Computer-Based Cognitive Interventions for People Living With Dementia: A Systematic Literature Review and Meta-Analysis
Aging & Mental Health
Garcia-Casal, J. A., Loizeau, A., et al. (2017).
Aging & Mental Health, 21(5), 454-467.
This meta-analysis investigates computer-based cognitive training, stimulation, or rehabilitation in individuals with dementia.
Economic and Social Research Council (United Kingdom)
<p>The data in this systematic review are included in another document which can be found in the Associated Article section below.</p>
2000-2014
Randomized controlled trials; case control studies; mixed-method studies
12
The findings revealed that computer-based interventions had a moderate effect on cognition (Standard Mead Difference [SMD]: -0.69, 95% Confidence Interval [CI]: -1.02, -0.37, p< 0.0001, I²= 29%), depression (SMD: 0.74, 95% CI: 0.31,1.17, p=0.0008, I²= 41%) and anxiety (SMD: 0.55; 95% CI: 0.07, 1.04, P<0.03, I²= 42%) in individuals with dementia. However, no treatment effects were noted on activities of daily living. A meta-analysis of a subset of studies also revealed that individuals receiving computer-based cognitive interventions had better cognitive outcomes on cognition (SMD: 0.48, 95% CI: 0.09, 0.87, p= 0.02 I²= 2%) and depression (SMD: 0.96; 95% CI: 0.25, 1.66, p= 0.008; I²= 54%) than those receiving non-computer-based interventions. Further research is indicated due to the number of studies examining four different types of interventions (cognitive training, cognitive stimulation, cognitive rehabilitation and cognitive recreation) and the methodological quality of studies included.
