Exercise Workshop, Skill-Based Art Approaches, and Awareness Studies for Elderly Individuals With Cognitive Impairment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 37
- 试验地点
- 1
- 主要终点
- Mini Mental State Test
研究概览
简要总结
Purpose: The aim of the project is to contribute to the physical, social, and psychological well-being of elderly individuals with cognitive impairment within a multidisciplinary approach framework, and to increase the level of knowledge and awareness about diseases and aging by organizing exercise, art, and education workshops under the guidance of expert health and art professionals.
Scope and Target Group: Cognitive impairment affects daily life activities by impacting cognitive abilities such as memory, attention, and concentration. Mild Cognitive Impairment (MCI), Dementia, and Alzheimer's Disease (AD) are common cognitive impairments in the elderly. Early prevention strategies and intervention measures during this period are crucial. It is known that non-pharmacological interventions, especially in the early stages of MCI, are a window of opportunity that is promising and cost-effective. The primary target audience of this project is elderly individuals diagnosed with MCI, Dementia, and AD. To maximize the impact, some of the planned training sessions included family members of patients.
Method and Expected Results: The project carried out in collaboration with Balıkesir University and Balıkesir Altıeylül Municipality. Various exercise and art workshops organized. Workshop activities conducted for eight weeks and included an Exercise Workshop (music-based exercises, exercise with active video games, clinical Pilates training, cognitive exercise therapy approach, Nordic walking, dance therapy), Skill-Oriented Art Workshop (systemic calligraphy therapy, soap-candle making workshop, culinary arts workshop), and Disease Awareness Studies (disease awareness information and education, the process from diagnosis to acceptance, experiences of patients and relatives, use of daily life technologies, home adjustments against falls, introduction of municipal services for the elderly).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being over 65 years of age
- •Having one of the diagnoses of MCI, dementia, or Alzheimer's by a neurologist or geriatrician
- •Having less than 27 points on the Mini Mental State Examination (Zhuang et al., 2021).
- •Being between stages 2-5 on the Global Impairment Scale.
排除标准
- •Having a pulmonary, neurological, musculoskeletal, or rheumatological disease that may prevent exercise
- •Having balance problems or lower extremity asymmetry at a level that may prevent exercise
- •Individuals with unstable medical conditions (uncontrolled diabetes or hypertension, deep vein thrombosis, etc.)
- •Having vision or hearing problems at a level that will prevent participation in workshops
研究组 & 干预措施
Exercise, art, awareness group
Mild cognitive impairment (MCI) is an important risk factor for Alzheimer's disease (AD) (Hwang and Lee, 2017). The literature emphasizes that the prevalence of MCI and AD will continue to increase and draws attention to this area (Realdon et al., 2016). The MCI stage, which is the most active part of AD, provides a "window of opportunity" for the prevention and treatment of AD (Wu, 2020). Early prevention strategies are considered important, especially during this period. Improving the individual's cognitive functions and reducing symptoms in the MCI stage will reduce the incidence of AD, thereby reducing healthcare costs and improving the individual's condition and quality of life (Jak, 2012). Since AD is irreversible and faces significant treatment challenges, the key to preventing and treating the disease is to take early prevention and intervention measures (Zhang et al., 2021). When considering these interventions, focus is placed on potentially modifiable risk factors that ma
干预措施: Healthy aging interventions (Other)
结局指标
主要结局
Mini Mental State Test
时间窗: From enrollment to the end of intervention at 8 weeks
It is emphasized in the literature that the Mini Mental State Examination (MMST) is the most frequently used test worldwide for cognitive disorders (Ciesielska et al., 2016). MMST tests orientation, memory, attention, calculation, recall, language, motor function and perception, and visuospatial abilities, and its greatest advantage is that it can be applied easily and quickly (Salis et al., 2023). MMST was used to evaluate cognitive functions in our study. A score between 27-30 on the MMST is considered normal, 24-27 as MCI, 20-23 as mild stage, 10-19 as moderate stage, and 0-9 as advanced stage dementia (Güngen et al., 2002). Individuals with a score of 27 or less on the MMST were included in our study.
Montreal Cognitive Assessment Scale (MoCA)
时间窗: From enrollment to the end of intervention at 8 weeks
MoCA is one of the most frequently used tools in clinics to assess cognitive functions and has been translated into 35 languages (Sokolowska et al., 2018). It tests many cognitive domains including short-term memory, visual-spatial skills, executive functions, attention, concentration and working memory, language and orientation. It has been reported that its sensitivity varies between 67-100% and its specificity between 50-95% when evaluated using different cutoffs (Zhuang et al., 2021). The advantage of the test is that it provides a more comprehensive assessment compared to the assessment methods used in the field and is used quite frequently in the elderly population (Breton et al., 2019). MoCA was used in the project to assess the change in cognitive functions of individuals with cognitive impairment.
次要结局
- Muscle Strength Assessment(From enrollment to the end of intervention at 8 weeks)
- Flexibility Assessment(From enrollment to the end of intervention at 8 weeks)
- Physical Activity Level(From enrollment to the end of intervention at 8 weeks)
- Depression Assessment(From enrollment to the end of intervention at 8 weeks)
- Quality of Life Assessment(From enrollment to the end of intervention at 8 weeks")
- Well-Being of Individuals Who Provide Care(From enrollment to the end of intervention at 8 weeks)
- Satisfaction, Knowledge and Awareness Assessment(From enrollment to the end of intervention at 8 weeks)
研究者
Gulfidan Tokgoz
Balıkesir University
Balikesir University