Informing Understandings of Mild Cognitive Impairment for Older Adults: Implications from a Scoping Review

Mei Lan Fang, Katherine Coatta, Melissa Badger, Sarah Wu, Margaret Easton, Louise Nygård, Arlene Astell, Andrew Sixsmith

    Research output: Contribution to journalReview articlepeer-review

    10 Citations (Scopus)

    Abstract

    The development of effective interventions for mild cognitive impairment (MCI) in older adults has been limited by extensive variability in the conceptualization and definition of MCI, its subtypes, and relevant diagnostic criteria within the neurocultural, pharmaceutical, and gerontological communities. A scoping review was conducted to explore the conceptual development of MCI and identify the resulting ethical, political, and technological implications for the care of older adults with MCI. A comprehensive search was conducted between January and April 2013 to identify English-language peer-reviewed articles published between 1999 and 2013. Our analysis revealed that the MCI conceptual debate remains unresolved, the response to ethical issues is contentious, the policy response is limited, and one-dimensional and technological interventions are scarce. Reflections on the conceptual, ethical, and policy responses in conjunction with the identification of the needs of older adults diagnosed with MCI highlight significant opportunities for technological interventions to effectively reposition MCI in the aging care discourse.

    Original languageEnglish
    Pages (from-to)808-839
    Number of pages32
    JournalJournal of Applied Gerontology
    Volume36
    Issue number7
    Early online date19 Jun 2015
    DOIs
    Publication statusPublished - Jul 2017

    Keywords

    • cognition
    • ethics
    • public policy
    • review
    • technology

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