Department of Nursing and Physiotherapy, University of Lleida, Lleida, Catalonia, Spain.
Health Care Research Group (GRECS), Lleida Institute for Biomedical Research Dr. Pifarré Foundation, IRBLLEIDA, Lleida, 25198, Catalonia, Spain.
BMJ Open. 2021 Aug 18;11(8):e045978. doi: 10.1136/bmjopen-2020-045978.
The gradual changes over the decades in the longevity and ageing of European society as a whole can be directly related to the prolonged decline in the birth rate and increase in the life expectancy. According to the WHO, there is an increased risk of dementia or other cognitive disorders as the population ages, which have a major impact on public health. Mild cognitive impairment (MCI) is described as a greater than expected cognitive decline for an individual's age and level of education, but that does not significantly interfere with activities of daily living. Patients with MCI exhibit a higher risk of dementia compared with others in the same age group, but without a cognitive decline, have impaired walking and a 50% greater risk of falling.The urban lifestyle and advent of smartphones, mobility and immediate access to all information via the internet, including health information, has led to a totally disruptive change in most general aspects.This systematic review protocol is aimed at evaluating the effectiveness of technology-based interventions in the detection, prevention, monitoring and treatment of patients at risk or diagnosed with MCI.
This review protocol follows the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols reporting guidelines. The search will be performed on MEDLINE (PubMed), CENTRAL, CINAHL Plus, ISI Web of Science and Scopus databases from 2010 to 2020. Studies of interventions either randomised clinical trials or pre-post non-randomised quasi-experimental designs, published in English and Spanish will be included. Articles that provide relevant information on the use of technology and its effectiveness in interventions that assess improvements in early detection, prevention, follow-up and treatment of the patients at risk or diagnosed with MCI will be included.
Ethics committee approval not required. The results will be disseminated in publications and congresses.
几十年来，欧洲社会整体的寿命和老龄化逐渐发生变化，这可以直接归因于出生率的持续下降和预期寿命的延长。根据世界卫生组织的说法，随着人口老龄化，痴呆症或其他认知障碍的风险增加，这对公共健康有重大影响。轻度认知障碍（MCI）被描述为个体年龄和教育水平的认知能力下降超过预期，但不会对日常生活活动造成明显干扰。与同年龄组中没有认知能力下降的其他人相比，MCI 患者痴呆的风险更高，但他们的行走能力受损，跌倒的风险增加 50%。城市生活方式和智能手机的出现、移动性以及通过互联网即时获取所有信息，包括健康信息，导致大多数一般方面发生了彻底的变革。本系统评价方案旨在评估基于技术的干预措施在检测、预防、监测和治疗有风险或确诊为 MCI 的患者方面的有效性。
本综述方案遵循系统评价和荟萃分析方案首选报告项目的建议。将从 2010 年到 2020 年在 MEDLINE（PubMed）、CENTRAL、CINAHL Plus、ISI Web of Science 和 Scopus 数据库中进行搜索。将纳入随机临床试验或前后非随机准实验设计的干预研究，发表在英语和西班牙语的文章将被纳入。将纳入提供有关技术使用及其在评估早期检测、预防、随访和治疗有风险或确诊为 MCI 的患者的干预措施中有效性的相关信息的文章。
不需要伦理委员会批准。研究结果将在出版物和会议上发表。
