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JEFFREY BEVAN, MD, U.S. Naval Hospital, Naples, Italy

JILL COSTER, DO, Saint Louis University, St. Louis, Missouri

JEANMARIE B. REY, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Am Fam Physician. 2024;110(1):25-26

 This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

CLINICAL QUESTION

Does cognitive rehabilitation improve everyday function and well-being in patients with mild to moderate dementia?

EVIDENCE-BASED ANSWER

Cognitive rehabilitation improves participant self-ratings of goal attainment, informant ratings of goal attainment, and self-ratings of satisfaction with goal attainment at the end of treatment and at 3 to 12 months of follow-up.1 (Strength of Recommendation [SOR]: A, consistent, good-quality patient-oriented evidence.) Cognitive rehabilitation likely has a small positive effect on caregivers' social and psychological quality of life at 3 to 12 months of follow-up.1 (SOR: A, consistent, good-quality patient-oriented evidence.)

PRACTICE POINTERS

Dementia is a group of neurodegenerative conditions that predominantly occur later in life.2 More than 55 million people are living with dementia worldwide, and this number is expected to increase to 139 million by 2050.3 Practices that support independence and social participation in people with dementia could improve patient and caregiver quality of life.4

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These are summaries of reviews from the Cochrane Library.

This series is coordinated by Corey D. Fogleman, MD, assistant medical editor.

A collection of Cochrane for Clinicians published in AFP is available at https://www.aafp.org/afp/cochrane.

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