A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial
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, rand...
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| Veröffentlicht in: | The Journal of Prevention of Alzheimer's Disease 2021, Vol.8 (2), p.142-150 |
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| creator | de Souto Barreto, Philipe Pothier, K. Soriano, G. Lussier, M. Bherer, L. Guyonnet, S. Piau, A. Ousset, P.-J. Vellas, B. |
| description | 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. |
| doi_str_mv | 10.14283/jpad.2020.70 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7754697</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2488563392</sourcerecordid><originalsourceid>FETCH-LOGICAL-c460t-1a908ff7be536aa004a05225055d0a2be710d77edfa6ec5bddc738b8d10518eb3</originalsourceid><addsrcrecordid>eNp1kc9v0zAUxyMEYtPYkSvyEQ4pL3ZsJxyQSvmxSh2TUBFHy4lfVleuXeyk0vjrcemYAImTn_w-_th-36J4XsGsqmnDXm_32swoUJhJeFSc05qKEqgQj3NNZV3yBuRZcZnSFgCqthKsbZ4WZ4xx0XIB58UwJ9-wK9_phIZcT260Juy09WRlB0zjnUOy9CPGA_rRBk-GEMmNMxjJ3GQ6vSHrDRK8Xn5-T75onw_bH9m0CH6MwblcrqPV7lnxZNAu4eX9elF8_fhhvbgqVzeflov5quxrAWNZ6RaaYZAdcia0Bqg1cEo5cG5A0w5lBUZKNIMW2PPOmF6ypmtMBbxqsGMXxduTdz91OzR9fnXUTu2j3el4p4K26u-Otxt1Gw5KSl6LVmbBq5Ng88-xq_lKHfeAMcGhbg9VZl_eXxbD9ylPS-1s6tE57TFMSdG6abhgrKUZLU9oH0NKEYcHdwXqV5TqGKU6RqkkZP7Fn_94oH8Hl4HZCUi55W8xqm2Yos-z_Y_xJ26Lqdk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2488563392</pqid></control><display><type>article</type><title>A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>de Souto Barreto, Philipe ; Pothier, K. ; Soriano, G. ; Lussier, M. ; Bherer, L. ; Guyonnet, S. ; Piau, A. ; Ousset, P.-J. ; Vellas, B.</creator><creatorcontrib>de Souto Barreto, Philipe ; Pothier, K. ; Soriano, G. ; Lussier, M. ; Bherer, L. ; Guyonnet, S. ; Piau, A. ; Ousset, P.-J. ; Vellas, B.</creatorcontrib><description>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.</description><identifier>ISSN: 2274-5807</identifier><identifier>EISSN: 2426-0266</identifier><identifier>DOI: 10.14283/jpad.2020.70</identifier><identifier>PMID: 33569560</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Cognition - physiology ; Cognition Disorders - physiopathology ; Cognitive science ; Exercise - physiology ; Female ; Geriatrics/Gerontology ; Humans ; Life Style ; Male ; Medicine ; Medicine & Public Health ; Neurology ; Neuroscience ; Original Research ; Psychology ; Quality of Life</subject><ispartof>The Journal of Prevention of Alzheimer's Disease, 2021, Vol.8 (2), p.142-150</ispartof><rights>Serdi and Springer Nature Switzerland AG 2020</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-1a908ff7be536aa004a05225055d0a2be710d77edfa6ec5bddc738b8d10518eb3</citedby><cites>FETCH-LOGICAL-c460t-1a908ff7be536aa004a05225055d0a2be710d77edfa6ec5bddc738b8d10518eb3</cites><orcidid>0000-0002-7678-5065 ; 0000-0002-8860-425X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.14283/jpad.2020.70$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.14283/jpad.2020.70$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33569560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-tours.hal.science/hal-03365049$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>de Souto Barreto, Philipe</creatorcontrib><creatorcontrib>Pothier, K.</creatorcontrib><creatorcontrib>Soriano, G.</creatorcontrib><creatorcontrib>Lussier, M.</creatorcontrib><creatorcontrib>Bherer, L.</creatorcontrib><creatorcontrib>Guyonnet, S.</creatorcontrib><creatorcontrib>Piau, A.</creatorcontrib><creatorcontrib>Ousset, P.-J.</creatorcontrib><creatorcontrib>Vellas, B.</creatorcontrib><title>A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial</title><title>The Journal of Prevention of Alzheimer's Disease</title><addtitle>J Prev Alzheimers Dis</addtitle><addtitle>J Prev Alzheimers Dis</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cognition - physiology</subject><subject>Cognition Disorders - physiopathology</subject><subject>Cognitive science</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Life Style</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurology</subject><subject>Neuroscience</subject><subject>Original Research</subject><subject>Psychology</subject><subject>Quality of Life</subject><issn>2274-5807</issn><issn>2426-0266</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9v0zAUxyMEYtPYkSvyEQ4pL3ZsJxyQSvmxSh2TUBFHy4lfVleuXeyk0vjrcemYAImTn_w-_th-36J4XsGsqmnDXm_32swoUJhJeFSc05qKEqgQj3NNZV3yBuRZcZnSFgCqthKsbZ4WZ4xx0XIB58UwJ9-wK9_phIZcT260Juy09WRlB0zjnUOy9CPGA_rRBk-GEMmNMxjJ3GQ6vSHrDRK8Xn5-T75onw_bH9m0CH6MwblcrqPV7lnxZNAu4eX9elF8_fhhvbgqVzeflov5quxrAWNZ6RaaYZAdcia0Bqg1cEo5cG5A0w5lBUZKNIMW2PPOmF6ypmtMBbxqsGMXxduTdz91OzR9fnXUTu2j3el4p4K26u-Otxt1Gw5KSl6LVmbBq5Ng88-xq_lKHfeAMcGhbg9VZl_eXxbD9ylPS-1s6tE57TFMSdG6abhgrKUZLU9oH0NKEYcHdwXqV5TqGKU6RqkkZP7Fn_94oH8Hl4HZCUi55W8xqm2Yos-z_Y_xJ26Lqdk</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>de Souto Barreto, Philipe</creator><creator>Pothier, K.</creator><creator>Soriano, G.</creator><creator>Lussier, M.</creator><creator>Bherer, L.</creator><creator>Guyonnet, S.</creator><creator>Piau, A.</creator><creator>Ousset, P.-J.</creator><creator>Vellas, B.</creator><general>Springer International Publishing</general><general>SERDI éd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7678-5065</orcidid><orcidid>https://orcid.org/0000-0002-8860-425X</orcidid></search><sort><creationdate>2021</creationdate><title>A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial</title><author>de Souto Barreto, Philipe ; Pothier, K. ; Soriano, G. ; Lussier, M. ; Bherer, L. ; Guyonnet, S. ; Piau, A. ; Ousset, P.-J. ; Vellas, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-1a908ff7be536aa004a05225055d0a2be710d77edfa6ec5bddc738b8d10518eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cognition - physiology</topic><topic>Cognition Disorders - physiopathology</topic><topic>Cognitive science</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Life Style</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurology</topic><topic>Neuroscience</topic><topic>Original Research</topic><topic>Psychology</topic><topic>Quality of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Souto Barreto, Philipe</creatorcontrib><creatorcontrib>Pothier, K.</creatorcontrib><creatorcontrib>Soriano, G.</creatorcontrib><creatorcontrib>Lussier, M.</creatorcontrib><creatorcontrib>Bherer, L.</creatorcontrib><creatorcontrib>Guyonnet, S.</creatorcontrib><creatorcontrib>Piau, A.</creatorcontrib><creatorcontrib>Ousset, P.-J.</creatorcontrib><creatorcontrib>Vellas, B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of Prevention of Alzheimer's Disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Souto Barreto, Philipe</au><au>Pothier, K.</au><au>Soriano, G.</au><au>Lussier, M.</au><au>Bherer, L.</au><au>Guyonnet, S.</au><au>Piau, A.</au><au>Ousset, P.-J.</au><au>Vellas, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial</atitle><jtitle>The Journal of Prevention of Alzheimer's Disease</jtitle><stitle>J Prev Alzheimers Dis</stitle><addtitle>J Prev Alzheimers Dis</addtitle><date>2021</date><risdate>2021</risdate><volume>8</volume><issue>2</issue><spage>142</spage><epage>150</epage><pages>142-150</pages><issn>2274-5807</issn><eissn>2426-0266</eissn><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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33569560</pmid><doi>10.14283/jpad.2020.70</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7678-5065</orcidid><orcidid>https://orcid.org/0000-0002-8860-425X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2274-5807 |
| ispartof | The Journal of Prevention of Alzheimer's Disease, 2021, Vol.8 (2), p.142-150 |
| issn | 2274-5807 2426-0266 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7754697 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Aged, 80 and over Aging Cognition - physiology Cognition Disorders - physiopathology Cognitive science Exercise - physiology Female Geriatrics/Gerontology Humans Life Style Male Medicine Medicine & Public Health Neurology Neuroscience Original Research Psychology Quality of Life |
| title | A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial |
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