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EXCEL ‐ EXercise for Cognitive hEaLth: A pilot 12‐week online home‐based physical activity program for middle‐aged and older adults with cognitive and mental health concerns

Ellis, Kathryn A ; Curran, Eleanor ; Moorhead, Rebecca Anne ; Cox, Kay L ; Southam, Jennifer Amanda ; Westphal, Alissa ; Lai, Rhoda ; Rego, Thomas W H ; Rego, Thomas W H ; Palmer, Victoria J ; Anstey, Kaarin J. ; Coulson, Brett ; Lautenschlager, Nicola T ; Moss, Francine

Alzheimer's & dementia, 2023-12, Vol.19 (S23), p.n/a [Periódico revisado por pares]

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  • Título:
    EXCEL ‐ EXercise for Cognitive hEaLth: A pilot 12‐week online home‐based physical activity program for middle‐aged and older adults with cognitive and mental health concerns
  • Autor: Ellis, Kathryn A ; Curran, Eleanor ; Moorhead, Rebecca Anne ; Cox, Kay L ; Southam, Jennifer Amanda ; Westphal, Alissa ; Lai, Rhoda ; Rego, Thomas W H ; Rego, Thomas W H ; Palmer, Victoria J ; Anstey, Kaarin J. ; Coulson, Brett ; Lautenschlager, Nicola T ; Moss, Francine
  • É parte de: Alzheimer's & dementia, 2023-12, Vol.19 (S23), p.n/a
  • Descrição: Background Physical inactivity significantly increases dementia risk (DR). For middle‐aged and older adults with co‐occurring cognitive concerns/impairment and mental health symptoms, DR increases further. Clinical trials indicate lower adherence to PA interventions for dementia risk reduction in such high risk‐group, and interventions tailored to support unique behaviour change needs are required. In EXCEL Phase 1 we developed a model to understand Physical Activity (PA) behavior change needs in this population and identify tailoring requirements to enhance engagement (see Curran et al. AAIC‐23, submitted). Here we report findings of our trial of a pragmatic online intervention to support middle‐aged and older adults with Subjective Cognitive Decline (SCD) or Mild Cognitive Impairment (MCI) and mild‐moderate symptoms of depression, anxiety or stress to adopt and maintain PA. Method An online individual 12‐week home‐based PA intervention. Participants aged 45‐80 years, experiencing both cognitive (SCD or MCI) and mild‐moderate mental health symptoms (measured by the Depression Anxiety and Stress Scale ‐ DASS‐21) were prescribed individually tailored PA programs combining aerobic and strength PA; plus balance training as indicated, with fortnightly online coaching from researchers. Acceptability, feasibility, safety, and effectiveness (including pre‐post change in PA and mental health scores) were measured. Result 55 participants were enrolled (46 females/9 males; mean age = 62.2 years). Retention was high (95%) and the intervention was well received; 98% finding it useful, 100% stating they would recommend to others. The intervention was safe, utilizing a system of email alerts/queries to the study medical team (44 alerts), PA team (35 queries/requests), individual exercise specialist (3 zoom sessions) and case conferences. Mental health improved across all DASS‐21 dimensions. Community Healthy Activities Model Program for Seniors (CHAMPS) scores improved post‐intervention, with higher frequency of all moderate/high intensity exercise (from 8.1 to 12.4 times/week), more strength training frequency (0.8 to 2.5 times/week) and longer time spent strength training (25 to 65 mins/week). Balance activity (older adults only) frequency increased from 0.5 ‐ 4 times/week. Conclusion This home‐based online intervention, using the Capability, Opportunity, and Motivation model of behavior change, successfully helped an at‐risk cohort adopt and maintain PA in line with Australian PA guidelines.
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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