Evidence map›Paper›PMID 40354647›Full record

ArticleJMIR aging2025

Nonpharmacological Multimodal Interventions for Cognitive Functions in Older Adults With Mild Cognitive Impairment: Scoping Review.

Raffy Chi-Fung Chan, Joson Hao-Shen Zhou, Yuan Cao, Kenneth Lo, Peter Hiu-Fung Ng, David Ho-Keung Shum, Arnold Yu-Lok Wong

Abstract readScoping Review
In one paragraph

Article in JMIR aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Digital Cognitive Rehabilitation Platforms for Older Adults in Portugal: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Ability to Detect Digital Risks: Effects of an Educational Intervention and Dementia Risk Level.International journal of environmental research and public health · 2025
    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

7 authors.

Raffy Chi-Fung Chan *Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0009-0002-3331-6434
Joson Hao-Shen Zhou *Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0009-0009-5984-675X
Yuan CaoDepartment of Social Work and Social Administration, University of Hong Kong, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0000-0002-5635-9253
Kenneth LoDepartment of Food Science and Nutrition, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0000-0003-4624-2737
Peter Hiu-Fung NgDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0000-0002-9671-896X
David Ho-Keung ShumDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0000-0002-4810-9262
Arnold Yu-Lok WongDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID https://orcid.org/0000-0002-5911-5756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the global population ages, the prevalence of dementia is expected to rise significantly. To alleviate the burden on health care systems and the economy, it is essential to develop effective strategies to enhance cognitive function in older adults. Previous studies have shown that combined nonpharmacological interventions can improve cognition across various domains in older individuals. However, there is no established gold standard for the exact combination and duration of these interventions, which makes it challenging to assess their overall effectiveness.

objectiveGiven the diversity of nonpharmacological multimodal interventions aimed at preventing cognitive decline in older adults with mild cognitive impairment (MCI), this scoping review sought to identify and summarize the characteristics and outcomes of these interventions.

methodsWe adhered to the Arksey and O'Malley methodological framework and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) and searched 4 electronic databases (MEDLINE, PsycINFO, CINAHL, and Web of Science) systematically on July 6, 2023, and updated the search on April 17, 2024, using specific terms and keywords.

resultsThis review included 45 studies from 18 countries with 4705 participants from 2014 to 2024 encompassing different combinations of physical training (PT), cognitive training (CT), nutrition intervention, psychosocial intervention, social activities, and electrical stimulation. There is a growing numbers of studies combining PT and CT for MCI treatment, with additional modalities often added to address various aspects of the condition. Compared to single-modal interventions and usual care, multimodal approaches demonstrated significantly better improvements in cognition domains such as attention, global cognition, executive function, memory, processing speed, and verbal fluency. Technology has been instrumental in delivering these interventions and enhancing the effects of PT and CT. Multimodal interventions also show promise in terms of acceptability and user experience, which can improve treatment adherence.

conclusionsResearch is limited regarding the cost-effectiveness and optimal dosage of these interventions, making it difficult to assess the additional benefits of incorporating more modalities. Future research should examine the long-term effects of incorporating multiple modalities, using standardized MCI criteria and outcome measures.

Indexed as

CognitionCognitive DysfunctionAgedAged, 80 and overCognitive Behavioral TherapyCombined Modality TherapyHumanscognitive declinemild cognitive impairmentmultimodal interventionpreventionrandomized controlled trial

Identifiers

PMID40354647
PMCPMC12107202

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.