Question: In adults and older adults with memory difficulties (including mild cognitive impairment but excluding dementia), what is the most effective psychological intervention for improving patient outcomes?

Answer:

There appeared to be some suggestion that various types of psychological interventions can improve outcomes in older adults with mild cognitive impairment. Although three SRS and 5 RCTs were identified, the evidence base was weak.  The main limitation was failure to conduct an appropriate analysis that compared results between treatment groups; included SRs were also missing relevant studies.  This made it difficult to draw conclusions. Most studies were small and of short duration.  Further studies, or re-analysis of existing studies, using robust analysis methods that compare findings between treatment groups are required to be able to make firm recommendations.

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