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Rehabilitation interventions to improve social participation in people with cognitive impairments: A systematized review

(2024)

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Farjallah_Eva_04192200_2023-2024.pdf
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Abstract
Purpose: Cognitive impairments can be associated with restrictions in quality of life and barriers to societal engagement. Rehabilitation interventions can positively impact community involvement by reducing these restrictions and supporting the person to regain a certain level of functionality. The aim of this review was to identify and describe the types of rehabilitation interventions that can improve participation in social activities in people with cognitive dysfunctions. Methods: This systematized review is based on four databases: PubMed, Cochrane Library, Scopus, and ScienceDirect. Criteria for inclusion were specified to select randomized controlled trials published between 2014 and 2024, following the PICO criteria, and written either in French or English. Results: Out of 1798 articles found, 14 were included and met the selection criteria. The identified interventions focused on educational approaches (3 studies), occupational therapy (2 studies), technological interventions (2 studies), combination of cognitive training and physical activity or aerobic exercises (4 studies), exercise-based program (1 study), combination of education and exercises (1 study) and conversation-based therapy (1 study). Significant results were found in educational, exercise-based, and conversation-based rehabilitations. Conclusion: This study identified numerous remedial programs that have statistically valuable impacts on enhancing community participation in people with cognitive limitations. Further studies are needed to identify the effect of combining significant interventions cited in this study on social participation.