A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial - Archive ouverte HAL Access content directly
Journal Articles The Journal of prevention of Alzheimer's disease Year : 2020

A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial

(1, 2, 3, 4) , (5) , (1, 2, 3, 4) , (6, 7) , (6, 7, 8) , (3, 1, 2, 4) , (3, 1, 2, 4) , (3, 1, 2) , (3, 1, 2, 4)
1
2
3
4
5
6
7
8

Abstract

Importance/Objective: To describe the feasibility and acceptability of a 6-month web-based multidomain lifestyle training intervention for community-dwelling older people and to test the effects of the intervention on both function- and lifestyle-related outcomes. Design: 6-month, parallel-group, randomized controlled trial (RCT). Setting: Toulouse area, South-West, France. Participants: Community-dwelling men and women, ≥ 65 years-old, presenting subjective memory complaint, without dementia. Intervention: The web-based multidomain intervention group (MIG) received a tablet to access the multidomain platform and a wrist-worn accelerometer measuring step counts; the control group (CG) received only the wrist-worn accelerometer. The multidomain platform was composed of nutritional advices, personalized exercise training, and cognitive training. Main outcomes and measures: Feasibility, defined as the proportion of people connecting to ≥75% of the prescribed sessions, and acceptability, investigated through content analysis from recorded semi-structured interviews. Secondary outcomes included clinical (eg, cognitive function, mobility, health-related quality of life (HRQOL)) and lifestyle (eg, step count, food intake) measurements. Results: Among the 120 subjects (74.2 ±5.6 years-old; 57.5% women), 109 completed the study (n=54, MIG; n=55, CG). 58 MIG subjects connected to the multidomain platform at least once; among them, adherers of ≥75% of sessions varied across multidomain components: 37 people (63.8% of 58 participants) for cognitive training, 35 (60.3%) for nutrition, and three (5.2%) for exercise; these three persons adhered to all multidomain components. Participants considered study procedures and multidomain content in a positive way; the most cited weaknesses were related to exercise: too easy, repetitive, and slow progression. Compared to controls, the intervention had a positive effect on HRQOL; no significant effects were observed across the other clinical and lifestyle outcomes. Conclusions and Relevance: Providing multidomain lifestyle training through a web-platform is feasible and well-accepted, but the training should be challenging enough and adequately progress according to participants’ capabilities to increase adherence. Recommendations for a larger on-line multidomain lifestyle training RCT are provided.

Dates and versions

hal-03365049 , version 1 (05-10-2021)

Identifiers

Cite

P. de Souto Barreto, K. Pothier, G. Soriano, M. Lussier, L. Bherer, et al.. A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial. The Journal of prevention of Alzheimer's disease, 2020, pp.1-9. ⟨10.14283/jpad.2020.70⟩. ⟨hal-03365049⟩
13 View
0 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More