Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study

IntroductionSelf-management is crucial for individuals with mild cognitive impairment (MCI) to enhance cognitive health and mitigate the potential risk of dementia. However, maintaining consistent engagement in self-management strategies seems a challenge for older adults with MCI. This study sought...

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Main Authors: Jingxian Sun, Yayi Zhao, Aihong Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1446344/full
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author Jingxian Sun
Yayi Zhao
Aihong Wang
author_facet Jingxian Sun
Yayi Zhao
Aihong Wang
author_sort Jingxian Sun
collection DOAJ
description IntroductionSelf-management is crucial for individuals with mild cognitive impairment (MCI) to enhance cognitive health and mitigate the potential risk of dementia. However, maintaining consistent engagement in self-management strategies seems a challenge for older adults with MCI. This study sought to gain insights into the barriers to self-management engagement among community-dwelling older adults with MCI.MethodsThis qualitative study used a phenomenological approach. Purposive sampling was used to recruit a diverse group of participants with MCI, aged 60 and above, residing in the provinces of Hubei, Jiangsu, Henan, and Anhui in China. Semi-structured interviews were conducted between January and May 2023, allowing for an in-depth exploration of participants’ experiences and perceptions. The interviews were audio-recorded, transcribed verbatim, and subjected to thematic analysis to capture the essence of the participants’ narratives.ResultsTwenty-six participants participated in the formal semi-structured interviews. The following themes and subthemes were identified: “inappropriate perceptions of MCI” (“low perception of risk from MCI” and “supposition of little personal control over MCI”), “elder self-neglect”, and “lack of available information or support services about MCI”.DiscussionThis study highlights significant barriers to self-management engagement among community-dwelling older adults with MCI, emphasizing the importance of developing tailored interventions that address misconceptions and self-neglect and enhance the availability of information and support services. These findings suggest avenues for policymakers and healthcare providers to foster more effective self-management practices in this population, promoting cognitive health and slowing potential progression to dementia.
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spelling doaj-art-786a147f0dd34bb4b096a5d689478c9c2025-01-07T06:40:48ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14463441446344Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative studyJingxian SunYayi ZhaoAihong WangIntroductionSelf-management is crucial for individuals with mild cognitive impairment (MCI) to enhance cognitive health and mitigate the potential risk of dementia. However, maintaining consistent engagement in self-management strategies seems a challenge for older adults with MCI. This study sought to gain insights into the barriers to self-management engagement among community-dwelling older adults with MCI.MethodsThis qualitative study used a phenomenological approach. Purposive sampling was used to recruit a diverse group of participants with MCI, aged 60 and above, residing in the provinces of Hubei, Jiangsu, Henan, and Anhui in China. Semi-structured interviews were conducted between January and May 2023, allowing for an in-depth exploration of participants’ experiences and perceptions. The interviews were audio-recorded, transcribed verbatim, and subjected to thematic analysis to capture the essence of the participants’ narratives.ResultsTwenty-six participants participated in the formal semi-structured interviews. The following themes and subthemes were identified: “inappropriate perceptions of MCI” (“low perception of risk from MCI” and “supposition of little personal control over MCI”), “elder self-neglect”, and “lack of available information or support services about MCI”.DiscussionThis study highlights significant barriers to self-management engagement among community-dwelling older adults with MCI, emphasizing the importance of developing tailored interventions that address misconceptions and self-neglect and enhance the availability of information and support services. These findings suggest avenues for policymakers and healthcare providers to foster more effective self-management practices in this population, promoting cognitive health and slowing potential progression to dementia.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1446344/fullmild cognitive impairmentolder adultcommunity-dwellingself-managementbarriersqualitative study
spellingShingle Jingxian Sun
Yayi Zhao
Aihong Wang
Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study
Frontiers in Psychiatry
mild cognitive impairment
older adult
community-dwelling
self-management
barriers
qualitative study
title Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study
title_full Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study
title_fullStr Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study
title_full_unstemmed Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study
title_short Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study
title_sort barriers to self management engagement among community dwelling older adults with mild cognitive impairment a qualitative study
topic mild cognitive impairment
older adult
community-dwelling
self-management
barriers
qualitative study
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1446344/full
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