Cargando…
Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline
BACKGROUND: Subjective cognitive decline (SCD) is a self-reported experience of declining cognitive function showing normal performance in cognitive assessments, which is a known risk factor for dementia. Recent studies highlight the importance of nonpharmacological multidomain interventions that ca...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
IOS Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357136/ https://www.ncbi.nlm.nih.gov/pubmed/37212108 http://dx.doi.org/10.3233/JAD-221299 |
_version_ | 1785075429233655808 |
---|---|
author | Lee, Jaegyeong Kim, Junhyoung Park, Ayeong Hong, Rak-kyeun Ko, Myungjin Heo, Mina Kim, Hoowon Chung, Ji Yeon |
author_facet | Lee, Jaegyeong Kim, Junhyoung Park, Ayeong Hong, Rak-kyeun Ko, Myungjin Heo, Mina Kim, Hoowon Chung, Ji Yeon |
author_sort | Lee, Jaegyeong |
collection | PubMed |
description | BACKGROUND: Subjective cognitive decline (SCD) is a self-reported experience of declining cognitive function showing normal performance in cognitive assessments, which is a known risk factor for dementia. Recent studies highlight the importance of nonpharmacological multidomain interventions that can target multiple risk factors of dementia in older adults. OBJECTIVE: This study investigated the efficacy of the Silvia program, a mobile-based multidomain intervention, to improve cognitive function and health-related outcomes of older adults with SCD. We compare its effects to a conventional paper-based multidomain program on various health indicators related to risk factors of dementia. METHODS: This prospective randomized controlled trial involved 77 older adults with SCD recruited from the Dementia Prevention and Management Center in Gwangju, South Korea during May to October 2022. Participants were randomly assigned to either the mobile- or paper-based group. Interventions were administered for 12 weeks, where pre- and post-assessments were conducted. RESULTS: The K-RBANS total score did not show significant differences between groups. The mobile group showed better improvement in K-PRMQ scores and PSS scores than the paper group. Differences within groups showed that mobile-based interventions significantly improved K-PRMQ, STAI-X-1, PSS, and EQ-5D-5 L scores, while paper-based interventions significantly improved PSS, and EQ-5D-5 L scores. Patient adherence rate was 76.6%. CONCLUSION: Overall, the Silvia program was effective for improving self-reported memory failures, stress, anxiety, and health-related quality of life in older adults with SCD. However, longer periods of administration for more than 12 weeks may be needed to achieve significant improvements in cognitive function by objective measures. |
format | Online Article Text |
id | pubmed-10357136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | IOS Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-103571362023-07-21 Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline Lee, Jaegyeong Kim, Junhyoung Park, Ayeong Hong, Rak-kyeun Ko, Myungjin Heo, Mina Kim, Hoowon Chung, Ji Yeon J Alzheimers Dis Research Article BACKGROUND: Subjective cognitive decline (SCD) is a self-reported experience of declining cognitive function showing normal performance in cognitive assessments, which is a known risk factor for dementia. Recent studies highlight the importance of nonpharmacological multidomain interventions that can target multiple risk factors of dementia in older adults. OBJECTIVE: This study investigated the efficacy of the Silvia program, a mobile-based multidomain intervention, to improve cognitive function and health-related outcomes of older adults with SCD. We compare its effects to a conventional paper-based multidomain program on various health indicators related to risk factors of dementia. METHODS: This prospective randomized controlled trial involved 77 older adults with SCD recruited from the Dementia Prevention and Management Center in Gwangju, South Korea during May to October 2022. Participants were randomly assigned to either the mobile- or paper-based group. Interventions were administered for 12 weeks, where pre- and post-assessments were conducted. RESULTS: The K-RBANS total score did not show significant differences between groups. The mobile group showed better improvement in K-PRMQ scores and PSS scores than the paper group. Differences within groups showed that mobile-based interventions significantly improved K-PRMQ, STAI-X-1, PSS, and EQ-5D-5 L scores, while paper-based interventions significantly improved PSS, and EQ-5D-5 L scores. Patient adherence rate was 76.6%. CONCLUSION: Overall, the Silvia program was effective for improving self-reported memory failures, stress, anxiety, and health-related quality of life in older adults with SCD. However, longer periods of administration for more than 12 weeks may be needed to achieve significant improvements in cognitive function by objective measures. IOS Press 2023-06-13 /pmc/articles/PMC10357136/ /pubmed/37212108 http://dx.doi.org/10.3233/JAD-221299 Text en © 2023 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Lee, Jaegyeong Kim, Junhyoung Park, Ayeong Hong, Rak-kyeun Ko, Myungjin Heo, Mina Kim, Hoowon Chung, Ji Yeon Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline |
title | Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline |
title_full | Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline |
title_fullStr | Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline |
title_full_unstemmed | Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline |
title_short | Efficacy of a Mobile-Based Multidomain Intervention to Improve Cognitive Function and Health-Related Outcomes Among Older Korean Adults with Subjective Cognitive Decline |
title_sort | efficacy of a mobile-based multidomain intervention to improve cognitive function and health-related outcomes among older korean adults with subjective cognitive decline |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357136/ https://www.ncbi.nlm.nih.gov/pubmed/37212108 http://dx.doi.org/10.3233/JAD-221299 |
work_keys_str_mv | AT leejaegyeong efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT kimjunhyoung efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT parkayeong efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT hongrakkyeun efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT komyungjin efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT heomina efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT kimhoowon efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline AT chungjiyeon efficacyofamobilebasedmultidomaininterventiontoimprovecognitivefunctionandhealthrelatedoutcomesamongolderkoreanadultswithsubjectivecognitivedecline |