Nicosia Francesca M, Lee Jennifer A, Chesney Margaret A, Benjamin Cynthia, Lee Amanda N, Mehling Wolf, Sudore Rebecca L, Barnes Deborah E
Institute for Health & Aging, University of California, San Francisco, CA, USA.
San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA.
Glob Adv Integr Med Health. 2023 Sep 21;12:27536130231202989. doi: 10.1177/27536130231202989. eCollection 2023 Jan-Dec.
Preventing Loss of Independence through Exercise (PLIÉ) is an in-person group mind-body movement program for people across the spectrum of cognitive decline and care partners (CPs).
This study developed and refined an online version called Moving Together and tested feasibility and satisfaction with an online delivery.
In Phase 1, we used qualitative methods to determine which elements of the in-person program were essential to retain for the online version and adaptations that would be needed to support the user experience. In Phase 2, we created a prototype of the online program and iteratively refined it based on user feedback. In Phase 3, we assessed feasibility of online delivery based on class attendance and program completion; we assessed satisfaction and participant-reported outcomes using a post-program evaluation survey with quantitative and qualitative components.
Phase 1 findings from 27 participants (14 PLWD, 13 CPs) revealed three key considerations related to online delivery of PLIÉ: technology use, social connection as a primary motivator, and physical safety concerns. Phase 2 iterative testing among 25 participants (14 PLWD, 11 CPs) resulted in key refinements to program delivery and instructional elements; Phase 3 pilot testing included 39 participants (12 PLWD, 15 CPs, 12 MCI) who attended 75 ± 29% of 24 classes; 77% completed the 12-week program, of whom 96% rated it as excellent or good. Participant-reported outcomes included improvements in social connection, emotional well-being, physical function, cognitive function and present-centered body awareness. PLWD or MCI also reported improvements in self-concept, and CPs reported improvements in caregiving self-efficacy. The primary challenges were related to participant navigation of technology.
The Moving Together online program is feasible for PLWD or MCI and CPs with participants reporting high satisfaction and positive outcomes across multiple domains. Providing individual technology support is critical for the success of livestreamed, online interventions for dementia.
通过运动预防独立能力丧失（PLIÉ）是一项针对认知能力下降人群及护理伙伴（CPs）的面对面团体身心运动项目。
本研究开发并完善了一个名为“一起运动”的在线版本，并测试了其在线交付的可行性和满意度。
在第一阶段，我们采用定性方法来确定面对面项目中的哪些元素对于在线版本来说是必须保留的，以及为支持用户体验所需做出的调整。在第二阶段，我们创建了在线项目的原型，并根据用户反馈进行迭代完善。在第三阶段，我们根据课程出勤情况和项目完成情况评估在线交付的可行性；我们使用包含定量和定性部分的项目后评估调查问卷来评估满意度和参与者报告的结果。
来自27名参与者（14名认知能力下降者、13名护理伙伴）的第一阶段研究结果揭示了与PLIÉ在线交付相关的三个关键考虑因素：技术使用、社交联系作为主要动机以及身体安全问题。在25名参与者（14名认知能力下降者、11名护理伙伴）中进行的第二阶段迭代测试对项目交付和教学元素进行了关键改进；第三阶段试点测试包括39名参与者（12名认知能力下降者、15名护理伙伴、12名轻度认知障碍者），他们参加了24节课中的75 ± 29%；77%的人完成了为期12周的项目，其中96%将其评为优秀或良好。参与者报告的结果包括社交联系、情绪健康、身体功能、认知功能和以当下为中心的身体意识方面的改善。认知能力下降者或轻度认知障碍者还报告了自我概念的改善，护理伙伴报告了护理自我效能的改善。主要挑战与参与者对技术的操作有关。
“一起运动”在线项目对于认知能力下降者或轻度认知障碍者以及护理伙伴来说是可行的，参与者在多个领域报告了高度满意度和积极结果。提供个性化技术支持对于痴呆症在线直播干预的成功至关重要。
