Effects of Lifestyle and Cognitive Play-Based Nursing Intervention on Dementia Risk Scores Among Elders in Residential Care: A Controlled Quasi-Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 134
- 试验地点
- 1
- 主要终点
- Dementia Risk Score
研究概览
简要总结
This study evaluated whether a nurse-led lifestyle modification program combined with cognitive play-based training could reduce dementia risk among older adults living in residential care homes. A total of 134 older adults from seven residential care homes in Cairo, Egypt, participated in the study. Participants received either the multidomain nursing intervention or usual care. The intervention included education on brain-healthy lifestyle behaviors and cognitive play activities designed to improve cognitive health and reduce modifiable dementia risk factors. The study assessed dementia awareness, dementia risk using the Lifestyle for Brain Health Risk Assessment (LIBRA), cognitive function, nutritional status, depression, and physiological and anthropometric measures. The findings showed that participants who received the intervention had greater dementia awareness, lower dementia risk scores, and better cognitive screening outcomes than those receiving usual care, supporting the effectiveness of multidomain nurse-led interventions for dementia prevention.
详细描述
Dementia is a major public health challenge, and many of its risk factors are modifiable. Lifestyle interventions addressing physical activity, healthy nutrition, cardiovascular risk factors, social engagement, and cognitive stimulation have demonstrated potential to delay cognitive decline and reduce dementia risk. Nurses are well positioned to deliver multidomain interventions that promote healthy cognitive aging among older adults residing in long-term care facilities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
盲法说明
This was an open-label, quasi-experimental study. Participants, care providers, investigators, and outcome assessors were aware of group assignment throughout the study.
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The participants had to be aged 60 years or above, be male or female, have risk factors for dementia (such as mild cognitive impairment, hypertension, or diabetes), and provide informed consent either directly or through a legal representative
排除标准
- •advanced dementia (AMTS score ≤4) or severe neurological/medical conditions that might interfere with the intervention or outcome assessment
研究组 & 干预措施
Nurse-Led Lifestyle and Cognitive Play Intervention
Participants received a structured nurse-led multidomain intervention consisting of lifestyle modification education and cognitive play-based training designed to improve brain health, reduce modifiable dementia risk factors, and promote healthy cognitive aging. The intervention was delivered in addition to routine care.
干预措施: A structured nurse-led multidomain intervention (Behavioral)
Routine Care
Participants received the usual care routinely provided in the residential care homes and did not receive the nurse-led lifestyle modification or cognitive play-based intervention during the study period.
结局指标
主要结局
Dementia Risk Score
时间窗: 3 months
Change in dementia risk measured using the Lifestyle for Brain Health Risk Assessment (LIBRA). Lower LIBRA scores indicate a reduction in modifiable dementia risk factors following the nurse-led lifestyle
次要结局
未报告次要终点
研究者
Eman Abdelfatah Shokr
Associate Professor
Al-Zaytoonah University of Jordan