A scoping review and comprehensive needs assessment for developing an intergenerational cognitive and physical...

Mild cognitive impairment (MCI) is a high-risk state for dementia, marked by cognitive decline with preserved daily functioning. Combined physical and cognitive activity (PA+CA) programs show promising benefits for MCI patients. Involving adult children through intergenerational approaches may enhance participation and impact, yet little is known about tailoring such programs to both generations' needs. This study aimed to (1) identify cognitive, physical, and psychosocial challenges experienced by MCI patients, and (2) explore the needs, preferences, barriers, and facilitators regarding participation in an intergenerational PA+CA program. A mixed-methods design combined a scoping review of 45 studies with eight semi-structured interviews involving eight MCI patient-adult child dyads. Results highlight challenges such as memory loss, fatigue, social withdrawal, and a desire for meaningful, safe, and structured activities. Barriers included overload, physical limitations, and time constraints; facilitators involved routine, emotional support, and family connection. Findings offer guidance for designing effective intergenerational PA+CA programs. HIGHLIGHTS: A scoping review and interviews identified key challenges in mild cognitive impairment (MCI) across domains. Physical, cognitive, and psychosocial needs were mapped for MCI patients and their children. Barriers to participation included cognitive overload, low motivation, and time constraints. Facilitators included emotional safety, routine, and meaningful family connection. Findings support the design of tailored, intergenerational combined physical and cognitive support programs for MCI.