{
  "abstract": "Background: Cognitive impairment is common among community-dwelling older adults and represents a pragmatic target for community-level intervention. This study evaluated the effectiveness of a scalable, remotely delivered multicomponent intervention for older adults with cognitive impairment, integrated into community and primary care settings.\n\nMethods: This 6-month, parallel-group, randomised controlled trial was performed at two public health centres in South Korea, enrolling adults aged 60–80 years with cognitive impairment and preserved functional independence. Participants were randomly assigned (1:1) to a videoconference-based exercise and nutritional support programme or to usual health promotion services. The primary outcome was change in the Montreal Cognitive Assessment–Korean version (MoCA-K) score at 6 months; secondary outcomes included cognitive, functional, physical performance, frailty and depressive measures at 6 and 12 months.\n\nResults: Among 140 participants (mean age 75.0 years; 60% female), equal numbers were randomised to intervention and control groups. At 6 months, the intervention group showed greater improvement in MoCA-K scores compared to the control group [2.3 points; 95% confidence interval (CI) 1.4–3.1], and the difference was sustained at 12 months (1.1 points; 95% CI 0.3–2.0). The intervention was also associated with improvements in functional status and frailty at both time points. No intervention-related adverse events were reported.\n\nConclusions: A remotely delivered multicomponent intervention improved cognition, functional independence and frailty in older adults with cognitive impairment identified through community-based screening. These findings support the effectiveness of scalable interventions integrated into community and primary care settings, particularly when access to in-person care is limited.\n\nTrial Registration: Clinical Research Information Service (CRIS), KCT0004547; https://cris.nih.go.kr; registered on 12 December 2019.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "name": "Geon Young Jang"
    },
    {
      "name": "Sungyang Jo"
    },
    {
      "name": "Ji Yeon Baek"
    },
    {
      "name": "Eunju Lee"
    },
    {
      "name": "Sunghwan Ji"
    },
    {
      "name": "Il-Young Jang",
      "orcid": "0000-0003-3617-3301"
    },
    {
      "name": "Chan Mi Park"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/31nm6x8sry3er.bib",
  "cited_by": 0,
  "doi": "10.1093/ageing/afag310",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13710769/",
  "id": "31nm6x8sry3er",
  "issns": [
    "0002-0729",
    "1468-2834"
  ],
  "landing_url": "https://doi.org/10.1093/ageing/afag310",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "AcademicSubjects/MED00280"
    ],
    [
      "heading",
      "Clinical Trial"
    ],
    [
      "heading",
      "ageing/19"
    ],
    [
      "heading",
      "ageing/5"
    ],
    [
      "heading",
      "ageing/7"
    ],
    [
      "openalex",
      "2738|Dementia and Cognitive Impairment Research"
    ]
  ],
  "openalex": "W7223908987",
  "pdf_url": "https://academic.oup.com/ageing/article-pdf/55/10/afag310/72530965/afag310.pdf",
  "pmcid": "PMC13710769",
  "pmid": "42935252",
  "published": "2026-10-27",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/31nm6x8sry3er.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:40Z",
      "native_id": "PMC13710769",
      "source": "pmc",
      "url": "https://doi.org/10.1093/ageing/afag310"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Dementia and Cognitive Impairment Research",
      "subfield": "psychiatry"
    }
  ],
  "title": "Remote multicomponent intervention for older adults with cognitive impairment in community settings: multisite randomised controlled trial",
  "title_text": "Remote multicomponent intervention for older adults with cognitive impairment in community settings: multisite randomised controlled trial",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:21:40Z",
  "url": "https://research.draconitic.com/paper/31nm6x8sry3er",
  "venue": "Age and Ageing",
  "versions": []
}