Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Motion-Based Technology for People With Dementia Training at Home: Three-Phase Pilot Study Assessing Feasibility and Efficacy

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Petersen, Jindong Ding ; Larsen, Eva Ladekjær ; la Cour, Karen ; von Bülow, Cecilie ; Skouboe, Malene ; Christensen, Jeanette Reffstrup ; Waldorff, Frans Boch. / Motion-Based Technology for People With Dementia Training at Home : Three-Phase Pilot Study Assessing Feasibility and Efficacy. I: JMIR mental health. 2020 ; Bind 7, Nr. 8. s. e19495.

Bibtex

@article{79af1a70435c469ebad5c8f06387f0c2,
title = "Motion-Based Technology for People With Dementia Training at Home: Three-Phase Pilot Study Assessing Feasibility and Efficacy",
abstract = "BACKGROUND: Persons with dementia tend to be vulnerable to mobility challenges and hence face a greater risk of fall and subsequent fractures, morbidity, and mortality. Motion-based technologies (MBTs), also called sensor-based technologies or virtual reality, have the potential for assisting physical exercise and training as a part of a disease management and rehabilitation program, but little is known about its' use for people with dementia.OBJECTIVE: The purpose of this pilot study was to investigate the feasibility and efficacy of MBT physical training at home for people with dementia.METHODS: A 3-phase pilot study: (1) baseline start-up, (2) 15 weeks of group training at a local care center twice a week, and (3) 12 weeks of group training reduced to once a week, supplemented with individual MBT training twice a week at home. A total of 26 people with dementia from a municipality in Southern Denmark were eligible and agreed to participate in this study. Three withdrew from the study, leaving 23 participants for the final analysis. Feasibility was measured by the percentage of participants who trained with MBT at home, and their completion rate of total scheduled MBT sessions. Efficacy was evaluated by physical function, measured by Sit-to-Stand (STS), Timed-Up-and-Go (TUG), 6-minute Walk Test (6MW), and 10-meter Dual-task Walking Test (10MDW); cognitive function was measured by Mini-Mental State Examination (MMSE) and Neuropsychiatric Inventory-Questionnaire (NPI-Q); and European Quality of Life 5 dimensions questionnaire (EQOL5) was used for measuring quality of life. Descriptive statistics were applied accordingly. Wilcoxon signed-rank and rank-sum tests were applied to explore significant differences within and between the groups.RESULTS: As much as 12 of 23 participants (52%) used the supplemental MBT training at home. Among them, 6 (50%) completed 75% or more scheduled sessions, 3 completed 25% or less, and 3 completed between 25% and 75% of scheduled sessions. For physical and cognitive function tests, supplementing with MBT training at home showed a tendency of overall stabilization of scores among the group of participants who actively trained with MBT; especially, the 10MDW test even showed a significant improvement from 9.2 to 7.1 seconds (P=.03). We found no positive effect on EQOL5 tests.CONCLUSIONS: More than half of the study population with dementia used MBT training at home, and among them, half had an overall high adherence to the home training activity. Physical function tended to remain stable or even improved among high-adherence MBT individuals. We conclude that MBT training at home may be feasible for some individuals with dementia. Further research is warranted.",
author = "Petersen, {Jindong Ding} and Larsen, {Eva Ladekj{\ae}r} and {la Cour}, Karen and {von B{\"u}low}, Cecilie and Malene Skouboe and Christensen, {Jeanette Reffstrup} and Waldorff, {Frans Boch}",
note = "{\textcopyright}Jindong Ding Petersen, Eva Ladekj{\ae}r Larsen, Karen la Cour, Cecilie von B{\"u}low, Malene Skouboe, Jeanette Reffstrup Christensen, Frans Boch Waldorff. Originally published in JMIR Mental Health (http://mental.jmir.org), 26.08.2020.",
year = "2020",
month = aug,
day = "26",
doi = "10.2196/19495",
language = "English",
volume = "7",
pages = "e19495",
journal = "J M I R Mental Health",
issn = "2368-7959",
publisher = "J M I R Publications, Inc.",
number = "8",

}

RIS

TY - JOUR

T1 - Motion-Based Technology for People With Dementia Training at Home

T2 - Three-Phase Pilot Study Assessing Feasibility and Efficacy

AU - Petersen, Jindong Ding

AU - Larsen, Eva Ladekjær

AU - la Cour, Karen

AU - von Bülow, Cecilie

AU - Skouboe, Malene

AU - Christensen, Jeanette Reffstrup

AU - Waldorff, Frans Boch

N1 - ©Jindong Ding Petersen, Eva Ladekjær Larsen, Karen la Cour, Cecilie von Bülow, Malene Skouboe, Jeanette Reffstrup Christensen, Frans Boch Waldorff. Originally published in JMIR Mental Health (http://mental.jmir.org), 26.08.2020.

PY - 2020/8/26

Y1 - 2020/8/26

N2 - BACKGROUND: Persons with dementia tend to be vulnerable to mobility challenges and hence face a greater risk of fall and subsequent fractures, morbidity, and mortality. Motion-based technologies (MBTs), also called sensor-based technologies or virtual reality, have the potential for assisting physical exercise and training as a part of a disease management and rehabilitation program, but little is known about its' use for people with dementia.OBJECTIVE: The purpose of this pilot study was to investigate the feasibility and efficacy of MBT physical training at home for people with dementia.METHODS: A 3-phase pilot study: (1) baseline start-up, (2) 15 weeks of group training at a local care center twice a week, and (3) 12 weeks of group training reduced to once a week, supplemented with individual MBT training twice a week at home. A total of 26 people with dementia from a municipality in Southern Denmark were eligible and agreed to participate in this study. Three withdrew from the study, leaving 23 participants for the final analysis. Feasibility was measured by the percentage of participants who trained with MBT at home, and their completion rate of total scheduled MBT sessions. Efficacy was evaluated by physical function, measured by Sit-to-Stand (STS), Timed-Up-and-Go (TUG), 6-minute Walk Test (6MW), and 10-meter Dual-task Walking Test (10MDW); cognitive function was measured by Mini-Mental State Examination (MMSE) and Neuropsychiatric Inventory-Questionnaire (NPI-Q); and European Quality of Life 5 dimensions questionnaire (EQOL5) was used for measuring quality of life. Descriptive statistics were applied accordingly. Wilcoxon signed-rank and rank-sum tests were applied to explore significant differences within and between the groups.RESULTS: As much as 12 of 23 participants (52%) used the supplemental MBT training at home. Among them, 6 (50%) completed 75% or more scheduled sessions, 3 completed 25% or less, and 3 completed between 25% and 75% of scheduled sessions. For physical and cognitive function tests, supplementing with MBT training at home showed a tendency of overall stabilization of scores among the group of participants who actively trained with MBT; especially, the 10MDW test even showed a significant improvement from 9.2 to 7.1 seconds (P=.03). We found no positive effect on EQOL5 tests.CONCLUSIONS: More than half of the study population with dementia used MBT training at home, and among them, half had an overall high adherence to the home training activity. Physical function tended to remain stable or even improved among high-adherence MBT individuals. We conclude that MBT training at home may be feasible for some individuals with dementia. Further research is warranted.

AB - BACKGROUND: Persons with dementia tend to be vulnerable to mobility challenges and hence face a greater risk of fall and subsequent fractures, morbidity, and mortality. Motion-based technologies (MBTs), also called sensor-based technologies or virtual reality, have the potential for assisting physical exercise and training as a part of a disease management and rehabilitation program, but little is known about its' use for people with dementia.OBJECTIVE: The purpose of this pilot study was to investigate the feasibility and efficacy of MBT physical training at home for people with dementia.METHODS: A 3-phase pilot study: (1) baseline start-up, (2) 15 weeks of group training at a local care center twice a week, and (3) 12 weeks of group training reduced to once a week, supplemented with individual MBT training twice a week at home. A total of 26 people with dementia from a municipality in Southern Denmark were eligible and agreed to participate in this study. Three withdrew from the study, leaving 23 participants for the final analysis. Feasibility was measured by the percentage of participants who trained with MBT at home, and their completion rate of total scheduled MBT sessions. Efficacy was evaluated by physical function, measured by Sit-to-Stand (STS), Timed-Up-and-Go (TUG), 6-minute Walk Test (6MW), and 10-meter Dual-task Walking Test (10MDW); cognitive function was measured by Mini-Mental State Examination (MMSE) and Neuropsychiatric Inventory-Questionnaire (NPI-Q); and European Quality of Life 5 dimensions questionnaire (EQOL5) was used for measuring quality of life. Descriptive statistics were applied accordingly. Wilcoxon signed-rank and rank-sum tests were applied to explore significant differences within and between the groups.RESULTS: As much as 12 of 23 participants (52%) used the supplemental MBT training at home. Among them, 6 (50%) completed 75% or more scheduled sessions, 3 completed 25% or less, and 3 completed between 25% and 75% of scheduled sessions. For physical and cognitive function tests, supplementing with MBT training at home showed a tendency of overall stabilization of scores among the group of participants who actively trained with MBT; especially, the 10MDW test even showed a significant improvement from 9.2 to 7.1 seconds (P=.03). We found no positive effect on EQOL5 tests.CONCLUSIONS: More than half of the study population with dementia used MBT training at home, and among them, half had an overall high adherence to the home training activity. Physical function tended to remain stable or even improved among high-adherence MBT individuals. We conclude that MBT training at home may be feasible for some individuals with dementia. Further research is warranted.

U2 - 10.2196/19495

DO - 10.2196/19495

M3 - Journal article

C2 - 32845243

VL - 7

SP - e19495

JO - J M I R Mental Health

JF - J M I R Mental Health

SN - 2368-7959

IS - 8

ER -

ID: 67550435