van der Wardt Veronika, Hancox Jennie, Gondek Dawid, Logan Pip, Nair Roshan das, Pollock Kristian, Harwood Rowan
Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, United Kingdom.
Division of Psychiatry & Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG7 2UH, United Kingdom.
Prev Med Rep. 2017 May 18;7:38-45. doi: 10.1016/j.pmedr.2017.05.007. eCollection 2017 Sep.
Exercise-based therapy may improve health status for people with Mild Cognitive Impairment (MCI) or dementia but cannot work without adherence, which has proven difficult. This review aimed to evaluate strategies to support adherence among people with MCI or Dementia and was completed in Nottingham/UK in 2017. A narrative synthesis was used to investigate the effectiveness or usefulness of adherence support strategies. Fifteen adherence support strategies were used including theoretical underpinning (programmes based on behavior change theories), individual tailoring, worksheets and exercise booklets, goal setting, phone calls or reminders, newsletters, support to overcome exercise barriers, information, adaptation periods, individual supervision, support for clinicians, group setting, music, accelerometers/pedometers and emphasis on enjoyable activities. Music was the only strategy that was investigated in a comparative design but was found to be effective only for those who were generally interested in participating in activities. A wide range of adherence support strategies are being included in exercise interventions for people with MCI or dementia, but the evidence regarding their effectiveness is limited.
基于运动的疗法可能会改善轻度认知障碍（MCI）或痴呆症患者的健康状况，但如果患者不坚持，该疗法就无法发挥作用，而事实证明患者坚持治疗很困难。本综述旨在评估支持MCI或痴呆症患者坚持治疗的策略，并于2017年在英国诺丁汉完成。采用叙述性综合分析方法来研究坚持治疗支持策略的有效性或实用性。共使用了15种坚持治疗支持策略，包括理论基础（基于行为改变理论的方案）、个性化定制、工作表和练习手册、目标设定、电话或提醒、时事通讯、克服运动障碍的支持、信息、适应期、个人监督、对临床医生的支持、团体环境、音乐、加速度计/计步器以及强调活动的趣味性。音乐是唯一一项采用对比设计进行研究的策略，但发现它仅对那些普遍有兴趣参与活动的人有效。针对MCI或痴呆症患者的运动干预措施中纳入了各种各样的坚持治疗支持策略，但其有效性的证据有限。
