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Posts tagged #DualTaskTraining

JMIR Publications

@jmirpub.bsky.social

1 day ago

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360°-Based Cognitive-Motor Training System for Older Adults With Cognitive Impairment: User-Centered Design and Evaluation Study Background: Evidence suggests that older adults can improve dual-task (DT) performance through specific motor-cognitive training programs. Recent technological advancements have facilitated the development of novel rehabilitative DT methodologies. In particular, the DUAL-REHAB project exploits 360° technology to develop ecological, cost-effective DT exercises for clinical and home settings. Objective: This study aimed to comprehensively understand the DUAL-REHAB project’s end users (older adults with subjective memory complaints [SMC] and mild cognitive impairment [MCI]) and obtain feedback on an initial DUAL-REHAB mobile app prototype using a user-centered design approach. Methods: The study used a 2-phase procedure. In the first phase (user requirements), we investigated end users’ lifestyles, habits, perceived well-being, technology adoption, and cognitive and cognitive-motor DT training expectations. In the second phase (prototype evaluation), we developed and tested a DUAL-REHAB mobile app prototype to assess its functionality with end users. Results: Overall, 14 participants were initially recruited for the study. The sample included 7 women with a mean age of 79 (SD 3.79) years and 7 men with a mean age of 82.43 (SD 5.65) years. One female participant was excluded for not meeting the criteria for either group; accordingly, the final sample study included 13 participants, with 8 categorized as MCI and 5 categorized as SMC. Participants reported structured daily routines with high autonomy, although some faced challenges with social connections. Perceived well-being was moderate across physical (mean 2.79, SD 0.97), psychological (mean 3.14, SD 0.86), and cognitive (mean 3.14, SD 0.53) domains. The perceived technology skills were low (mean 2.57, SD 0.94), with low digital literacy (mean 2.21, SD 0.89). Interest in cognitive training was high, with 92.31% (12/13) participants aware of its benefits and demonstrating strong interest (mean 4.15, SD 1.34) and perceived use (mean 4.15, SD 1.28). While only 46.15% (6/13) were aware of the possibility of DT training with technology, 92.31% (12/13) were willing to participate, and 84.61% (11/13) were open to home-based training. The preferred frequency was 2-3 days per week (63.64%, 7/11), with 10-20 minute sessions (8/11, 72.72%). Prototype evaluation revealed specific usability issues related to icon identification, device interaction, and navigation between training days. Conclusions: We obtained valuable insights into the lifestyles, habits, and technological needs of older adults with MCI and SMC, which will guide DUAL-REHAB training development to align with user needs and capabilities. Our findings emphasize the importance of simplified technological processes with intuitive interfaces. Additionally, structured interaction opportunities during clinical and at-home training could enhance motivation, facilitate timely problem resolution, and address participants’ social needs. Trial Registration:

New in JMIR Aging: 360°-Based Cognitive-Motor Training System for Older Adults With Cognitive Impairment: User-Centered Design and Evaluation Study #Aging #CognitiveHealth #MotorSkills #DualTaskTraining #OlderAdults

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JMIR Publications

@jmirpub.bsky.social

9 months ago

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Online Group–Based Dual-Task Training to Improve Cognitive Function of Community-Dwelling Older Adults: Randomized Controlled Feasibility Study Background: Cognitive training for older adults is crucial before cognitive impairment emerges. During periods of social distancing like the #covid19 pandemic, cognitive stimuli are lacking. Online dual-task training is proposed as a solution to address these needs. Objective: We aimed to explore the feasibility, acceptance, and potential effects of online group-based dual-task training as an intervention for enhancing cognitive function among community-dwelling older adults. Methods: A randomized controlled feasibility study was conducted with 76 participants in Hong Kong, randomly assigned to the intervention and attention control groups in a ratio of 2:1 (n=50, 66% and n=26, 34%, respectively). The intervention group underwent 60-minute online dual-task training sessions twice a week for 12 weeks, incorporating cognitive components (upper limb and finger movement, arithmetic operation, and verbal fluency) and physical components (chair-based exercises) developed through a co-design approach. The attention control group received online health talks. Outcomes related to feasibility and acceptance included class attendance and self-reported satisfaction. Main outcomes related to potential effects included the Memory Inventory in Chinese and the Montreal Cognitive Assessment 5 Minutes (Hong Kong Version) at baseline, 6 weeks (midintervention), 12 weeks (postintervention) and 18 weeks (follow-up). Descriptive statistics and linear mixed effects models were used. Effect size was described with Cohen d. Qualitative feedback was collected from 12 informants and analyzed by thematic analysis. Results: About 72% (36/50) of the participants in the intervention group and 62% (16/26) in the control group attended over 75% of the classes. In total, 44 (88%) participants from the intervention group provided acceptance feedback; 82% (36/44) were satisfied and 84% (37/44) would recommend the training to others. Improvement in the Memory Inventory in Chinese score in the intervention group was observed at midintervention, postintervention, and follow-up, with a medium-to-large effect size (d=0.65, 0.43 and 0.85, respectively). Adjusting for baseline values, the between-group differences in the Montreal Cognitive Assessment 5 Minutes (Hong Kong Version) score attained a small-to-medium effect size at midintervention (d=0.34) and postintervention (d=0.23). Qualitative feedback highlighted the timesaving and convenient aspects of online dual-task training, with participants finding the sessions challenging and enjoyable, and reporting benefits across cognitive, physical, and psychosocial domains. However, a preference for traditional in-person training was noted among the older adults despite the advantages of online training. Conclusions: Online dual-task training is a feasible intervention accepted by the older adults, with potential benefits in cognitive abilities. Online training may complement in-person sessions. Further investigation in a full-scale randomized controlled trial is warranted to comprehensively explore its effects and address areas for improvement. Trial Registration: ClinicalTrials.gov NCT05573646; https://clinicaltrials.gov/study/NCT05573646

New in JMIR Aging: Online Group–Based Dual-Task Training to Improve Cognitive Function of Community-Dwelling Older Adults: Randomized Controlled Feasibility Study #CognitiveTraining #OlderAdults #MentalHealth #DualTaskTraining #OnlineLearning

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