Supporting Cognition and Well-Being in Older Adults with Mild Cognitive Impairment: A Pilot Intervention
About one in five older adults in the community have cognitive impairments greater than expected for age, but less severe than dementia. Activity-based interventions tailored to this important “in-between” group may help to extend continued independence in everyday functioning while sustaining mood and well-being. This chapter reviews research on cognitive wellness interventions for persons with mild cognitive impairment (MCI) and describes a 1-year pilot intervention based on individualized plans for increasing cognitive and physical activity. The need for controlled trials of MCI interventions with follow-up and measurement of impacts beyond cognition (e.g., well-being and everyday function) is discussed.
KeywordsCholesterol Depression Transportation Dementia Cortisol
Take Charge would not have been possible without the help of project staff members Teresa Fleming, Tammy Pence, Philomena Poole, and Mary Reines; physicians and social work staff at participating memory diagnostic clinics, including Ronald Kodras, Thomas Loepfe, Mark Sager, Robert Smith, and Marie Hornes; and financial support from the Helen Bader Foundation to the Wisconsin Alzheimer’s Institute for the memory clinic network and dementia outreach efforts. The persistence and efforts of Take Charge participants are also greatly appreciated.
- Belleville, S., Gilbert, B., Fontaine, F., Gagnon, L., Ménard, E., & Gauthier, S. (2006). Improvement of episodic memory in persons with mild cognitive impairment and healthy older adults: Evidence from a cognitive intervention program. Dementia and Geriatric Cognitive Disorders, 22, 486–499.PubMedCrossRefGoogle Scholar
- Greenaway, M. C., Hanna, S. M., Lepore, S. W., & Smith, G. E. (2008). A behavioral rehabilitation intervention of amnestic mild cognitive impairment. American Journal of Alzheimers Disease and Other Dementias, 23, 451–461.Google Scholar
- Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self maintaining and instrumental activities of daily living. Gerontologist, 9, 176–186.Google Scholar
- Logsdon, R. G., & Teri, L. (2010). An evidence-based exercise and behavior management program for dementia care. Generations, Spring, 80–83.Google Scholar
- National Institute on Aging. (2006). Exercise: A guide from the National Institute on Aging. Bethesda: National Institute on Aging. Retrieved July 30, 2009, from http://www.nih.gov/nia.
- Perri, R., Carlesimo, G. A., Serra, L., Caltagirone, C., & Early Diagnosis Group of the Italian Interdisciplinary Network on Alzheimer’s Disease. (2009). When the amnestic mild cognitive impairment disappears. Characterisation of the memory profile. Cognitive and Behavioral Neurology, 22, 109–116.PubMedCrossRefGoogle Scholar
- Wellman, N., Friedberg, B., Weddle, D., Cuervo, L., Sanchez, N. K., Rosenzweig, L., et al. (2004). Eat better & move more: A guidebook for community programs. Miami: National Resource Center on Nutrition, Physical Activity & Aging, Florida International University. Retrieved July 30, 2009, from http://www.aoa.gov/youcan/EBMM/ebmm.asp
- Winblad, B., Palmer, K., Kivipelto, M., Jelic, V., Fratiglioni, L., Wahlund, L. O., et al. (2004). Mild cognitive impairment – beyond controversies, towards a consensus; report of the International Working Group on Mild Cognitive Impairment. Journal of Internal Medicine, 256, 240–246.PubMedCrossRefGoogle Scholar