Evidence map›Paper›PMID 42082214›Full record

ArticleBMJ open2026

Engagement with behaviour change in people with mild cognitive impairment and mild frailty: a qualitative study.

Tasmin Alanna Rookes, Rachael Frost, Yolanda Barrado-Martín, Jessica Catchpole, Megan Armstrong, Benjamin Gardner, Rebecca L Gould, Claudia Cooper, Cecilia Hammond, Louise Marston and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

11 authors.

Tasmin Alanna RookesDepartment of Primary Care and Population Health, University College London, London, UK t.rookes@ucl.ac.uk.ORCID http://orcid.org/0000-0001-6330-7059
Rachael FrostDepartment of Public and Allied Health, Liverpool John Moores University, Liverpool, UK.
Yolanda Barrado-MartínDepartment of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-9912-6345
Jessica CatchpoleSchool of Health & Psychological Sciences, City St George's University of London, London, UK.
Megan ArmstrongDepartment of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-6773-9393
Benjamin GardnerSchool of Psychology, University of Surrey, Guildford, UK.
Rebecca L GouldDepartment of Mental Health of Older People, University College London, London, UK.
Claudia CooperWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Cecilia HammondPublic Contributor, University College London, London, UK.
Louise MarstonDepartment of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-9973-1131
Kate R WaltersDepartment of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0003-2173-2430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany older people experience Mild Cognitive Impairment (MCI), which may compromise the effectiveness of health promotion programmes.

objectivesWe explored engagement with behaviour change among participants scoring 18-25 on the Montreal Cognitive Assessment receiving HomeHealth, a health promotion intervention supporting older adults with mild frailty to maintain independence in England ().

methodsOf the 46 semistructured process evaluation interviews, 29 participants scored in the MCI range, purposively selected for demographic characteristics and degrees of cognitive impairment and the seven support workers.

resultsThematic analysis resulted in three themes: Navigating the impact of MCI; Addressing memory as a goal in the intervention; and Adapting Behaviour Change Interventions for MCI. Participants had varied opinions about whether their memory was problematic and whether anything could be done to help. Many reported not discussing memory concerns with support workers. Barriers to engagement in behaviour change included limited social support and not acknowledging memory problems. Facilitators included setting goals which increased or were linked to existing health behaviours, using reminders/prompts and actively involving family members.

conclusionsImplementing these facilitators into existing and new health promotion interventions delivered to older adults, with suspected but unacknowledged MCI, could overcome the current barriers people with MCI face when trying to engage and benefit from interventions. TRIAL REGISTRATION NUMBER: ISRCTN54268283.

Indexed as

Cognitive DysfunctionFrail ElderlyFrailtyHealth BehaviorHealth PromotionAgedAged, 80 and overEnglandFemaleHumansMaleQualitative ResearchSocial SupportBehaviorCognitionDementiaPsychosocial InterventionPUBLIC HEALTHQUALITATIVE RESEARCH

Identifiers

PMID42082214
PMCPMC13141132

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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.