Adaptation of an In-Person Mind-Body Movement Program for People with Cognitive Impairment or Dementia and Care Partners for Online Delivery: Feasibility, Satisfaction and Participant-Reported Outcomes.

Adaptation of an In-Person Mind-Body Movement Program for People with Cognitive Impairment or Dementia and Care Partners for Online Delivery: Feasibility, Satisfaction and Participant-Reported Outcomes.
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DOI:
10.1177/27536130231202989
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发表时间:
2023-01
期刊:
Global advances in integrative medicine and health
影响因子:
--
通讯作者:
Barnes, Deborah E.
Barnes, Deborah E.
中科院分区:
其他
文献类型:
--
作者:
Nicosia, Francesca M.;Lee, Jennifer A.;Chesney, Margaret A.;Benjamin, Cynthia;Lee, Amanda N.;Mehling, Wolf;Sudore, Rebecca L.;Barnes, Deborah E.

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通过锻炼防止失去独立性(运动)是一个面对面的团体身心运动计划,适用于认知衰退和护理伙伴(CP)的人群。这项研究开发和完善了一个名为“共同行动”的在线版本,并测试了在线交付的可行性和满意度。在第一阶段,我们使用定性方法来确定在线版本中需要保留的面对面程序的哪些元素以及支持用户体验所需的调整。在第二阶段,我们创建了一个在线程序的原型,并根据用户反馈迭代地对其进行改进。在第3阶段,我们评估了基于课堂出勤率和课程完成情况的在线交付的可行性;我们使用定量和定性成分的课程后评估调查评估了满意度和参与者报告的结果。来自27名参与者(14名PLWD,13名CP)的第一阶段研究结果揭示了与在线交付药物相关的三个关键因素:技术使用,作为主要动力的社会联系和身体安全问题。在25名参与者(14名PLWD,11名CP)中进行的第2阶段迭代测试对计划交付和教学元素进行了关键改进;第3阶段试点测试包括39名参与者(12名PLWD,15名CP,12名MCI),他们参加了24节课的75 ± 29%; 77%完成了为期12周的计划,其中96%将其评为优秀或良好。受试者报告的结果包括社会联系、情感健康、身体功能、认知功能和以现在为中心的身体意识的改善。PLWD或MCI也报告了自我概念的改善,CP报告了自我效能的改善。主要的挑战涉及技术的参与者导航。"共同行动“在线计划对PLWD或MCI和CP是可行的,参与者报告了多个领域的高满意度和积极成果。提供个人技术支持对于痴呆症在线干预措施的成功至关重要。
Preventing Loss of Independence through Exercise (PLIÉ) is an in-person group mind-body movement program for people across the spectrum of cognitive decline and care partners (CPs). This study developed and refined an online version called Moving Together and tested feasibility and satisfaction with an online delivery. In Phase 1, we used qualitative methods to determine which elements of the in-person program were essential to retain for the online version and adaptations that would be needed to support the user experience. In Phase 2, we created a prototype of the online program and iteratively refined it based on user feedback. In Phase 3, we assessed feasibility of online delivery based on class attendance and program completion; we assessed satisfaction and participant-reported outcomes using a post-program evaluation survey with quantitative and qualitative components. Phase 1 findings from 27 participants (14 PLWD, 13 CPs) revealed three key considerations related to online delivery of PLIÉ: technology use, social connection as a primary motivator, and physical safety concerns. Phase 2 iterative testing among 25 participants (14 PLWD, 11 CPs) resulted in key refinements to program delivery and instructional elements; Phase 3 pilot testing included 39 participants (12 PLWD, 15 CPs, 12 MCI) who attended 75 ± 29% of 24 classes; 77% completed the 12-week program, of whom 96% rated it as excellent or good. Participant-reported outcomes included improvements in social connection, emotional well-being, physical function, cognitive function and present-centered body awareness. PLWD or MCI also reported improvements in self-concept, and CPs reported improvements in caregiving self-efficacy. The primary challenges were related to participant navigation of technology. The Moving Together online program is feasible for PLWD or MCI and CPs with participants reporting high satisfaction and positive outcomes across multiple domains. Providing individual technology support is critical for the success of livestreamed, online interventions for dementia.
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