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Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study

Author

Listed:
  • Catherine Park

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
    VA’s Health Services Research and Development Service (HSR&D), Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA
    Big Data Scientist Training Enhancement Program, VA Office of Research and Development, Washington, DC 20420, USA
    These authors contributed equally to this work.)

  • Ram kinker Mishra

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
    The BioSensics LLC, Newton, MA 02458, USA
    These authors contributed equally to this work.)

  • Michele K. York

    (Neurology and Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, TX 77030, USA)

  • Ana Enriquez

    (The BioSensics LLC, Newton, MA 02458, USA)

  • Abigail Lindsay

    (The BioSensics LLC, Newton, MA 02458, USA)

  • Gregory Barchard

    (The BioSensics LLC, Newton, MA 02458, USA)

  • Ashkan Vaziri

    (The BioSensics LLC, Newton, MA 02458, USA)

  • Bijan Najafi

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA)

Abstract

Improved life expectancy is increasing the number of older adults who suffer from motor-cognitive decline. Unfortunately, conventional balance exercise programs are not tailored to patients with cognitive impairments, and exercise adherence is often poor due to unsupervised settings. This study describes the acceptability and feasibility of a sensor-based in-home interactive exercise system, called tele-Exergame, used by older adults with mild cognitive impairment (MCI) or dementia. Our tele-Exergame is specifically designed to improve balance and cognition during distractive conditioning while a telemedicine interface remotely supervises the exercise, and its exercises are gamified balance tasks with explicit augmented visual feedback. Fourteen adults with MCI or dementia (Age = 68.1 ± 5.4 years, 12 females) participated and completed exergame twice weekly for six weeks at their homes. Before and after 6 weeks, participants’ acceptance was assessed by Technology Acceptance Model (TAM) questionnaire, and participants’ cognition and anxiety level were evaluated by the Montreal Cognitive Assessment (MoCA) and Beck Anxiety Inventory (BAI), respectively. Results support acceptability, perceived benefits, and positive attitudes toward the use of the system. The findings of this study support the feasibility, acceptability, and potential benefit of tele-Exergame to preserve cognitive function among older adults with MCI and dementia.

Suggested Citation

  • Catherine Park & Ram kinker Mishra & Michele K. York & Ana Enriquez & Abigail Lindsay & Gregory Barchard & Ashkan Vaziri & Bijan Najafi, 2022. "Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, an," IJERPH, MDPI, vol. 19(23), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16361-:d:995333
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    References listed on IDEAS

    as
    1. Catherine Park & Md Moin Uddin Atique & Ramkinker Mishra & Bijan Najafi, 2022. "Association between Fall History and Gait, Balance, Physical Activity, Depression, Fear of Falling, and Motor Capacity: A 6-Month Follow-Up Study," IJERPH, MDPI, vol. 19(17), pages 1-14, August.
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