1
|
Liu X, Wang L, Tao H, Ge C, Zhen X, Sun X, Wang S, Su L. Effects of a Trans-Theoretical Model-Based Health Education Program on the Management of Cognitive Dysfunction in Older Adults With Mild Cognitive Impairment: Study Rationale and Protocol Design for a Randomized Controlled Trial. Front Psychiatry 2020; 11:616420. [PMID: 33519556 PMCID: PMC7838522 DOI: 10.3389/fpsyt.2020.616420] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 12/10/2020] [Indexed: 11/21/2022] Open
Abstract
Introduction: Recent studies have confirmed that the management of cognitive dysfunction produces considerable positive effects in individuals with mild cognitive impairment (MCI), however, compliance with participation in various cognitive dysfunction management strategies remains scant in older adults with MCI. Health education programs can improve the level of knowledge of the disease effectively, though it remains unclear as to whether health education programs are sufficient to promote behavior changes of older adults with MCI in the community. Objective: The study aims to provide insight into the effect of a trans-theoretical Model (TTM)-based health education program on increasing knowledge about mild cognitive impairment (MCI), compliance in cognitive dysfunction management, and other cognition-related health outcomes (general cognitive function, sleep quality, depression symptoms, apathy symptoms) for older adults with MCI. Methods: This study is a single-blinded, randomized, prospective clinical trial. We will recruit 132 participants with MCI who will be randomly assigned to a TTM-based health education group and a standard health education group in a ratio of 1:1. The intervention group will receive a TTM-based health education program (1 session/week, 4-560 min/session for 8 weeks), while the control group will receive standard health education. Assessors blinded to participant allocation will conduct baseline, post-intervention, and 3-month follow-up assessments. Statistical analyses will consist of the Wilcoxon test, the Chi-square test, the T-test, and 2 (group) × 3 (time) ANOVA with a 5% cut-off for significance. Discussion: Supposing the TTM-based health education program will provide validated community-based cognitive dysfunction management strategies for older adults with MCI, this would be a feasible approach to improve the compliance of participation in cognitive dysfunction management and the cognition-related health outcomes. Clinical Trial Registration: ChiCTR1900028351. Registered on December 19, 2019. http://www.chictr.org.cn/edit.aspx?pid=47223&htm=4.
Collapse
Affiliation(s)
- Xiaoshen Liu
- School of Medicine, Huzhou University, Huzhou, China
| | - Lina Wang
- School of Medicine, Huzhou University, Huzhou Central Hospital, Huzhou, China
| | - Hong Tao
- AdventHealth Whole-Person Research, Orlando, FL, United States
| | - Chenxi Ge
- School of Medicine, Huzhou University, Huzhou, China
| | - Xueting Zhen
- School of Medicine, Huzhou University, Huzhou, China
| | - Xue Sun
- School of Medicine, Huzhou University, Huzhou, China
| | - Simeng Wang
- School of Medicine, Huzhou University, Huzhou, China
| | - Liming Su
- School of Medicine, Huzhou University, Huzhou, China
| |
Collapse
|
2
|
Patzelt C, Heim S, Deitermann B, Theile G, Krauth C, Hummers-Pradier E, Walter U. Reaching the Elderly: Understanding of health and preventive experiences for a tailored approach - Results of a qualitative study. BMC Geriatr 2016; 16:210. [PMID: 27931197 PMCID: PMC5146846 DOI: 10.1186/s12877-016-0374-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Accepted: 11/23/2016] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Often preventive measures are not accessed by the people who were intended to be reached. Programs for older adults may target men and women, older adults, advanced old age groups and/or chronically ill patients with specific indications. The defined target groups rarely participate in the conception of programs or in the design of information materials, although this would increase accessibility and participation. In the German "Reaching the Elderly" study (2008-2011), an approach to motivating older adults to participate in a preventive home visit (PHV) program was modified with the participatory involvement of the target groups. The study examines how older men and women would prefer to be addressed for health and prevention programs. METHODS Four focus groups (N = 42 participants) and 12 personal interviews were conducted (women and men in 2 age groups: 65-75 years and ≥ 76 years). Participants from two districts of a major German city were selected from a stratified random sample (N = 200) based on routine data from a local health insurance fund. The study focused on the participants' knowledge about health and disease prevention and how they preferred to be approached and addressed. Videos of the focus groups were recorded and analysed using mind mapping techniques. Interviews were digitally recorded, transcribed verbatim and subjected to qualitative content analysis. RESULTS A gender-specific approach profile was observed. Men were more likely to favor competitive and exercise-oriented activities, and they associated healthy aging with mobility and physical activity. Women, on the other hand, displayed a broader understanding of healthy aging, which included physical activity as only one aspect as well as a healthy diet, relaxation/wellness, memory training and independent living; they preferred holistic and socially oriented services that were not performance-oriented. The "older seniors" (76+) were ambivalent towards certain wordings referring to aging. CONCLUSIONS Our results suggest that gender-specific needs must be considered in order to motivate older adults to participate in preventive services. Age-specific characteristics seem to be less relevant. It is more important to pay attention to factors that vary according to the individual state of health and life situation of the potential participants.
Collapse
Affiliation(s)
- Christiane Patzelt
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
| | - Susanne Heim
- Formerly: Institute for General Practice, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany
- Department of General Practice, University Medical Centre Göttingen, Humboldtallee 38, 37075, Göttingen, Germany
| | - Bernhilde Deitermann
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany
- Lower Saxony State Health Department, Division 4: Cancer Registry, Roesebeckstr. 4-6, 30449, Hannover, Germany
| | - Gudrun Theile
- Formerly: Institute for General Practice, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany
- Department of Radiation Oncology/Centre of Palliative Care, University of Zürich and University Hospital of Zürich, Rämistraße 100, 8091, Zürich, Switzerland
| | - Christian Krauth
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - Eva Hummers-Pradier
- Formerly: Institute for General Practice, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany
- Department of General Practice, University Medical Centre Göttingen, Humboldtallee 38, 37075, Göttingen, Germany
| | - Ulla Walter
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany
| |
Collapse
|