Mindfulness and cognitive training interventions that address intersecting cognitive and aging needs of older adults

Mindfulness and cognitive training interventions are promising models to address impacts (e.g., anxiety and stress) of cognitive impairment among older adults. Combining strategies may yield better outcomes than models offered in isolation. However, there are numerous uncertainties about these interventions, potential for combination, and implementation. Social workers are well placed to offer these interventions. Findings From an initial search of 3,538 records, 13 studies were included in the final review. Mindfulness studies focused on stress reduction or cognitive behavioral therapy. Cognitive training studies applied stimulation or activity approaches. Results indicate that the field is still emerging, as most studies were pilot or feasibility trials. A combination of mindfulness-based stress reduction and brain training activities may offer the most promising model for older adults with cognitive impairment, based on outcome assessments and other factors. A common limitation among the reports was detailed on engaging older adults with cognitive challenges in the design and implementation of these interventions. Applications This realist review deepens the understanding of how, why, for whom, and in what circumstances a combination of mindfulness and cognitive training could be most successful for social workers to address intersecting cognitive and aging needs of older adults. Building evidence on combining mindfulness-based stress reduction and brain training activities among older adults with cognitive impairment could yield promising results, and this review identifies implementation considerations. The review also found a need for psychometric scale development on the benefits of brain training activities

Anxiety · Cognition · Cognitive Training · Mindfulness · Psychiatry · Psychological intervention · Clinical Psychology · COVID-19 and Mental Health · Mental Health Treatment and Access · Mindfulness and Compassion Interventions · Psychology

• Implementation Science

  Open Access•Dean L Fixsen, Dean Fixsen et al.•International Encyclopedia of the…•2015

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• Psychometric Properties of the Five Facet Mindfulness Questionnaire in Depressed Adults and Development of a Short Form

  Open Access•Ernst T Bohlmeijer, Ernst Bohlmeijer et al.•Assessment•2011

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• Realist review - a new method of systematic review designed for complex policy interventions

  Open Access•Ray Pawson, Trisha Greenhalgh et al.•Journal of Health Services…•2005

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• The diagnosis of mild cognitive impairment due to Alzheimer's disease

  Open Access•Marilyn S Albert, Steven T DeKosky et al.•Alzheimer's & Dementia•2011

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• Causes of international increases in older age life expectancy

  Open Access•Clay Mathers, Colin D Mathers et al.•The Lancet•2015

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• Using Self-Report Assessment Methods to Explore Facets of Mindfulness

  Open Access•Ruth A Baer, Gregory T Smith et al.•Assessment•2006

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• Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach

  Open Access•Zachary Munn, Micah D J Peters et al.•BMC Medical Research Methodology•2018

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• Mindful Social Work

  Liora Birnbaum, Aiton Birnbaum•Journal of Religion & Spirituality…•2008

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• The ethics and politics of community engagement in global health research

  Open Access•Lyn Reynolds, Sakari Sariola•Critical Public Health•2018

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• Cognitive therapy

  Aaron T Beck•American Psychologist•1991

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