Informing Understandings of Mild Cognitive Impairment for Older Adults: Implications From a Scoping Review

The development of effective interventions for mild cognitive impairment (MCI) in older adults has been limited by extensive variability in the conceptualization and definition of MCI, its subtypes, and relevant diagnostic criteria within the neurocultural, pharmaceutical, and gerontological communi...

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Bibliographic Details
Published in:Journal of Applied Gerontology 2017-07, Vol.36 (7), p.808-839
Main Authors: Fang, Mei Lan, Coatta, Katherine, Badger, Melissa, Wu, Sarah, Easton, Margaret, Nygård, Louise, Astell, Arlene, Sixsmith, Andrew
Format: Article
Language:English
Subjects:
Aged
Aging - psychology
Cognitive ability
Cognitive Dysfunction - diagnosis
Ethics
Ethics, Medical
Health Services Needs and Demand
Humans
Medical ethics
Medicin och hälsovetenskap
Older people
Public Policy
Systematic review
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Summary:The development of effective interventions for mild cognitive impairment (MCI) in older adults has been limited by extensive variability in the conceptualization and definition of MCI, its subtypes, and relevant diagnostic criteria within the neurocultural, pharmaceutical, and gerontological communities. A scoping review was conducted to explore the conceptual development of MCI and identify the resulting ethical, political, and technological implications for the care of older adults with MCI. A comprehensive search was conducted between January and April 2013 to identify English-language peer-reviewed articles published between 1999 and 2013. Our analysis revealed that the MCI conceptual debate remains unresolved, the response to ethical issues is contentious, the policy response is limited, and one-dimensional and technological interventions are scarce. Reflections on the conceptual, ethical, and policy responses in conjunction with the identification of the needs of older adults diagnosed with MCI highlight significant opportunities for technological interventions to effectively reposition MCI in the aging care discourse.
ISSN:0733-4648
1552-4523
1552-4523
DOI:10.1177/0733464815589987