Perceived Efficacy and Feasibility of a Reading- and Discussion-Based Cognitive Stimulation Intervention for Older Adults with Subjective Cognitive Decline: Qualitative Analysis and Recommendations for Implementation

Background Cognitive stimulation (CS) interventions, such as book clubs (‘bibliotherapy’), that foster both cognitive and social engagement show promise for supporting healthy aging. However, current evidence concerning the use of CS interventions remains limited, and few studies offer insights into the participants’ experiences and features that make CS interventions feasible. Objective We aimed to explore the perceived efficacy and feasibility of a reading- and discussion-based CS intervention via a qualitative approach. Methods The intervention was delivered bi-weekly for four weeks to older adults with subjective cognitive decline in a retirement community in Canada Findings Themes generated from post-intervention focus groups highlighted perceived cognitive engagement, increased social connection, and enjoyment of intellectual discussion. Participants also identified features that enhanced or limited their experience. Discussion This study provides support for the use of bibliotherapy as a meaningful, socially engaging CS intervention and proposes recommendations for the implementation of future applications in a similar community setting.