Study strengths and implications
MCI
Two strong points need to be highlighted in this study. Firstly, we demonstrated the effectiveness, feasibility, and acceptability of a nurse-led cognitive training program for older adults with MCI in the community setting. In China, where community healthcare resources are limited, access to professional cognitive and mental health therapists is only available in a few large cities [This study offers important implications for nursing practice in community settings. The nurse-led health management P-bM-tACT program, developed in this study is an encouraging step towards involving community nurses in the cognitive health of older adults with MCI. Community nurses can provide cognitive education and self-management activities to promote cognitive health in community-dwelling older adults with MCI. Therefore, specialized cognitive training skills for community nurses are essential to successfully implement cognitive training programs. Second, given the direct and transfer effects on cognitive benefits of the P-bM-tACT program, nurses at the primary health services center should encourage older adults with MCI to engage in periodic cognitive training. Actions should be taken to enhance adherence to cognitive training among older adults with MCI, such as dynamic adjustment of difficulty of the training task, peer or family support, and schedule development. These healthy behaviors will reinforce and prolong the beneficial effect of training in older adults with MCI.