Barisch-Fritz Bettina, Bezold Jelena, Scharpf Andrea, Trautwein Sandra, Krell-Roesch Janina, Woll Alexander
Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Front Physiol. 2022 Jul 8;13:921105. doi: 10.3389/fphys.2022.921105. eCollection 2022.
Physical activity interventions can alleviate the course of disease for individuals with dementia (IWD) who have been extraordinarily affected by the COVID-19 pandemic. Information and Communication Technology (ICT) provides new opportunities not only to mitigate negative effects of the pandemic but also to sustainably improve everyday life of IWD in nursing homes. The aim of the present study was to evaluate the ICT-based InCoPE-App, which was used to assess physical and cognitive performance and deliver individualized exercise for IWD, with regard to 1) user experience of nursing assistants, and 2) trends toward the effectiveness of the intervention on physical and cognitive performance of IWD. An 18-week individualized multidomain intervention (2 × 60 min/session) was delivered to an intervention group (IG; = 10, mean age 88.4 ± 5.6, 70% female) by nursing assistants ( = 10, mean age 56.1 ± 10.4, 90% female) using the InCoPE-App. A control group (CG; = 3, mean age 87.3 ± 3.5, 100% female) received conventional treatment. User experience was assessed among nursing assistants by different questionnaires, i.e., PSSUQ and ISONORM 9241/110-S for usability, and AttrakDiff2 for pragmatic (PQ), hedonic quality-identity and stimulation (HQI and HQS), and attractiveness (ATT). Trends toward the effectiveness of the intervention were assessed using MMSE (global cognitive function), FICSIT-4 (balance), 6MWT and TUG (mobility), and m30CST (function of lower limbs). Usability of the InCoPE-App was rated as high by nursing assistants (mean ± SD; overall PSSUQ 2.11 ± 0.75; overall ISONORM 9241/110-S 1.90 ± 0.88; ATT 1.86 ± 1.01; PQ 1.79 ± 1.03; HQI 1.8 ± 0.79; and HQS 1.37 ± 0.69). Dropout was high in the total sample (36.7%). Trends toward the effectiveness were observed within IG in nine IWD who showed positive or neutral trends in at least two physical performance outcomes. Seven participants had positive or neutral trends in the FICSIT-4, seven participants in m30CST, and four and seven participants in 6MWT and TUG, respectively. In conclusion, the InCoPE-App has good nursing assistant-rated usability, whereas training effects and intervention adherence were rather low most likely due to COVID-19 restrictions. Single-subject research revealed more positive than negative trends in IG of IWD. Further research is needed to evaluate feasibility, suitability, and effectiveness of the InCoPE-App.
体育活动干预可以缓解受新冠疫情影响严重的痴呆症患者（IWD）的病程。信息通信技术（ICT）不仅为减轻疫情的负面影响提供了新机会，也为可持续改善养老院中IWD的日常生活提供了新机遇。本研究的目的是评估基于ICT的InCoPE应用程序，该应用程序用于评估IWD的身体和认知表现，并为其提供个性化锻炼，具体涉及：1）护理人员的用户体验；2）干预对IWD身体和认知表现有效性的趋势。通过护理人员（n = 10，平均年龄56.1±10.4岁，90%为女性）使用InCoPE应用程序，对干预组（IG；n = 10，平均年龄88.4±5.6岁，70%为女性）进行了为期18周的个性化多领域干预（每次2×60分钟）。对照组（CG；n = 3，平均年龄87.3±3.5岁，100%为女性）接受常规治疗。通过不同问卷对护理人员的用户体验进行评估，即用于可用性的PSSUQ和ISONORM 9241/110 - S，以及用于实用性（PQ）、享乐质量认同和刺激（HQI和HQS）以及吸引力（ATT）的AttrakDiff2。使用简易精神状态检查表（MMSE，整体认知功能）、功能性独立性测量量表 - 4（FICSIT - 4，平衡能力）、6分钟步行试验（6MWT）和定时起立行走试验（TUG，移动能力）以及改良30秒坐立试验（m30CST，下肢功能）评估干预有效性的趋势。护理人员对InCoPE应用程序的可用性评价很高（平均值±标准差；PSSUQ总分2.11±0.75；ISONORM 9241/110 - S总分1.90±0.88；ATT 1.86±
