The Effectiveness of e-Health Solutions for Aging With Cognitive Impairment: A Systematic Review

Gerontologist

Dequanter, S., Gagnon, M. P., et al. (2021).

Gerontologist, 61(7), e373-e394.

This systematic review examines the effects of e-Health solutions (e.g., telehealth, assistive technology, multimedia devices) for community-dwelling older adults and their care partners. Included adults are either at risk for cognitive impairment or have mild cognitive impairment (MCI) or dementia. This summary highlights conclusions within the scope of speech-language pathology.

Fonds Wetenschappelijk Onderzoek (Belgium); Fonds de Recherche du Québec (Canada)

2013 to September 30, 2018

Empirical studies. Excludes editorials, letters to editors, comments, technical notes, and reviews.

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<div>Following the use of cognitive training technologies such as computer-based programs and assistive technology, older adults with MCI or dementia improved:</div> <ul> <li><span style="color: #333333;">objective cognitive functioning (e.g., memory, attention, reaction speed, decision-making) in 63% of studies; </span></li> <li><span style="color: #333333;">subjective cognitive functioning (e.g., memory complaints, perceived cognitive ability) in 60% of studies; </span></li> <li><span style="color: #333333;">task performance (e.g., cooking, using the phone, remembering calendar events) in 67% of studies; and </span></li> <li><span style="color: #333333;">psychosocial outcomes (e.g., depression, anxiety, well-being) in 50% of studies. </span></li> </ul> <div><span style="color: #333333;">This review was limited by the inclusion of variable quality studies that differed in terms of the interventions, assessments, designs, and outcomes they used. The authors also note that the rapid pace of technological advancements may have resulted in the exclusion of new and developing technologies and the possible inclusion of now obsolete technologies. Additional research investigating the generalizability of cognitive e-Health training effects on psychosocial, independence, and functional outcomes is warranted.</span></div>

<div>Cognitive training technology that included care partner education and support resulted in indirect behavioral and psychosocial benefits for individuals with dementia.</div>