title: Informing Understandings of Mild Cognitive Impairment for Older Adults: Implications From a Scoping Review.
abstract: The development of effective interventions for mild cognitive impairment (MCI) in older adults has been limited by extensive variability in the conceptualization and definition of MCI, its subtypes, and relevant diagnostic criteria within the neurocultural, pharmaceutical, and gerontological communities. A scoping review was conducted to explore the conceptual development of MCI and identify the resulting ethical, political, and technological implications for the care of older adults with MCI. A comprehensive search was conducted between January and April 2013 to identify English-language peer-reviewed articles published between 1999 and 2013. Our analysis revealed that the MCI conceptual debate remains unresolved, the response to ethical issues is contentious, the policy response is limited, and one-dimensional and technological interventions are scarce. Reflections on the conceptual, ethical, and policy responses in conjunction with the identification of the needs of older adults diagnosed with MCI highlight significant opportunities for technological interventions to effectively reposition MCI in the aging care discourse.
authors.affiliation: 1 Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: Mei Lan
authors.initials: ML
authors.lastname: Fang
authors.affiliation: 1 Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: Katherine
authors.initials: K
authors.lastname: Coatta
authors.affiliation: 1 Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: Melissa
authors.initials: M
authors.lastname: Badger
authors.affiliation: 1 Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: Sarah
authors.initials: S
authors.lastname: Wu
authors.affiliation: 1 Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: Margaret
authors.initials: M
authors.lastname: Easton
authors.affiliation: 2 Karolinska Institutet, Stockholm, Sweden.
authors.forename: Louise
authors.initials: L
authors.lastname: Nygård
authors.affiliation: 3 University of Toronto, Toronto, Ontario, Canada.
authors.forename: Arlene
authors.initials: A
authors.lastname: Astell
authors.affiliation: 1 Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: Andrew
authors.initials: A
authors.lastname: Sixsmith
mesh_terms: D000368:Aged; D000375:Aging / Q000523:psychology*; D060825:Cognitive Dysfunction / Q000175:diagnosis*; D004992:Ethics, Medical; D006301:Health Services Needs and Demand; D006801:Humans; D011640:Public Policy
keywords: cognition; ethics; public policy; review; technology