Perceptions About Dyadic Physical Activity Intervention for Rural-Dwelling People With Cognitive Impairment.
Background/Objectives: Rural populations face an elevated risk of Alzheimer's disease and related dementias partially attributed to modifiable risk factors such as physical inactivity. The study gathered key community partners' perspectives about (a) feasibility of implementing the telerehabilitatio...
| Publicado en: | Journal of Aging & Physical Activity Vol. 33; no. 6; pp. 548 - 557 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Human Kinetics Publishers, Inc.
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189502736&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189502736 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10638652 0DL jtl: Journal of Aging & Physical Activity issn: 10638652 maglogo: N pubinfo: dt: Dec2025 vid: 33 iid: 6 pid: 553 pub: Human Kinetics Publishers, Inc. artinfo: ui: 189502736 10.1123/japa.2024-0139 ppf: 548 ppct: 9 formats: tig: atl: Perceptions About Dyadic Physical Activity Intervention for Rural-Dwelling People With Cognitive Impairment. aug: au: Hoffman, Rashelle M. Murphy, Blake R. Watanabe-Galloway, Shinobu Vidoni, Eric D. Riffin, Catherine A. Monin, Joan K. affil: Department of Physical Therapy, Creighton University, Omaha, NE, USA Department of Epidemiology, University of Nebraska Medical Center, Omaha, NE, USA Buffett Cancer Center Community Outreach & Engagement (BCC COE) Office, University of Nebraska Medical Center, Omaha, NE, USA University of Kansas Medical Center, Kansas City, KS, USA Department of Medicine, Weill Cornell Medicine, New York, NY, USA Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA su: Nebraska Community health services Internet access Human services programs Focus groups Qualitative research Evaluation of human services programs Responsibility Privacy Rural health services Caregivers Patient-centered care Sound recordings Motivation (Psychology) Rural population Trust Health promotion Social support Behavior therapy Social stigma Medical ethics Patients' attitudes COVID-19 pandemic Research funding Independent living Exercise therapy Telerehabilitation Thematic analysis Walking Cognition disorders Weather Physical activity sug: subj: Community health services Internet access Human services programs Focus groups Qualitative research Evaluation of human services programs Responsibility Privacy Rural health services Caregivers Patient-centered care Sound recordings Motivation (Psychology) Rural population Trust Health promotion Social support Behavior therapy Social stigma Medical ethics Patients' attitudes COVID-19 pandemic Nebraska Residential Mental Health and Substance Abuse Facilities Other local, municipal and regional public administration Community health centres All Other Outpatient Care Centers Other Individual and Family Services Integrated Record Production/Distribution Sound recording merchant wholesalers Record Production Research funding Independent living Exercise therapy Telerehabilitation Thematic analysis Walking Cognition disorders Weather Physical activity keyword: mild cognitive impairment qualitative rural health telerehabilitation walking mild cognitive impairment qualitative rural health telerehabilitation walking ab: Background/Objectives: Rural populations face an elevated risk of Alzheimer's disease and related dementias partially attributed to modifiable risk factors such as physical inactivity. The study gathered key community partners' perspectives about (a) feasibility of implementing the telerehabilitation physical activity behavioral (TPAB) intervention, a virtual program aimed at increasing daily stepping with sensor-based monitoring, and (b) necessary adaptions for implementation for rural-dwelling people with cognitive impairment and care partners (dyads). Methods: Eleven rural-dwelling individuals (three medical providers, four older adults, and four care partners of individuals with mild cognitive impairment) in Nebraska were recruited for a focus group via fliers and word of mouth. The person-based approach was used to gain the perspectives of participants during a 1-hr group discussion regarding six dimensions of feasibility. Session transcriptions were analyzed using thematic analysis. Results: Participants highlighted the need to improve physical activity in the community and supported care partners receiving TPAB alongside individuals with mild cognitive impairment. Suggested modifications to TPAB included, establishing a local champion, integrating local resources, involving primary care providers, setting recruitment deadlines, using participant testimonies for recruitment, and emphasizing program individualization. Conclusion: Overall, participants perceived TPAB was practical, feasible, and necessary for rural-dwelling participants with cognitive impairment and their care partners; however, several adaptations and the creation of the Cognitive Impairment Rural Community—TPAB are required to optimize rural implementation. Significance/Implications: There is an identified need for the TPAB intervention with outlined redesign approaches to facilitate intervention development and rural implementation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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