Effects of nurse-led cognitive-motor dual-task training based on mobile health technology on the older adults with cognitive frailty: A quasi-experimental study.
• The cognitive-motor dual-task training program based on mobile health technology developed by nurses exhibited high feasibility and acceptability in older people with cognitive frailty. • The intervention was found to significantly improve cognitive function, frailty, physical function, and fear o...
| Publicado en: | Geriatric Nursing Vol. 61; pp. 544 - 554 |
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| Autores principales: | , , , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Elsevier B.V.
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182792751&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182792751 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01974572 1WB jtl: Geriatric Nursing issn: 01974572 maglogo: N pubinfo: dt: Jan2025 vid: 61 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 182792751 182792751 182792751 10.1016/j.gerinurse.2024.12.013 182792751 ppf: 544 ppct: 10 formats: tig: atl: Effects of nurse-led cognitive-motor dual-task training based on mobile health technology on the older adults with cognitive frailty: A quasi-experimental study. aug: au: Xue, Jiajun Zhou, Ying Yan, Yuran Mao, Qilin Lin, Feng Shen, Lijuan Ye, Zichen Li, Zheng affil: School of Nursing, Chinese Academy of Medical Science&Peking Union Medical College, Beijing, China sug: subj: Frailty Syndrome Therapy Cognition Disorders Therapy Frailty Syndrome Nursing Cognition Disorders Nursing Telehealth Home Environment Task Performance and Analysis Cognition Evaluation Gerontologic Nursing Treatment Outcomes Human Aged Aged, 80 and Over Tertiary Health Care China China Quasi-Experimental Studies Clinical Trials Pilot Studies Comparative Studies Pretest-Posttest Control Group Design Clinical Assessment Tools Geriatric Functional Assessment Fear Evaluation Accidental Falls Prevention and Control Frail Elderly Mobile Applications Gerontologic Nurse Practitioners Aged: 65+ years Aged, 80 & over ab: • The cognitive-motor dual-task training program based on mobile health technology developed by nurses exhibited high feasibility and acceptability in older people with cognitive frailty. • The intervention was found to significantly improve cognitive function, frailty, physical function, and fear of falling in older individuals with cognitive frailty, and showed a specific long-term maintenance effect. • Nurses can use their professional advantages to play an important role in the electronic health management of cognitive frailty of the elderly, which provides a valuable reference for non-pharmacological intervention of the older people in the post-epidemic era. To evaluate the feasibility and effect of nurse-led cognitive-motor dual-task training based on mobile health technology in people with cognitive frailty and investigate its potential for transforming practice in this population. From September 2021 to May 2022, a total of 74 older adults with cognitive frailty were screened at a Cognitive Memory Clinic of a tertiary hospital in Beijing. The control and intervention groups received health education related to cognitive frailty; additionally the intervention group received cognitive-motor dual-task training based on mobile health technology at home for 12 weeks, three times a week. At baseline (T 0), post-intervention (T 1) and one-year follow-up (T 2), Montreal Cognitive Assessment-Peking version (MoCA-P), Fried Frailty phenotype (FP), Short Physical Performance Battery (SPPB), and Modified Fall Efficacy Scale (MFES) were employed to evaluate cognitive function, frailty, physical function, and fear of falling, and to assess the impact of cognitive-motor dual-task training on these measures. The data collected for 65 out of 74 participants enrolled for the study was completed after 12 weeks intervention, including 34 participants in the control group and 31 participants in the intervention group. During the intervention, the majority (83.8 %) of the participants in the intervention group were able to complete the recommended intervention dose for 12 weeks under the guidance of nurses and the presence of caregivers. At the end of the 12-week intervention, the intervention group showed statistically significant improvements compared to the control in scores of MoCA-P (t =4.017, p <0.001), FP (t =3.739, p <0.001), MFES (t =4.283, p <0.001) and SPPB (t =3.548, p <0.001). At after one-year follow-up, the scores of MoCA-P (t =3.237, p <0.05), FP(t =3.725, p <0.001), and MFES (t =4.473, p <0.001) in the two groups remained statistically significant. Cognition, frailty and fear of falling were significantly affected by intergroup effects (P group <0.05), time effects (P time <0.05) and interaction effects (P group*time <0.001). The cognitive-motor dual-task training program based on mobile health technology developed by nurses exhibited high feasibility and acceptability in older people with cognitive frailty. The intervention was found to significantly improve cognitive function, frailty, physical function, and fear of falling in older individuals with cognitive frailty, and showed a specific long-term maintenance effect. This study provides evidence for the promotion and application of mobile health technology, and serves as a practical basis for home health intervention for older individuals in the post-pandemic era. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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