{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:04:06Z","timestamp":1785301446679,"version":"3.55.0"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Population aging and the growing burden of cognitive decline make community-based non-pharmacological interventions increasingly relevant for older adults. However, evidence from Peruvian community settings remains limited, and many local programmes combine screening with activities whose cognitive and emotional components are insufficiently described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the pre-post impact of a structured cognitive stimulation programme on cognitive status, executive functioning, programme participation and immediate emotional perception among older adults in Tacna, Peru, in 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An applied, quantitative, quasi-experimental one-group pre-test-post-test study was conducted in community settings. The accessible population comprised 450 older adults, from which 217 participants aged 60 years or older were selected through stratified random sampling. The intervention lasted 6 months and included 60-min sessions two to three times per week in small groups. Eight modules stimulated attention, memory, language, calculation, executive functions, gnosias, praxias and graphomotor skills. Cognitive status was assessed with the Short Portable Mental Status Questionnaire\/Pfeiffer Scale and the Montreal Cognitive Assessment (MoCA), while executive functioning was assessed with the INECO Frontal Screening (IFS). Monitoring and satisfaction forms recorded participation, module acceptance and immediate emotional perception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean MoCA scores increased from 18.06 to 26.66, mean IFS scores increased from 14.62 to 24.50 and mean Pfeiffer errors decreased from 2.11 to 0.54. Wilcoxon signed-rank tests showed statistically significant pre-post differences for all three measures (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001), with the same direction of change across central, northern and southern implementation zones. Emotional-perception records showed an increase in the \u201chappy\u201d response from 96.60% before module activities to 99.87% after activities, while sadness decreased from 3.33 to 0.13%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The programme was associated with statistically significant short-term improvements in cognitive screening scores and executive functioning, together with high acceptability and a favorable pattern of immediate emotional perception. Because the design lacked a control group and used screening rather than comprehensive neuropsychological assessment, the findings should be interpreted as evidence of pre-post improvement and feasibility, not as definitive causal proof.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1876477","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:49:13Z","timestamp":1785300553000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Revitalizing old age: impact of a cognitive stimulation programme on emotional wellbeing and cognitive-executive functioning in older adults from Tacna, Peru"],"prefix":"10.3389","volume":"14","author":[{"given":"Mar\u00eda Soledad","family":"Porras-Roque","sequence":"first","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Nacional Jorge Basadre Grohmann","place":["Tacna, Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin Mario","family":"Laura-De La Cruz","sequence":"additional","affiliation":[{"name":"Facultad de Educaci\u00f3n, Comunicaci\u00f3n y Humanidades, Universidad Nacional Jorge Basadre Grohmann","place":["Tacna, Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga Giovanna","family":"Valderrama R\u00edos","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Nacional del Callao","place":["Callao, Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"B1","unstructured":"Geneva\n          World Health Organization\n          Ageing and Health.\n          \n          2025"},{"key":"B2","unstructured":"Envejecimiento en Am\u00e9rica Latina y el Caribe: inclusi\u00f3n y derechos de las personas mayores\n          \n          2022"},{"key":"B3","unstructured":"Cognitive Health and Older Adults\n          \n          2025"},{"key":"B4","unstructured":"Geneva\n          World Health Organization\n          Dementia\n          \n          2025"},{"key":"B5","unstructured":"Geneva\n          World Health Organization\n          Risk Reduction of Cognitive Decline and Dementia: WHO Guidelines\n          \n          2019"},{"key":"B6","doi-asserted-by":"publisher","first-page":"101551","DOI":"10.1016\/j.arr.2021.101551","article-title":"Modifiable lifestyle factors and cognitive reserve: a systematic review of current evidence","volume":"74","author":"Song","year":"2021","journal-title":"Ageing Res Rev."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1358992","DOI":"10.3389\/fnagi.2024.1358992","article-title":"Cognitive reserve over the life course and risk of dementia: a systematic review and meta-analysis","volume":"16","author":"Liu","year":"2024","journal-title":"Front Aging Neurosci."},{"key":"B8","doi-asserted-by":"publisher","first-page":"e1002259","DOI":"10.1371\/journal.pmed.1002259","article-title":"Potentially modifiable lifestyle factors, cognitive reserve, and cognitive function in later life: a cross-sectional study","volume":"14","author":"Clare","year":"2017","journal-title":"PLoS Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18502\/ijph.v51i1.8286","article-title":"The effects of cognitive-based interventions in older adults: a systematic review and meta-analysis","volume":"51","author":"Yun","year":"2022","journal-title":"Iran J Public Health."},{"key":"B10","unstructured":"Instituto\n              Nacional de Estad\u00edstica e Inform\u00e1tica\n            \n          \n          Per\u00fa: estimaciones y proyecciones de poblaci\u00f3n\n          \n          2024"},{"key":"B11","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/j.arr.2012.07.001","article-title":"Cognitive stimulation for dementia: a systematic review of the evidence of effectiveness from randomised controlled trials","volume":"12","author":"Aguirre","year":"2013","journal-title":"Ageing Res Rev."},{"key":"B12","doi-asserted-by":"publisher","first-page":"2271","DOI":"10.1001\/jama.288.18.2271","article-title":"Effects of cognitive training interventions with older adults: a randomized controlled trial","volume":"288","author":"Ball","year":"2002","journal-title":"JAMA."},{"key":"B13","doi-asserted-by":"publisher","first-page":"2255","DOI":"10.1016\/S0140-6736(15)60461-5","article-title":"A 2-year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial","volume":"385","author":"Ngandu","year":"2015","journal-title":"Lancet."},{"key":"B14","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1111\/jgs.12607","article-title":"Ten-year effects of the ACTIVE cognitive training trial on cognition and everyday functioning in older adults","volume":"62","author":"Rebok","year":"2014","journal-title":"J Am Geriatr Soc."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1876477\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:49:25Z","timestamp":1785300565000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1876477\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,29]]},"references-count":14,"alternative-id":["10.3389\/fpubh.2026.1876477"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1876477","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,29]]},"article-number":"1876477"}}