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A novel cognitive-motor exercise program delivered via a tablet to improve mobility in older people with cognitive impairment - StandingTall Cognition and Mobility.
Callisaya, Michele L; Jayakody, Oshadi; Vaidya, Anagha; Srikanth, Velandai; Farrow, Maree; Delbaere, Kim.
  • Callisaya ML; Peninsula Clinical School, Central Clinical School, Monash University, 2 Hastings Road, Frankston, Victoria, Australia; Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, Tasmania, Australia. Electronic address: michele.callisaya@monash.edu.
  • Jayakody O; Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, Tasmania, Australia.
  • Vaidya A; Peninsula Clinical School, Central Clinical School, Monash University, 2 Hastings Road, Frankston, Victoria, Australia.
  • Srikanth V; Peninsula Clinical School, Central Clinical School, Monash University, 2 Hastings Road, Frankston, Victoria, Australia.
  • Farrow M; Wicking Dementia Research and Education Centre, University of Tasmania, 17 Liverpool Street, Hobart, Tasmania, Australia.
  • Delbaere K; Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Barker Street, Randwick, New South Wales, Australia; School of Population Health, University of New South Wales, Kensington, New South Wales, Australia.
Exp Gerontol ; 152: 111434, 2021 09.
Article in English | MEDLINE | ID: covidwho-1258367
Semantic information from SemMedBD (by NLM)
1. Noesis PROCESS_OF Older people
Subject
Noesis
Predicate
PROCESS_OF
Object
Older people
2. Impaired cognition PROCESS_OF Older people
Subject
Impaired cognition
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PROCESS_OF
Object
Older people
3. Older people LOCATION_OF CD69 protei
Subject
Older people
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LOCATION_OF
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CD69 protei
4. telephone call ADMINISTERED_TO Control Groups
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telephone call
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ADMINISTERED_TO
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5. Noesis PROCESS_OF Older people
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Noesis
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PROCESS_OF
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Older people
6. Impaired cognition PROCESS_OF Older people
Subject
Impaired cognition
Predicate
PROCESS_OF
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Older people
7. Older people LOCATION_OF CD69 protein, human|CD69
Subject
Older people
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LOCATION_OF
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CD69 protein, human|CD69
8. telephone call ADMINISTERED_TO Control Groups
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ABSTRACT

BACKGROUND:

Evidence-based interventions to improve mobility in older people include balance, strength and cognitive training. Digital technologies provide the opportunity to deliver tailored and progressive programs at home. However, it is unknown if they are effective in older people, especially in those with cognitive impairment.

OBJECTIVE:

The aim of this study was to examine the efficacy of a novel tablet-delivered cognitive-motor program on mobility in older people with cognitive impairment.

METHODS:

This was a 6-month single-blind randomised controlled trial of older people living in the community with subjective and/or objective cognitive impairment. Participants randomised to the intervention were asked to follow a 120 min per week balance, strength and cognitive training program delivered via an app on an iPad. Both the intervention and control group received monthly phone calls and health fact sheets. The primary outcome measure was gait speed. Secondary measures included dual-task gait speed, balance (step test, FISCIT-4), 5 sit to stand test, cognition (executive function, memory, attention), mood and balance confidence. Adherence, safety, usability and feedback were also measured.

RESULTS:

The planned sample size of 110 was not reached due to COVID-19 restrictions. A total of 93 (mean age 72.8 SD 7.0 years) participants were randomised to the two groups. Of these 77 participants returned to the follow-up clinic. In intention-to-treat analysis for gait speed, there was a non-significant improvement favouring the intervention group (ß 0.04 m/s 95% CI -0.01, 0.08). There were no significant findings for secondary outcomes. Adherence was excellent (84.5%), usability of the app high (76.7% SD 15.3) and no serious adverse events were reported. Feedback on the app was positive and included suggestions for future updates.

CONCLUSION:

Due to COVID-19 the trial was under powered to detect significant results. Despite this, there was a trend towards improvement in the primary outcome measure. The excellent adherence and positive feedback about the app suggest a fully powered trial is warranted.
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Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Cognitive Dysfunction / COVID-19 Type of study: Controlled clinical trial / Observational study / Randomized controlled trials Limits: Aged / Humans Language: English Journal: Exp Gerontol Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cognitive Dysfunction / COVID-19 Type of study: Controlled clinical trial / Observational study / Randomized controlled trials Limits: Aged / Humans Language: English Journal: Exp Gerontol Year: 2021 Document Type: Article