Evidence map›Paper›PMID 40316979›Full record

Trial reportBMC medicine2025

Effects of an integrated social-art intervention on cognitive and psychosocial outcomes among older adults with mild cognitive impairment in nursing homes: a mixed methods study.

Chenshan Huang, Yuanjiao Yan, Wilson Wai San Tam, Wenqian Sun, Yu Ye, Nafang Wang, Yanhong Shi, Ziping Zhu, Danting Chen, Lin Chen and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
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

13 authors.

Chenshan Huang *The School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Yuanjiao Yan *The School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Wilson Wai San TamAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore, 117597, Singapore.
Wenqian SunThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Yu YeThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Nafang WangThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Yanhong ShiThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Ziping ZhuThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Danting ChenThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Lin ChenDepartment of Nursing, The First Affiliated Hospital of Fujian Medical University, No. 20 Cha Zhong Road, Taijiang District, Fuzhou, Fujian, 350005, China.
Junyu ZhaoThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China.
Rong LinThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China. linrong2015@126.com.
Hong LiThe School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Shangjie Town, Minhou County, Fuzhou, Fujian, 350122, China. leehong99@126.com.

Funding

Fujian Province Science and Technology-Economy Integration Service Platform FJKX-2024XRH04Fund for Scientific Research of Fujian Medical University 2022QH1320Joint Funds for the Innovation of Science and Technology of Fujian Province 2020Y9021National Natural Science Foundation of China 82071222
6 · The paper itself

Abstract

backgroundThe rising prevalence of mild cognitive impairment (MCI) among older adults in nursing homes necessitates effective interventions to slow the progression to dementia. Integrated social-art interventions have shown promise in enhancing cognitive function and reducing social isolation. This study aimed to evaluate the effects of such an intervention on cognitive and psychosocial outcomes in older adults with MCI.

methodsAn explanatory sequential mixed-methods study was conducted, comprising a cluster randomized controlled trial (RCT) and a descriptive qualitative study. Four nursing homes in two districts of a city in southeastern China were randomly assigned (1:1) to either the intervention or the control group. The intervention group received a 14-week, 28-session integrated social-art program structured around theme-based group activities, while the control group received usual care, including assistance with daily living activities, basic medical care, recreational activities, and environmental cleaning. Quantitative outcomes were measured at baseline (T0), immediately post-intervention (T1), and at 24-week follow-up (T2), with global cognitive function as the primary outcome, and specific cognitive functions, psychosocial indicators, functional abilities, and quality of life as secondary outcomes. Qualitative interviews were conducted post-intervention to explore the reasons underlying the observed variations in efficacy.

resultsEighty older adults with MCI (median age 86.50 years) participated, with an average attendance rate of 86.25% in the intervention group. Intention-to-treat analyses revealed a significant improvement in global cognitive function at T1 in the intervention group compared to the control group (β = 2.85; 95%CI [1.27, 4.44], P < 0.001); however, this effect was not sustained at T2. No significant improvements were observed in psychosocial indicators, functional abilities, or quality of life (P > 0.05). Qualitative findings indicated that structured, sequential tasks and professional guidance contributed to short-term cognitive gains, whereas age-related health issues and limited ongoing engagement impeded the durability of these benefits.

conclusionsThe 14-week integrated social-art intervention appears feasible and may promote short-term cognitive activation in institutionalized older adults with MCI, though its benefits were not sustained at follow-up. Future research should investigate strategies for maintaining cognitive improvements and explore modifications to enhance broader clinical outcomes in this vulnerable population.

trial registrationThe trial was prospectively registered at the Chinese Clinical Trials Registry with the registration number ChiCTR2200061681 on 30 June 2022.

Indexed as

CognitionCognitive DysfunctionNursing HomesActivities of Daily LivingAgedAged, 80 and overChinaFemaleHumansMaleQuality of LifeTreatment OutcomeAgingArtCognitionMild cognitive impairmentMixed methodNon-pharmacological interventionSocial

Identifiers

PMID40316979
PMCPMC12046668

What OpenQuestion holds

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Registered trials

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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.