1. The feasibility of a stepping exergame prototype for older adults with major neurocognitive disorder residing in a long-term care facility: a mixed methods pilot study.
- Author
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Swinnen, Nathalie, de Bruin, Eling D., Guimarães, Vânia, Dumoulin, Chantal, De Jong, Jacqueline, Akkerman, Riekje, Vandenbulcke, Mathieu, Stubbs, Brendon, and Vancampfort, Davy
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LEG physiology , *COMPETENCY assessment (Law) , *COGNITION disorders , *PILOT projects , *WALKING speed , *AEROBIC capacity , *NONPARAMETRIC statistics , *MEMORY , *HAPPINESS , *GAIT in humans , *RESEARCH methodology , *POSTURAL balance , *EFFECT sizes (Statistics) , *CARDIOPULMONARY fitness , *MOTIVATION (Psychology) , *INTERVIEWING , *QUANTITATIVE research , *MANN Whitney U Test , *FISHER exact test , *HEALTH status indicators , *NURSING care facilities , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *QUALITATIVE research , *NEUROPSYCHOLOGICAL tests , *PSYCHOLOGICAL tests , *COMPARATIVE studies , *PRE-tests & post-tests , *PATIENTS' attitudes , *SLEEP , *RESEARCH funding , *ANALYSIS of covariance , *QUESTIONNAIRES , *MUSCLE strength , *PATHOLOGICAL psychology , *MENTAL depression , *QUALITY of life , *SOUND recordings , *DESCRIPTIVE statistics , *ATTENTION , *EXERCISE intensity , *GERIATRIC rehabilitation , *STATISTICAL sampling , *THEMATIC analysis , *COGNITIVE testing , *DATA analysis software , *PATIENT compliance , *EXERCISE video games , *EXERCISE therapy , *LONGITUDINAL method , *PATIENT safety , *OLD age - Abstract
To explore the feasibility of an exergame prototype in residential individuals with major neurocognitive disorder (MNCD). Participants were randomly assigned to a 12-week stepping exergame training or traditional exercise (active control group). Semi-structured interviews were conducted after six and 12 weeks of exergaming. Qualitative data were thematically analysed using NVivo 12. The Short Physical Performance Battery, one minute sit-to-stand test, Mini-Mental State Examination (MMSE), Neuropsychiatric Inventory, Cornell Scale for Depression in Dementia, and Dementia Quality of Life were assessed at baseline and post intervention using a Quade's ANCOVA. Seven older adults with MNCD in the exergame and 11 in the active control group completed the study [mean age = 83.2 ± 6.5 years; 94.4% female; SPPB score = 7.3 ± 2.4]. Results indicated that the VITAAL exergame prototype was experienced as enjoyable and beneficial. The post-MMSE score was higher (η2=.02, p = 0.01, F = 8.1) following exergaming versus traditional exercise. The findings suggest that the exergame prototype is accepted by individuals with MNCD residing in a long-term care facility when they are able to participate and under the condition that they are extensively guided. The preliminary efficacy results revealed higher post-MMSE scores after exergaming versus traditional exercise. Future trials should confirm or refute these findings. The trial was registered in ClinicalTrials.gov (Identifier: NCT04436315) The VITAAL exergame prototype is accepted by individuals with MNCD residing in a long-term care facility who are able to participate. Supervision of exergaming by health professionals is essential for successful implementation. The VITAAL exergame prototype might maintain cognitive levels in major neurocognitive disorder longer than walking combined with standardised squatting and stepping exercises. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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