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A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial
IMPORTANCE/OBJECTIVE: To describe the feasibility and acceptability of a 6-month web-based multidomain lifestyle training intervention for community-dwelling older people and to test the effects of the intervention on both function- and lifestyle-related outcomes. DESIGN: 6-month, parallel-group, ra...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754697/ https://www.ncbi.nlm.nih.gov/pubmed/33569560 http://dx.doi.org/10.14283/jpad.2020.70 |
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author | de Souto Barreto, Philipe Pothier, K. Soriano, G. Lussier, M. Bherer, L. Guyonnet, S. Piau, A. Ousset, P.-J. Vellas, B. |
author_facet | de Souto Barreto, Philipe Pothier, K. Soriano, G. Lussier, M. Bherer, L. Guyonnet, S. Piau, A. Ousset, P.-J. Vellas, B. |
author_sort | de Souto Barreto, Philipe |
collection | PubMed |
description | IMPORTANCE/OBJECTIVE: To describe the feasibility and acceptability of a 6-month web-based multidomain lifestyle training intervention for community-dwelling older people and to test the effects of the intervention on both function- and lifestyle-related outcomes. DESIGN: 6-month, parallel-group, randomized controlled trial (RCT). SETTING: Toulouse area, South-West, France. PARTICIPANTS: Community-dwelling men and women, ≥ 65 years-old, presenting subjective memory complaint, without dementia. INTERVENTION: The web-based multidomain intervention group (MIG) received a tablet to access the multidomain platform and a wrist-worn accelerometer measuring step counts; the control group (CG) received only the wrist-worn accelerometer. The multidomain platform was composed of nutritional advices, personalized exercise training, and cognitive training. MAIN OUTCOMES AND MEASURES: Feasibility, defined as the proportion of people connecting to ≥75% of the prescribed sessions, and acceptability, investigated through content analysis from recorded semi-structured interviews. Secondary outcomes included clinical (eg, cognitive function, mobility, health-related quality of life (HRQOL)) and lifestyle (eg, step count, food intake) measurements. RESULTS: Among the 120 subjects (74.2 ± 5.6 years-old; 57.5% women), 109 completed the study (n=54, MIG; n=55, CG). 58 MIG subjects connected to the multidomain platform at least once; among them, adherers of ≥75% of sessions varied across multidomain components: 37 people (63.8% of 58 participants) for cognitive training, 35 (60.3%) for nutrition, and three (5.2%) for exercise; these three persons adhered to all multidomain components. Participants considered study procedures and multidomain content in a positive way; the most cited weaknesses were related to exercise: too easy, repetitive, and slow progression. Compared to controls, the intervention had a positive effect on HRQOL; no significant effects were observed across the other clinical and lifestyle outcomes. CONCLUSIONS AND RELEVANCE: Providing multidomain lifestyle training through a web-platform is feasible and well-accepted, but the training should be challenging enough and adequately progress according to participants’ capabilities to increase adherence. Recommendations for a larger on-line multidomain lifestyle training RCT are provided. |
format | Online Article Text |
id | pubmed-7754697 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-77546972020-12-22 A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial de Souto Barreto, Philipe Pothier, K. Soriano, G. Lussier, M. Bherer, L. Guyonnet, S. Piau, A. Ousset, P.-J. Vellas, B. J Prev Alzheimers Dis Original Research IMPORTANCE/OBJECTIVE: To describe the feasibility and acceptability of a 6-month web-based multidomain lifestyle training intervention for community-dwelling older people and to test the effects of the intervention on both function- and lifestyle-related outcomes. DESIGN: 6-month, parallel-group, randomized controlled trial (RCT). SETTING: Toulouse area, South-West, France. PARTICIPANTS: Community-dwelling men and women, ≥ 65 years-old, presenting subjective memory complaint, without dementia. INTERVENTION: The web-based multidomain intervention group (MIG) received a tablet to access the multidomain platform and a wrist-worn accelerometer measuring step counts; the control group (CG) received only the wrist-worn accelerometer. The multidomain platform was composed of nutritional advices, personalized exercise training, and cognitive training. MAIN OUTCOMES AND MEASURES: Feasibility, defined as the proportion of people connecting to ≥75% of the prescribed sessions, and acceptability, investigated through content analysis from recorded semi-structured interviews. Secondary outcomes included clinical (eg, cognitive function, mobility, health-related quality of life (HRQOL)) and lifestyle (eg, step count, food intake) measurements. RESULTS: Among the 120 subjects (74.2 ± 5.6 years-old; 57.5% women), 109 completed the study (n=54, MIG; n=55, CG). 58 MIG subjects connected to the multidomain platform at least once; among them, adherers of ≥75% of sessions varied across multidomain components: 37 people (63.8% of 58 participants) for cognitive training, 35 (60.3%) for nutrition, and three (5.2%) for exercise; these three persons adhered to all multidomain components. Participants considered study procedures and multidomain content in a positive way; the most cited weaknesses were related to exercise: too easy, repetitive, and slow progression. Compared to controls, the intervention had a positive effect on HRQOL; no significant effects were observed across the other clinical and lifestyle outcomes. CONCLUSIONS AND RELEVANCE: Providing multidomain lifestyle training through a web-platform is feasible and well-accepted, but the training should be challenging enough and adequately progress according to participants’ capabilities to increase adherence. Recommendations for a larger on-line multidomain lifestyle training RCT are provided. Springer International Publishing 2020-12-04 2021 /pmc/articles/PMC7754697/ /pubmed/33569560 http://dx.doi.org/10.14283/jpad.2020.70 Text en © Serdi and Springer Nature Switzerland AG 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Research de Souto Barreto, Philipe Pothier, K. Soriano, G. Lussier, M. Bherer, L. Guyonnet, S. Piau, A. Ousset, P.-J. Vellas, B. A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
title | A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
title_full | A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
title_fullStr | A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
title_full_unstemmed | A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
title_short | A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
title_sort | web-based multidomain lifestyle intervention for older adults: the emind randomized controlled trial |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754697/ https://www.ncbi.nlm.nih.gov/pubmed/33569560 http://dx.doi.org/10.14283/jpad.2020.70 |
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