Abstract

With notable increases in older adult populations, as well as with the associated cognitive impairments that can accompany aging, there is significant importance in identifying strategies to promote cognitive health. The current study explored the implementation of a positive reminiscence program (REMPOS), a non-pharmacological cognitive therapy that has been previously structured, defined, and tested in a Spanish sample. We sought to improve the quality of life of institutionalized older adults with healthy aging, mild cognitive impairment, and Alzheimer’s disease by utilizing this protocol in these samples. A randomized design with a pre-post measure was conducted over a three-month period. Two types of interventions were used: the experimental groups received REMPOS, and the control groups underwent their regular daily institutional programming with cognitive stimulation techniques. After the intervention, the three experimental groups showed higher cognitive functioning, decreased depressive symptomatology (except for the MCI group) and higher evocation of specific positive memories (except for the MCI group). This study supports the effectiveness of REMPOS and reminiscence therapy, with regard to both cognitive and mood factors in cognitively impaired older adults.

Highlights

  • Published: 18 July 2021Population aging is exponentially growing and we are facing a widespread phenomenon that affects almost all countries with consequences and implications in all areas of life and society [1]

  • For the Alzheimer’s group, there was a large and significant effect of intervention for the experimental group (t(19) = 4.65, p < 0.001, Hedges’ g = 1.0, 95% CI [0.35, 1.50]), and there was a large and significant effect of time in the control group, but in the opposite direction (t(5) = −2.58, p = 0.049, Hedges’ g = 0.89, 95% CI [−0.97, 2.37]), while participants in the experimental group improved their scores after intervention, those in the control group had lower scores on their second assessment

  • This study explored the cognitive, emotional/affective, and subjective functioning of older adults with (AD, mild cognitive impairment (MCI)) and without (HA) cognitive impairment after pos

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Summary

Introduction

Population aging is exponentially growing and we are facing a widespread phenomenon that affects almost all countries with consequences and implications in all areas of life and society [1]. The utility of applying NPT in healthy aging and dementias is appealing as it presents without side effects, its implementation is more economical, and it can improve cognition and affect, enhance independence, and increase the quality of life of older adults [11]. An intervention applying positive reminiscence (REMPOS) therapy [25] in older adults with mild cognitive impairment (MCI) sought to promote the improvement of different psychological processes related to optimal aging [26]. There was a significant increase in cognitive functioning, life satisfaction, self-esteem, and a decrease in depressive symptoms in the experimental group compared to the control group [26] This supports the effective of REMPOS therapy in a cognitively impaired population. Med. 2021, 10, 3168 the effectiveness of this program in a Spanish-speaking population and by exploring its effectiveness in participants with multiple levels of cognitive functioning

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