Evidence map›Paper›PMID 32266520›Full record

SynthesisNeuropsychology review2020

Cognition-Oriented Treatments for Older Adults: a Systematic Overview of Systematic Reviews.

Hanna Malmberg Gavelin, Amit Lampit, Harry Hallock, Julieta Sabatés, Alex Bahar-Fuchs

Registry-linked trialOpen access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Neuropsychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06372002 (Effectiveness and Cost-Effectiveness of of Cognitive Stimulation Therapy - Spain), which is not on this map. Cited by 67 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 6 pooled it
9.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06372002 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effectiveness and Cost-Effectiveness of of Cognitive Stimulation Therapy - Spain (CST-ES) in People Living With Dementia: A Randomized Controlled Multicenter Clinical Trial

TypeinterventionalSponsorInstituto de Mayores y Servicios Sociales (IMSERSO)Ran2023 to 2024Enrolled683ConditionsDementia, Neurocognitive Disorders, Mild Cognitive ImpairmentArmsCognitive Stimulation Therapy (CST)
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 6 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  6. Cognitive training for people with mild to moderate dementia.The Cochrane database of systematic reviews · 2019
    Pooled it
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  15. Using Cognitive Intraindividual Variability to Measure Intervention Effectiveness: Results from the Baltimore Experience Corps Trial.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
    Trial
  16. Article
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  19. Prescribing Assistive Technology for Cognition to Support Aging in Place: OTs' Perspective.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 3 countries.

Hanna Malmberg GavelinDepartment of Psychology, Umeå University, Umeå, Sweden. hanna.malmberg-gavelin@umu.se.ORCID 0000-0003-3256-9018
Amit LampitAcademic Unit for Psychiatry of Old Age, University of Melbourne, Melbourne, Australia.ORCID 0000-0001-6522-8397
Harry HallockDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-4047-2267
Julieta SabatésAcademic Unit for Psychiatry of Old Age, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-1462-6381
Alex Bahar-FuchsAcademic Unit for Psychiatry of Old Age, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-9248-6057
The University of Melbourne · AUHumboldt-Universität zu Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognition-oriented treatments - commonly categorized as cognitive training, cognitive rehabilitation and cognitive stimulation - are promising approaches for the prevention of cognitive and functional decline in older adults. We conducted a systematic overview of meta-analyses investigating the efficacy of cognition-oriented treatments on cognitive and non-cognitive outcomes in older adults with or without cognitive impairment. Review quality was assessed by A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR). We identified 51 eligible reviews, 46 of which were included in the quantitative synthesis. The confidence ratings were "moderate" for 9 (20%), "low" for 13 (28%) and "critically low" for 24 (52%) of the 46 reviews. While most reviews provided pooled effect estimates for objective cognition, non-cognitive outcomes of potential relevance were more sparsely reported. The mean effect estimate on cognition was small for cognitive training in healthy older adults (mean Hedges' g = 0.32, range 0.13-0.64, 19 reviews), mild cognitive impairment (mean Hedges' g = 0.40, range 0.32-0.60, five reviews), and dementia (mean Hedges' g = 0.38, range 0.09-1.16, seven reviews), and small for cognitive stimulation in dementia (mean Hedges' g = 0.36, range 0.26-0.44, five reviews). Meta-regression revealed that higher AMSTAR score was associated with larger effect estimates for cognitive outcomes. The available evidence supports the efficacy of cognition-oriented treatments improving cognitive performance in older adults. The extent to which such effects are of clinical value remains unclear, due to the scarcity of high-quality evidence and heterogeneity in reported findings. An important avenue for future trials is to include relevant non-cognitive outcomes in a more consistent way and, for meta-analyses in the field, there is a need for better adherence to methodological standards. PROSPERO registration number: CRD42018084490.

Indexed as

AgedCognitionCognitive DysfunctionHumansMeta-Analysis as TopicSystematic Reviews as TopicCognitive rehabilitationCognitive stimulationCognitive trainingOlder adultsOverviewSystematic review

Identifiers

PMID32266520
PMCPMC7305099
OpenAlexW3014546102

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.