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Effectiveness, Adoption Determinants, and Implementation Challenges of ICT-Based Cognitive Support for Older Adults with MCI and Dementia: A PRISMA-Compliant Systematic Review and Meta-Analysis (2015–2025).

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Title: Effectiveness, Adoption Determinants, and Implementation Challenges of ICT-Based Cognitive Support for Older Adults with MCI and Dementia: A PRISMA-Compliant Systematic Review and Meta-Analysis (2015–2025).
Authors: Alam, Ashrafe, Rabbani, Md Golam, Prybutok, Victor R.
Source: Healthcare (2227-9032); Jun2025, Vol. 13 Issue 12, p1421, 37p
Subject Terms: Senile dementia treatment, Mild cognitive impairment, Diffusion of innovations, Human services programs, Autonomy (Psychology), Digital health, Information technology, Treatment effectiveness, Meta-analysis, Descriptive statistics, Assistive technology, Systematic reviews, MEDLINE, Online information services, Interpersonal relations, Quality assurance, Medical care for older people, Psychology information storage & retrieval systems, Cognition, Old age
Abstract: Background: The increasing prevalence of dementia and mild cognitive impairment (MCI) among the elderly population is a global health issue. Information and Communication Technology (ICT)-based interventions hold promises for maintaining cognition, but their viability is affected by several challenges. Objectives: This study aimed to significantly assess the effectiveness of ICT-based cognitive and memory aid technology for individuals with MCI or dementia, identify adoption drivers, and develop an implementation model to inform practice. Methods: A PRISMA-based systematic literature review, with the protocol registered in PROSPERO (CRD420251051515), was conducted using seven electronic databases published between January 2015 and January 2025 following the PECOS framework. Random effects models were used for meta-analysis, and risk of bias was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists. Results: A total of ten forms of ICT interventions that had proved effective to support older adults with MCI and dementia. Barriers to adoption included digital literacy differences, usability issues, privacy concerns, and the lack of caregiver support. Facilitators were individualized design, caregiver involvement, and culturally appropriate implementation. ICT-based interventions showed moderate improvements in cognitive outcomes (pooled Cohen's d = 0.49, 95% CI: 0.14–1.03). A sensitivity analysis excluding high-risk studies yielded a comparable effect size (Cohen's d = 0.50), indicating robust findings. However, trim-and-fill analysis suggested a slightly reduced corrected effect (Cohen's d = 0.39, 95% CI: 0.28–0.49), reflecting potential small-study bias. Heterogeneity was moderate (I2 = 46%) and increased to 55% after excluding high-risk studies. Subgroup analysis showed that tablet-based interventions tended to produce higher effect sizes. Conclusions: ICT-based interventions considerably enhance cognition status, autonomy, and social interaction in older adults with MCI and dementia. To ensure long-term scalability, future initiatives must prioritize user-centered design, caregiver education, equitable access to technology, accessible infrastructure and supportive policy frameworks. [ABSTRACT FROM AUTHOR]
Copyright of Healthcare (2227-9032) is the property of MDPI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index
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  Data: Effectiveness, Adoption Determinants, and Implementation Challenges of ICT-Based Cognitive Support for Older Adults with MCI and Dementia: A PRISMA-Compliant Systematic Review and Meta-Analysis (2015–2025).
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  Data: <searchLink fieldCode="AR" term="%22Alam%2C+Ashrafe%22">Alam, Ashrafe</searchLink><br /><searchLink fieldCode="AR" term="%22Rabbani%2C+Md+Golam%22">Rabbani, Md Golam</searchLink><br /><searchLink fieldCode="AR" term="%22Prybutok%2C+Victor+R%2E%22">Prybutok, Victor R.</searchLink>
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  Data: Healthcare (2227-9032); Jun2025, Vol. 13 Issue 12, p1421, 37p
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  Data: <searchLink fieldCode="DE" term="%22Senile+dementia+treatment%22">Senile dementia treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Mild+cognitive+impairment%22">Mild cognitive impairment</searchLink><br /><searchLink fieldCode="DE" term="%22Diffusion+of+innovations%22">Diffusion of innovations</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Autonomy+%28Psychology%29%22">Autonomy (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Digital+health%22">Digital health</searchLink><br /><searchLink fieldCode="DE" term="%22Information+technology%22">Information technology</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+technology%22">Assistive technology</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+relations%22">Interpersonal relations</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+for+older+people%22">Medical care for older people</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The increasing prevalence of dementia and mild cognitive impairment (MCI) among the elderly population is a global health issue. Information and Communication Technology (ICT)-based interventions hold promises for maintaining cognition, but their viability is affected by several challenges. Objectives: This study aimed to significantly assess the effectiveness of ICT-based cognitive and memory aid technology for individuals with MCI or dementia, identify adoption drivers, and develop an implementation model to inform practice. Methods: A PRISMA-based systematic literature review, with the protocol registered in PROSPERO (CRD420251051515), was conducted using seven electronic databases published between January 2015 and January 2025 following the PECOS framework. Random effects models were used for meta-analysis, and risk of bias was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists. Results: A total of ten forms of ICT interventions that had proved effective to support older adults with MCI and dementia. Barriers to adoption included digital literacy differences, usability issues, privacy concerns, and the lack of caregiver support. Facilitators were individualized design, caregiver involvement, and culturally appropriate implementation. ICT-based interventions showed moderate improvements in cognitive outcomes (pooled Cohen's d = 0.49, 95% CI: 0.14–1.03). A sensitivity analysis excluding high-risk studies yielded a comparable effect size (Cohen's d = 0.50), indicating robust findings. However, trim-and-fill analysis suggested a slightly reduced corrected effect (Cohen's d = 0.39, 95% CI: 0.28–0.49), reflecting potential small-study bias. Heterogeneity was moderate (I<superscript>2</superscript> = 46%) and increased to 55% after excluding high-risk studies. Subgroup analysis showed that tablet-based interventions tended to produce higher effect sizes. Conclusions: ICT-based interventions considerably enhance cognition status, autonomy, and social interaction in older adults with MCI and dementia. To ensure long-term scalability, future initiatives must prioritize user-centered design, caregiver education, equitable access to technology, accessible infrastructure and supportive policy frameworks. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Healthcare (2227-9032) is the property of MDPI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.3390/healthcare13121421
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 37
        StartPage: 1421
    Subjects:
      – SubjectFull: Senile dementia treatment
        Type: general
      – SubjectFull: Mild cognitive impairment
        Type: general
      – SubjectFull: Diffusion of innovations
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Autonomy (Psychology)
        Type: general
      – SubjectFull: Digital health
        Type: general
      – SubjectFull: Information technology
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Assistive technology
        Type: general
      – SubjectFull: Systematic reviews
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      – SubjectFull: MEDLINE
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      – SubjectFull: Online information services
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      – SubjectFull: Interpersonal relations
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      – SubjectFull: Quality assurance
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      – SubjectFull: Medical care for older people
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
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      – SubjectFull: Cognition
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      – SubjectFull: Old age
        Type: general
    Titles:
      – TitleFull: Effectiveness, Adoption Determinants, and Implementation Challenges of ICT-Based Cognitive Support for Older Adults with MCI and Dementia: A PRISMA-Compliant Systematic Review and Meta-Analysis (2015–2025).
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              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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