Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study.

Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study.
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DOI:
10.3390/ijerph192316361
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发表时间:
2022-12-06
影响因子:
--
通讯作者:
Najafi, Bijan
Najafi, Bijan
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Park, Catherine;Mishra, Ram Kinker;York, Michele K.;Enriquez, Ana;Lindsay, Abigail;Barchard, Gregory;Vaziri, Ashkan;Najafi, Bijan

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预期寿命的提高正在增加患有运动认知能力下降的老年人的数量。不幸的是,传统的平衡锻炼计划并不适合有认知障碍的患者,并且由于无人监督的设置,锻炼坚持性通常很差。本研究描述了一种基于传感器的家庭互动锻炼系统的可接受性和可行性,称为远程游戏,用于轻度认知障碍(MCI)或痴呆症的老年人。我们的远程训练游戏是专门设计的,以提高平衡和认知在分心条件反射,而远程医疗接口远程监督的运动,其演习是游戏化的平衡任务与明确的增强视觉反馈。14名患有MCI或痴呆的成年人(年龄= 68.1 ± 5.4岁,12名女性)参加了每周两次的exergame,持续6周。在6周前和6周后,采用技术接受模型(TAM)问卷评估被试的接受程度,采用蒙特利尔认知评定量表(莫卡)和贝克焦虑量表(BAI)分别评估被试的认知和焦虑水平。结果支持的可接受性,感知的好处,和积极的态度使用该系统。这项研究的结果支持远程游戏的可行性,可接受性和潜在的好处,以保持认知功能的MCI和老年痴呆症的老年人。
Improved life expectancy is increasing the number of older adults who suffer from motor-cognitive decline. Unfortunately, conventional balance exercise programs are not tailored to patients with cognitive impairments, and exercise adherence is often poor due to unsupervised settings. This study describes the acceptability and feasibility of a sensor-based in-home interactive exercise system, called tele-Exergame, used by older adults with mild cognitive impairment (MCI) or dementia. Our tele-Exergame is specifically designed to improve balance and cognition during distractive conditioning while a telemedicine interface remotely supervises the exercise, and its exercises are gamified balance tasks with explicit augmented visual feedback. Fourteen adults with MCI or dementia (Age = 68.1 ± 5.4 years, 12 females) participated and completed exergame twice weekly for six weeks at their homes. Before and after 6 weeks, participants’ acceptance was assessed by Technology Acceptance Model (TAM) questionnaire, and participants’ cognition and anxiety level were evaluated by the Montreal Cognitive Assessment (MoCA) and Beck Anxiety Inventory (BAI), respectively. Results support acceptability, perceived benefits, and positive attitudes toward the use of the system. The findings of this study support the feasibility, acceptability, and potential benefit of tele-Exergame to preserve cognitive function among older adults with MCI and dementia.
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