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  6. Everyday Functioning Among Older Adults With Subjective Cognitive Decline: A Scoping Review

Everyday functioning among older adults with subjective cognitive decline: a scoping review

Adora Chui1,2, Gabriella Boccone3, Paula Rico3

  • 1Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.

Disability and Rehabilitation
|February 10, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Older adults with subjective cognitive decline (SCD) experience daily life challenges. Research shows most studies focus on instrumental activities of daily living, but more is needed on real-life participation.

Area of Science:

  • Gerontology
  • Cognitive Science
  • Neuroscience

Background:

  • Subjective cognitive decline (SCD) affects older adults, presenting cognitive difficulties without objective impairment.
  • Everyday functioning in this population remains under-characterized.
  • Understanding these challenges is crucial for supporting community-dwelling older adults.

Purpose of the Study:

  • To describe the empirical literature on everyday functioning in older adults with SCD.
  • To identify recruitment methods used in studies of older adults with SCD.
  • To analyze the measurements employed to assess everyday functioning in this demographic.

Main Methods:

  • A comprehensive scoping review of primary research articles was conducted.
  • Studies were included if they measured at least one aspect of everyday functioning.
Keywords:
Scoping reviewactivities of daily livingagingcognition

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  • Data extraction and analysis involved descriptive statistics and summative content analysis.
  • Main Results:

    • 21 studies were included from 6544 screened records, primarily observational.
    • Most studies compared SCD groups with healthy controls, mild cognitive impairment, or dementia groups.
    • Instrumental activities of daily living (IADL) were the most studied domain (90.5%), often using questionnaires.

    Conclusions:

    • Current research on everyday functioning in SCD predominantly focuses on IADL.
    • There is a need for broader research beyond IADL.
    • Future studies should prioritize measures assessing real-life participation for a more holistic understanding.
    everyday functioning
    mild cognitive impairment
    subjective cognitive decline