A conceptual model for achieving well-being in adults with mild cognitive impairment

Geriatr Nurs. 2021 Nov-Dec;42(6):1467-1473. doi: 10.1016/j.gerinurse.2021.09.016. Epub 2021 Oct 17.


Objective: Low well-being is common among people with Mild Cognitive Impairment (MCI). We propose a model to examine how different types of resources work together to maintain well-being in people with MCI.

Methods: Participants included 121 community dwelling adults over the age of 60 who were diagnosed with MCI. Structural equation modeling assessed suggested relationships between resources and well-being.

Results: Emotional intelligence, general mental ability, morbidity, economic status, basic activities of daily living, and age were correlated to well-being in a triple mediation process through cognitive function, instrumental activities of daily living, and social support. Model fit was excellent (RMSEA-0.04; IFI-.96; CFI-.96; CMIN/DF-1.23), CONCLUSION: Achieving well-being when coping with MCI requires a combination of objective resources and subjective evaluation of the situation. Ultimately, social support determines an individual's level of well-being. Findings suggest the need to understand what kind of social support is required by those coping with MCI.

Keywords: Cognitive function; Instrumental activities of daily living; Observational descriptive study; Resource theory; Subjective social support.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Adaptation, Psychological
  • Cognition
  • Cognitive Dysfunction*
  • Humans
  • Independent Living