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. 2020 Sep 2;10(3):876–898. doi: 10.3390/ejihpe10030063

Table 2.

Systematic reviews and meta-analyses addressing an older population with mild cognitive impairment (MCI).

Review Main Charac-Teristics Participants Interventions Skills Measured Follow-On Effect Size
Smart et al., 2017 Clinical context
9 RCTs
Cognitive interventions
participants >60 years old with MCI diagnosis
N total = 676
TG = 378
CG = 298
MA = 70.31 (from 65 to 78)
GEN = 72.6% (F); 27.4% (M).
YE = no data
CF = no data
TG = traditional cognitive training
CG = 2 studies with passive control groups (waiting list) and 7 studies with an active control group.
FORMAT: All were group interventions except one study with individual training.
FREQUENCY: Session duration approx. 1.5 h (45 min to 2.5 h). From 1 to 3 weekly sessions, from 4 to 24 weeks, and from 6 to 72 total sessions according to the study.
General cognitive functioning
Functional capacity
All pre-post
7 short-term follow-ups (2 weeks to 3 months)
0.38 General cognitive functioning
Chandler et al., 2016 Clinical context
24 RCTs
Cognitive interventions
Participants with MCI
T total N = 1100
C total N = 783
TG = 1100
CG = 783
MA = no data
GEN = no data
YE = no data
CF = no data
TG = 24 Cognitive interventions
CG = 14 studies with passive control groups (waiting list) and 10 studies used active control groups.
FORMAT: 21 group interventions and 3 studies with individual training.
FREQUENCY: Session duration approx. 2 h. From 1 to 3 weekly sessions, from 4 to 48 weeks, and from 4 to 78 total sessions according to the study.
General cognitive functioning
Functional capacity
Frame of mind
Quality of life
All pre-post
8 studies with therapist-based interventions (from 1 to 28 months)
5 multimodal studies (from 1 to 18 months)
0.21 General cognitive functioning
0.23 Functional capacity
0.16 Frame of mind
0.10 Quality of life
Simon et al.,
2012
Clinical context
14 RCTs
6 studies without a control group, of which 1 is a single case study.
Cognitive intervention
Participants with MCI
Total N = 3575
TG = 580
CG = 2995
MA = no data
GEN = no data
YE = 11.86
CF = no data
TG = cognitive training (especially in episodic memory)
CG = 6 studies without a control group. 11 studies with passive control groups (4 studies with a waiting list) and 3 studies with active control groups: informational talks or some type of education.
FORMAT: 10 studies with group interventions and 10 studies with individual interventions
FREQUENCY: Session duration approx. 1.5 h (45 min to 2 h). From 1 to 5 weekly sessions, from 2 to 12 weeks, and from 6 to 30 total sessions according to the study.
Memory
Functional capacity
Frame of mind
All pre-post
10 follow-ups (2, 3, 6 months, 1 or 2 years depending on the study).
No data available
Gates et al., 2011 Clinical context
5 RCTs,
2 UCTs (uncontrolled population)
3 NRCTs (non-randomized population)
Cognitive intervention
Participants with MCI
Total N = 305
TG = 169
CG = 136
MA = 74 (from 62 to 91)
GEN = 57.84% (F); 42.16% (M).
YE = no data
CF = 26.3
TG = 6 studies with cognitive training (3 RCTs, 2 UCTs, 1 NRCT) and 4 studies with training in memory strategies (2 RCTs, 2 NRCTs).
CG = 2 studies without a control group, 5 studies with passive control groups (2 studies with a waiting list) and 3 studies with active control groups
FORMAT: 4 studies with group interventions and 2 studies with individual interventions and 4 studies with no information on format
FREQUENCY: 1 h session duration (45 min to 2 h). From 1 to 5 weekly sessions, from 3 to 52 weeks, and from 6 to 100 total sessions according to the study.
General cognitive functioning
Memory
Attention
Executive function
Visuo-spatial capacity
Functional capacity
Frame of mind
All pre-post
4 follow-ups (3, 5 and 6 months depending on the study).
0.30 Memory
Stott and Spector 2011 Comm. Context and clinical settings
3 RCTs,
3 UCTs (uncontrolled population)
2 NRCTs (non-randomized population)
Cognitive intervention, cognitive rehabilitation or memory interventions.
Participants with MCI
Total N = 280
TG = 172
CG = 108
MA = no data
GEN = no data
YE = no data
CF = no data
TG = 7 studies with cognitive training and 3 studies with cognitive rehabilitation
CG = 2 studies without a control group and 8 studies with passive control groups (2 studies with a waiting list)
FORMAT: 4 studies with group interventions and 6 studies with individual interventions
FREQUENCY: 2 h session duration (45 min to 2 h). From 1 to 5 weekly sessions, from 3 to 12 weeks, and from 3 to 30 total sessions according to the study.
General cognitive functioning
Memory
Functional capacity
Frame of mind
All pre-post
No follow-up data
No data available
Li et al., 2011 Clinical context
12 RCTs
8 studies without a control group
Stimulation/
Cognitive training or Cognitive Rehabilitation.
Participants with MCI
Total N = 690
TG = 444
CG = 246
MA = 73.3 (from 61 to 79)
GEN = 54.2% (F); 45.8% (M)
YE = 12.9
CF = no data
TG = Cognitive training or Cognitive Rehabilitation.
CG = 8 studies without a control group, 7 studies with passive control groups (6 studies with a waiting list) and 5 studies with active control groups
FORMAT: 9 studies with group interventions and 11 studies with individual interventions
FREQUENCY: Session duration 1.5 h (45 min to 2 h). From 1 to 5 weekly sessions, from 2 to 14 weeks, and from 5 to 103 total sessions according to the study.
General cognitive functioning
Memory
Executive function
Visuo-spatial capacity
Frame of mind
All pre-post
No follow-up data
0.41 General cognitive functioning
0.45 Memory
0.35 Attention
0.27 Executive function
0.43 Visuo-spatial capacity
0.35 Frame of mind
0.27 Functional capacity
0.32 Quality of life

Note. TG = treatment group; CG = control group; MA = mean age; GEN = gender; YE = mean years of education; CF = cognitive function; RCT = randomized controlled trial; UCT = uncontrolled trial; NRCT = non-randomized controlled trial.