Community-Based Physical Activity Program for Patients with MCI

Project: National Science and Technology CouncilNational Science and Technology Council Academic Grants

Project Details

Abstract

Mild cognitive impairment (MCI) is a common clinical syndrome that identifies people at high risk of developing dementia. Although treatments for MCI are currently unavailable, preliminary evidence has identified potential neuro-protective effects of physical activity (PA), which may lead to improved outcomes. However, there is uncertainty regarding the effectiveness, feasibility and acceptability of this treatment strategy. These uncertainties require further investigation before physical activity interventions can be recommended for routine care. Also, the design and delivery of an appropriate PA programme for people with MCI is challenging for having physical, psychological, cognitive, and social barriers. This project is proposed to be a three-year project. The purposes of this project are to identify the major PA barriers variables and patterns central to patients with MCI who live in the community and related variables in the framework, to develop and validate of the PA programs for MCI patients in community; and test the PA programs to diminish the cognitive decline among community-dwelling elderly adults with MCI in Taiwan. At the 1 st year, a saturated sample of 30 elderly with MCI and their family care givers in northern Taiwan will be invited to participate this study using qualitative approach for exploring the barriers of carrying out the PA. At the 2 nd year, we will develop and pilot test the PA intervention base on searching the literature, the results of 1 st year study and consultation of experts, then, conduct a prospective cohort study to examine its usefulness and acceptability among community-dwelling elderly with MCI. At the 3 rd year, 150 elderly adults with MCI will be recruited in to a 3-group pretest-posttest randomized controlled trial and randomly assigned to 2 experimental groups and a comparison group. Content analysis was used to analyze the thoughts of physical restraining; comparability of t the barriers of the PA. χ2 and t test will be used to test for differences the three groups; to address the effect of the intervention, the data will be analyzed using a mixed model (intend to treat)。 The results of this study can help health care providers in Taiwan to identify the PA barriers of elderly adults with MCI living in community, and individualize their interventions to the specific needs' of the elderly, thus helping to prevent from cognitive decline in Taiwan.

Project IDs

Project ID:PC10207-1351
External Project ID:NSC102-2314-B182-018
StatusFinished
Effective start/end date01/08/1331/07/14

Keywords

  • Elderly adult
  • MCI
  • Physical activity
  • Barrier
  • intervention

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