Effect of self-determination theory-based integrated creative art (SDTICA) program on older adults with mild cognitive impairment in nursing homes: Study protocol for a cluster randomised controlled trial

被引:0
|
作者
Huang, Chen-shan [1 ]
Yan, Yuan-jiao [1 ,2 ,3 ]
Lin, Rong [1 ,2 ,3 ]
Sun, Wen-qian [1 ]
Ye, Yu [1 ]
Wang, Na-fang [1 ]
Li, Hong [1 ,2 ,3 ]
机构
[1] Fujian Med Univ, Sch Nursing, 1 Xueyuan Rd, Fuzhou 350122, Fujian, Peoples R China
[2] Fujian Prov Hosp, Shengli Clin Med Coll, 134 Dongjie St, Fuzhou 350001, Fujian, Peoples R China
[3] Fujian Med Univ, 134 Dongjie St, Fuzhou 350001, Fujian, Peoples R China
基金
中国国家自然科学基金;
关键词
Art; Cluster-randomised controlled trial; Non-pharmacological intervention; Nursing home; Older adults; Self-determination theory; ALZHEIMERS-DISEASE; LEISURE ACTIVITIES; THERAPY; MOTIVATION; INTERVENTIONS; FACILITATION; ADHERENCE; DEMENTIA; EXERCISE; EFFICACY;
D O I
10.1186/s12877-023-03896-0
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background The cognitive benefits of early non-pharmacological approaches have been demonstrated in older adults with mild cognitive impairment (MCI). However, older adults living in nursing homes have more severe cognitive impairment problems and lower initiative and compliance to participate in complex interventions. Hence, it important to investigate more attractive and sustainable methods to prevent or delay cognitive decline. The present study adopts the self-determination theory (SDT) as a theoretical framework to innovatively develop an integrated art-based intervention for older adults with MCI in nursing homes in China and aims to evaluate its effects on cognitive function, mental health, and other health-related outcomes.Methods The study is a nursing home-based, cluster randomised controlled trial (RCT) that targets older adults (aged = 60 years) with MCI in Fuzhou City, China. All nursing homes in the area covered by Fuzhou City are invited to participate. Eligible nursing homes are randomised to one of two groups: intervention group (receive a 14-week, 27-session intervention) and waitlist control group (receive the usual care). The SDT-based integrated creative art (SDTICA) program reasonably adopts the SDT as a theoretical framework to innovatively develop an integrated art-based intervention for older adults with MCI in nursing homes. The primary (global cognitive function and psychological indicator) and secondary (daily activity function, social function, and specific domains of cognitive function) outcomes will be measured at baseline, after the intervention, and during follow-up.Discussion This study aims to evaluate the effects of SDTICA program on neuropsychological outcomes in older adults with MCI and provide scientific evidence for art-based non-pharmacologic interventions in nursing homes, which may reduce dementia risk in older adults with MCI.
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页数:11
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