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Digital cognitive rehabilitation platforms for older adults in Portugal: a systematic review

dc.contributor.authorRaposo, Ana
dc.contributor.authorGonçalves, Fabiana
dc.contributor.authorLeonido, Levi
dc.contributor.authorMendes, Liliana
dc.date.accessioned2026-05-07T11:49:30Z
dc.date.available2026-05-07T11:49:30Z
dc.date.issued2026-04-01
dc.description.abstractPortugal’s demographic ageing calls for effective strategies to address mild cognitive impairment (MCI) and Alzheimer’s Disease (AD). However, fragmented evidence on digital tools limits their clinical application. This review aimed to map the landscape of validated digital cognitive rehabilitation platforms in Portugal for older adults with MCI and AD and to analyze their effectiveness, usability, and implementation barriers. Following PRISMA 2020 guidelines, seven studies published between 2015 and 2025 were identified from PubMed, Scopus, and ScienceDirect, complemented by manual searches and platform website analysis. Methodological quality, assessed using the Joanna Briggs Institute (JBI) tools, ranged from 69% to 100%. The included studies evaluated platforms such as the Systemic Lisbon Battery (SLB), Digi&Mind, NeuroVRehab.PT, and the Fit4Alz project. Findings indicate improvements in global cognition, executive functioning, and attention. Multimodal interventions combining digital cognitive training and physical exercise produced more consistent cognitive benefits than isolated approaches. Despite initially low digital literacy among older adults, high adherence and motivation were reported, supported by gamification, user-centred design, and cultural adaptation. Although Portuguese digital platforms show strong potential for cognitive rehabilitation, the evidence base is constrained by methodological heterogeneity, small sample sizes, and short intervention durations. Future research should prioritize long-term follow-up and remote monitoring through telerehabilitation.eng
dc.identifier.doi10.3390/ijerph23040453
dc.identifier.eid105037231879
dc.identifier.otherb398bd35-b397-413b-8864-d05c8352dc31
dc.identifier.pmcPMC13116986
dc.identifier.pmid42074392
dc.identifier.urihttp://hdl.handle.net/10400.14/57663
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAlzheimer’s diseaseeng
dc.subjectCognitive telerehabilitationeng
dc.subjectE-therapyeng
dc.subjectElderlyeng
dc.subjectMild cognitive impairmenteng
dc.subjectPortugaleng
dc.titleDigital cognitive rehabilitation platforms for older adults in Portugal: a systematic review
dc.typereview article
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.volume23
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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