Construction of a community-family management model for older adults with mild cognitive impairment
10.3969/j.issn.1006-9771.2026.01.010
- VernacularTitle:基于老年人整合照护框架构建老年人轻度认知功能障碍社区-家庭管理模式
- Author:
Junli CHEN
1
;
Han ZHANG
2
;
Yefan ZHANG
3
;
Yanqiu ZHANG
3
;
Runguo GAO
1
;
Qianqian GAO
3
;
Weiqin CAI
3
;
Haiyan LI
3
;
Lihong JI
1
;
Zhiwei DONG
3
;
Qi JING
3
Author Information
1. School of Public Health, Shandong Second Medical University, Weifang, Shandong 261053, China
2. School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, Shaanxi 710049, China
3. School of Management/China Academy of ICF/China Rehabilitation and Health Research Institute, Shandong Second Medical University, Weifang, Shandong 261053, China
- Publication Type:Journal Article
- Keywords:
mild cognitive impairment;
community-based rehabilitation;
integrated care for older people;
management model;
older adults
- From:
Chinese Journal of Rehabilitation Theory and Practice
2026;32(1):90-100
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo develop a community-family management model for older adults with mild cognitive impairment (MCI) and to formulate detailed application specifications, and to fully leverage the initiative of communities and families under limited resource conditions, for achieving community-based early detection and early intervention for older adults with MCI. MethodsA systematic literature review was conducted to identify pertinent publications. Corpus-based research methodologies were employed to extract, refine, integrate and synthesize management elements, thereby establishing the specific content and service processes for each stage of the management model. Utilizing the 5W2H analytical framework, essential elements such as management stakeholders, target populations, content and methods for each stage were delineated. The model and its application guidelines were finalized through expert consultation and demonstration. ResultsAn expert evaluation of the management model yielded mean scores of 4.84, 4.32 and 4.84 for acceptability, feasibility and systematicity, respectively. By integrating the identified core elements with expert ratings and feedback, the final iteration of the community-family management model for older adults with MCI was formulated. This model comprised of five stages: screening and identification, comprehensive assessment, intervention planning, monitoring and referral pathways to ensure implementation, and enhanced support for communities, family members and caregivers. Additionally, it included 18 specific application guidelines. ConclusionThe proposed management model may theoretically help delay cognitive decline, improve cognitive function and potentially promote reversal from MCI to normal cognition. It may also enhance the awareness and coping capacity of older adults and their families, strengthen community healthcare professionals' ability to early identify and manage MCI.
