The effects of an occupation-centered cognitive rehabilitation program on elderly individuals with mild cognitive impairment.
Keum-Sook Kim, Young-Seok Cho
PMID 29545707WHAT IT FOUND
In six older women with mild cognitive impairment, after the combined handicraft and reminiscence program, cognitive test scores did not improve enough to be counted as a real change, but instrumental daily living scores and an EEG attention measure increased.
Key findings
01MMSE-DS scores changed from 24 to 25 after the combined handicraft and reminiscence program, but the increase was not statistically significant.
02K-ACS instrumental daily living scores increased from 64.4% to 77.6% after the combined handicraft and reminiscence program.
03SMR wave amplitude increased from 0.38 μV to 0.43 μV after the combined handicraft and reminiscence program.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only six participants were studied, and the authors say this makes generalising to a wider population difficult. The intervention combined handicrafts and reminiscence, so the study cannot show which component mattered. The paper does not name a primary outcome; the cognitive measure was not significant while daily activity and EEG measures were. The paper does not describe randomisation, blinding, a control group, or dropout handling.
Declared interests
The authors declared no conflicts of interest. The paper does not report funding.
The easy way to misread this
Do not conclude that this program improves cognition or daily activities in older adults with mild cognitive impairment. Only six participants were studied, the cognitive outcome did not show a significant increase, and the program combined handicrafts and reminiscence so their separate contributions cannot be identified.