative interviews explored participant experiences. Results Hospital-based participants ( n = 27) had higher baseline impairment than community counterparts ( n = 27; final sample N = 54). Significant cognitive improvement was observed in the community group, particularly among fully adherent participants, while no significant improvement was found in the hospital group. Conclusion Online group social work interventions may improve cognitive function among community-dwelling older adults with MCI, but their effectiveness is limited in hospital-based settings with more advanced impairment.

查看原文本刊更多论文

社区与医院在线团体社会工作干预对中国轻度认知障碍老年人认知功能的影响

目的在线团体社会工作干预在社区和医院环境中对轻度认知障碍老年人（MCI）的有效性尚不清楚。方法采用准实验设计，选取来自某社区机构和某医院的64名年龄≥65岁的成人。参与者根据护理环境被分配到不同的组。在为期8周的在线小组干预前后，使用AD8评估认知功能。定量分析包括配对和非参数测试，而定性访谈探讨参与者的经历。结果：医院的参与者（n = 27）比社区的参与者（n = 27；最终样本n = 54）有更高的基线损伤。在社区组中观察到显著的认知改善，特别是在完全坚持的参与者中，而在医院组中没有发现显著的改善。结论：在线团体社会工作干预可以改善社区居住的老年轻度认知障碍患者的认知功能，但在基于医院的环境中，其效果有限。

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

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.