The School of Nursing, Fujian Medical University, No. 1 Xueyuan Road, Shangjie Town, Fuzhou City, Fujian Province, 350122, China.
Shengli Clinical Medical College, Fujian Provincial Hospital & Fujian Medical University, No. 134 Dongjie Street, Gulou District, Fuzhou City, Fujian Province, 350001, China.
BMC Geriatr. 2023 Apr 20;23(1):238. doi: 10.1186/s12877-023-03896-0.
BACKGROUND: The cognitive benefits of early non-pharmacological approaches have been demonstrated in older adults with mild cognitive impairment (MCI). However, older adults living in nursing homes have more severe cognitive impairment problems and lower initiative and compliance to participate in complex interventions. Hence, it important to investigate more attractive and sustainable methods to prevent or delay cognitive decline. The present study adopts the self-determination theory (SDT) as a theoretical framework to innovatively develop an integrated art-based intervention for older adults with MCI in nursing homes in China and aims to evaluate its effects on cognitive function, mental health, and other health-related outcomes. METHODS: The study is a nursing home-based, cluster randomised controlled trial (RCT) that targets older adults (aged ≥ 60 years) with MCI in Fuzhou City, China. All nursing homes in the area covered by Fuzhou City are invited to participate. Eligible nursing homes are randomised to one of two groups: intervention group (receive a 14-week, 27-session intervention) and waitlist control group (receive the usual care). The SDT-based integrated creative art (SDTICA) program reasonably adopts the SDT as a theoretical framework to innovatively develop an integrated art-based intervention for older adults with MCI in nursing homes. The primary (global cognitive function and psychological indicator) and secondary (daily activity function, social function, and specific domains of cognitive function) outcomes will be measured at baseline, after the intervention, and during follow-up. DISCUSSION: This study aims to evaluate the effects of SDTICA program on neuropsychological outcomes in older adults with MCI and provide scientific evidence for art-based non-pharmacologic interventions in nursing homes, which may reduce dementia risk in older adults with MCI. TRIAL REGISTRATION: The trial was prospectively registered at the Chinese Clinical Trials Registry with the registration number ChiCTR2200061681 on 30 June 2022.
背景：早期非药物干预对轻度认知障碍（MCI）老年人的认知益处已得到证实。然而，居住在养老院的老年人认知障碍问题更为严重，参与复杂干预的积极性和依从性较低。因此，有必要探索更有吸引力和更可持续的方法来预防或延缓认知能力下降。本研究采用自我决定理论（SDT）作为理论框架，创新性地为中国养老院的 MCI 老年人开发了一种综合艺术干预，并旨在评估其对认知功能、心理健康和其他健康相关结果的影响。
方法：该研究是一项基于养老院的、集群随机对照试验（RCT），目标人群为中国福州市的 MCI 老年人（年龄≥60 岁）。邀请该地区的所有养老院参与。符合条件的养老院被随机分配到两组之一：干预组（接受 14 周、27 次干预）和等待名单对照组（接受常规护理）。基于 SDT 的综合创意艺术（SDTICA）方案合理地采用 SDT 作为理论框架，为养老院的 MCI 老年人创新性地开发了一种综合艺术干预。主要（整体认知功能和心理指标）和次要（日常活动功能、社会功能和特定认知功能领域）结局将在基线、干预后和随访期间进行测量。
讨论：本研究旨在评估 SDTICA 方案对 MCI 老年人神经心理结局的影响，并为养老院的基于艺术的非药物干预提供科学证据，这可能会降低 MCI 老年人的痴呆风险。
试验注册：该试验于 2022 年 6 月 30 日在中国临床试验注册中心进行了前瞻性注册，注册号为 ChiCTR2200061681。
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