Clinical Scorecard: Influences on Subjective Cognitive Decline in Elderly Populations Through the Lens of the Health Ecological Model: A Scoping Review

At a Glance

Key Highlights

• SCD is a precursor to Mild Cognitive Impairment and Alzheimer’s Disease.
• Prevalence of SCD in older adults in China is 46.4% (source needed).
• Older adults with SCD have over 75% probability of progressing to MCI or dementia within 10 years.
• Research gap identified in the policy environment dimension of the Health Ecological Model.
• Limitations include reliance on self-reported tools and cross-sectional designs.

Guideline-Based Recommendations

Diagnosis

• Utilize objective cognitive assessments alongside self-reported measures.

Management

• Focus on individualized prevention strategies based on identified influencing factors.

Monitoring & Follow-up

• Implement longitudinal studies to track cognitive decline over time, using specific assessment tools.

Risks

• Consider the multifactorial nature of SCD, including social and environmental influences.

Patient & Prescribing Data

Older adults aged ≥60 years.

Emphasize the importance of addressing personal and behavioral characteristics in treatment plans, including specific strategies.

Clinical Best Practices

• Integrate objective methods in research on SCD, such as neuropsychological testing.
• Prioritize longitudinal study designs for better understanding of SCD progression.
• Investigate policy influences on cognitive health in older adults.

References

• Health Ecological Model