COGNITIVE REHABILITATION ADHERENCE FAILURE IN DEMENTIA PATIENTS-A TRIAD OF PATIENT, CAREGIVER, AND HEALTHCARE CHALLENGES

Akbar Azizi ZEINALHAJLOU, Maryam CHEHREHGOSHA

European Journal of Geriatrics and Gerontology - 2026;8(2):141-147

Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran

 

Cognitive impairment and dementia are age-related conditions with extremely high healthcare needs. Cognitive rehabilitation (CR) is a non-pharmacological intervention and an important component of treatment for patients with dementia. Maintaining continuity is a useful concept in dementia care that may confer psychosocial benefits. Non-adherence to non-pharmacological interventions by patients and their caregivers disrupts the efficacy of CR when combined with pharmaceutical interventions. Adherence to CR is hampered by several factors, including psychological and cognitive barriers; caregiver-related challenges; health system and service delivery barriers; barriers related to knowledge, education, and technology; and socioeconomic and cultural factors.