Hung Lillian, Park Juyong, Levine Hannah, Call David, Celeste Diane, Lacativa Dierdre, Riley Betty, Riley Nathanul, Zhao Yong
School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
IDEA Lab, University of British Columbia, Vancouver, British Columbia, Canada.
PLoS One. 2024 Jun 13;19(6):e0305266. doi: 10.1371/journal.pone.0305266. eCollection 2024.
Older people living with dementia or mild cognitive impairment (MCI) are more vulnerable to experiencing social isolation and loneliness due to their cognitive and physical impairments. Increasingly integrating technology into group exercises contributed to the improved resilience and well-being of older adults living with dementia and MCI. The purpose of this scoping review was to identify the various types, feasibility, outcome measures, and impacts of technology-based group exercise interventions for people with dementia or MCI. We utilized the Joanna Briggs Institute approach, a three-step process. A comprehensive literature search on five databases-CINAHL, MEDLINE, Embase, Web of Science, and PsycInfo-until January 2024 yielded 1,585 publications; the final review included 14 publications that recruited a total of 379 participants, with mean age of 69 (SD = 4.21) years to 87.07 (SD = 3.92) years. Analysis of data showed three types of technology-based group exercise interventions for people with dementia or MCI: (a) exergames, (b) virtual cycling or kayak paddling, and (c) video-conferencing platforms. In addition, we identified three key impacts: (a) feasibility and accessibility; (b) physical, psychosocial, and cognitive benefits; and (c) adaptations necessary for persons with dementia or MCI. Our study suggests that technology-based group exercise interventions are feasible and acceptable to persons with dementia or MCI. Future studies should involve individuals with dementia and their caregivers in the design and implementation of technology-based group exercise programs.
患有痴呆症或轻度认知障碍(MCI)的老年人由于其认知和身体损伤,更容易经历社会隔离和孤独。将技术越来越多地融入团体锻炼中,有助于提高患有痴呆症和MCI的老年人的恢复力和幸福感。本范围综述的目的是确定针对痴呆症或MCI患者的基于技术的团体锻炼干预措施的各种类型、可行性、结果测量方法和影响。我们采用了乔安娜·布里格斯研究所的方法,这是一个三步过程。截至2024年1月,对五个数据库——CINAHL、MEDLINE、Embase、科学网和PsycInfo——进行的全面文献检索共得到1585篇出版物;最终综述纳入了14篇出版物,共招募了379名参与者,平均年龄在69岁(标准差 = 4.21)至87.07岁(标准差 = 3.92)之间。数据分析显示,针对痴呆症或MCI患者有三种基于技术的团体锻炼干预措施:(a)运动游戏,(b)虚拟骑行或皮划艇,以及(c)视频会议平台。此外,我们确定了三个关键影响:(a)可行性和可及性;(b)身体、心理社会和认知方面的益处;以及(c)痴呆症或MCI患者所需的调整。我们的研究表明,基于技术的团体锻炼干预措施对痴呆症或MCI患者是可行且可接受的。未来的研究应让痴呆症患者及其护理人员参与基于技术的团体锻炼项目的设计和实施。