Feasibility and Effectiveness of a Personalized Home-Based Motor-Cognitive Training Program in Community-Dwelling Older Adults: Protocol for a Pragmatic Pilot Randomized Controlled Trial

被引:2
作者
Seinsche, Julia [1 ,7 ]
de Bruin, Eling D. [1 ,2 ,3 ]
Saibene, Enrico [4 ]
Rizzo, Francesco [4 ]
Carpinella, Ilaria [4 ]
Ferrarin, Maurizio [4 ]
Ifanger, Sarina [1 ]
Moza, Sotiria [5 ]
Giannouli, Eleftheria [1 ,6 ]
机构
[1] Eidgenoss TH Zurich, Inst Human Movement Sci & Sport, Dept Hlth Sci & Technol, Motor Control & Learning Grp, Zurich, Switzerland
[2] OST Eastern Swiss Univ Appl Sci, Dept Hlth, St Gallen, Switzerland
[3] Karolinska Inst, Dept Neurobiol Care Sci & Soc, SE-14183 Huddinge, Sweden
[4] Fdn Don Carlo Gnocchi Onlus, Ist Ricovero & Cura Carattere Sci, Milan, Italy
[5] Materia Grp, Nicosia, Cyprus
[6] Univ Basel, Div Sports & Exercise Med, Dept Sport Exercise & Hlth, Basel, Switzerland
[7] Eidgenoss TH Zurich, Inst Human Movement Sci & Sport, Dept Hlth Sci & Technol, Motor Control & Learning Grp, Leopold Ruzicka Weg 4,HCP H 24 3, CH-8093 Zurich, Switzerland
关键词
telerehabilitation; home-based; eHealth; exergaming; older adults; motor-cognitive training; feasibility; pragmatic trial; PHYSICAL-ACTIVITY; BALANCE; EXERGAMES; INTERVENTIONS; METAANALYSIS; STRENGTH; EXERCISE; AGE; GO;
D O I
10.2196/49377
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Exergame-based motor-cognitive training in older adults has been associated with improvements in physical, cognitive, and psychological functioning. The novel Cocare system (Dividat GmbH), developed through a user-centered design process, allows motor-cognitive training in a telerehabilitation setting. It includes (1) a stationary stepping platform for supervised exergame training (Dividat Senso; Dividat GmbH), (2) a home-based version (Dividat Senso Flex, which is a rollable pressure-sensitive mat; Dividat GmbH), (3) an assessment system (including motor-cognitive tests), and (4) a rehabilitation cockpit for remote training supervision and management.Objective: The aim of this study is to test the feasibility and effectiveness of this novel training system.Methods: A total of 180 older adults from Switzerland, Italy, and Cyprus aged >= 60 years with a prescription for rehabilitation are randomly allocated to an intervention group or a control group. Both groups continue with their usual care, whereas participants in the intervention group additionally perform a 2-week supervised exergame training program at rehabilitation centers, followed by a 10-week home training program under remote supervision. The assessment system is used to indicate the start level of each participant, and, in both intervention periods, standardized progression rules are applied. The measures of feasibility include adherence, attrition, exergame enjoyment, willingness to perform such a training program, and the number and types of help requests. Effectiveness is assessed in terms of cognitive and physical functioning, balance confidence, and quality of life.Results: Data collection started in February 2023 and is ongoing. Final measurements are expected to be performed in January 2024. Conclusions: Owing to the user-centered design approach, the Cocare system is expected to be user-friendly and offers several novel features to cover the whole continuum of care. This pragmatic trial will provide valuable information regarding final necessary adaptations and subsequent implementation efforts.
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页数:14
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