Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function
Introduction: Maintaining functional abilities is critical for optimizing older adults’ well-being and independence. This randomized controlled trial (RCT) pilot examined the feasibility of testing the effects of three commercially available interventions on function-related outcomes in older adults...
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| Format: | Article |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Aging |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fragi.2023.1166338/full |
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| author | Christine B. Phillips Christine B. Phillips Ava McVey Ava McVey Junyan Tian Abigail T. Stephan Abigail T. Stephan W. Bennett Davis W. Bennett Davis Erica L. Aflagah Lesley A. Ross Lesley A. Ross |
| author_facet | Christine B. Phillips Christine B. Phillips Ava McVey Ava McVey Junyan Tian Abigail T. Stephan Abigail T. Stephan W. Bennett Davis W. Bennett Davis Erica L. Aflagah Lesley A. Ross Lesley A. Ross |
| author_sort | Christine B. Phillips |
| collection | DOAJ |
| description | Introduction: Maintaining functional abilities is critical for optimizing older adults’ well-being and independence. This randomized controlled trial (RCT) pilot examined the feasibility of testing the effects of three commercially available interventions on function-related outcomes in older adults. Methods: Pairs of community-dwelling older adults (N=55, Mage=71.4) were randomized to a 10-week intervention (cognitive-COG, physical-EX, combined exergame-EXCOG, or control-CON). Cognitive, physical, and everyday function were assessed at baseline, immediately post-intervention, and 6-months post-intervention. Feasibility was evaluated using recruitment, enrollment, training adherence, and retention metrics. Variability and patterns of change in functional outcomes were examined descriptively. Results: A total of 208 individuals were screened, with 26% subsequently randomized. Across training arms, 95% of training sessions were completed and 89% of participants were retained at immediate post-test. Variability in functional outcomes and patterns of change differed across study arms. Discussion: Results support a fully powered RCT, with several modifications to the pilot study design, to investigate short- and long-term training impacts. |
| first_indexed | 2024-03-13T09:39:25Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2673-6217 |
| language | English |
| last_indexed | 2024-03-13T09:39:25Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging |
| spelling | doaj.art-4c9ac956c4d14305af01ca51f44bf4b62023-05-25T04:39:29ZengFrontiers Media S.A.Frontiers in Aging2673-62172023-05-01410.3389/fragi.2023.11663381166338Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday functionChristine B. Phillips0Christine B. Phillips1Ava McVey2Ava McVey3Junyan Tian4Abigail T. Stephan5Abigail T. Stephan6W. Bennett Davis7W. Bennett Davis8Erica L. Aflagah9Lesley A. Ross10Lesley A. Ross11Department of Psychology, Clemson University, Clemson, SC, United StatesClemson University Institute for Engaged Aging, Seneca, SC, United StatesDepartment of Psychology, Clemson University, Clemson, SC, United StatesClemson University Institute for Engaged Aging, Seneca, SC, United StatesHuman Development and Family Studies, Pennsylvania State University, University Park, PA, United StatesDepartment of Psychology, Clemson University, Clemson, SC, United StatesClemson University Institute for Engaged Aging, Seneca, SC, United StatesDepartment of Public Health Sciences, Clemson University, Clemson, SC, United StatesClemson University Institute for Engaged Aging, Seneca, SC, United StatesDepartment of Neurology, Neuropsychology Division, University of Nebraska Medical Center, Omaha, NE, United StatesDepartment of Psychology, Clemson University, Clemson, SC, United StatesClemson University Institute for Engaged Aging, Seneca, SC, United StatesIntroduction: Maintaining functional abilities is critical for optimizing older adults’ well-being and independence. This randomized controlled trial (RCT) pilot examined the feasibility of testing the effects of three commercially available interventions on function-related outcomes in older adults. Methods: Pairs of community-dwelling older adults (N=55, Mage=71.4) were randomized to a 10-week intervention (cognitive-COG, physical-EX, combined exergame-EXCOG, or control-CON). Cognitive, physical, and everyday function were assessed at baseline, immediately post-intervention, and 6-months post-intervention. Feasibility was evaluated using recruitment, enrollment, training adherence, and retention metrics. Variability and patterns of change in functional outcomes were examined descriptively. Results: A total of 208 individuals were screened, with 26% subsequently randomized. Across training arms, 95% of training sessions were completed and 89% of participants were retained at immediate post-test. Variability in functional outcomes and patterns of change differed across study arms. Discussion: Results support a fully powered RCT, with several modifications to the pilot study design, to investigate short- and long-term training impacts.https://www.frontiersin.org/articles/10.3389/fragi.2023.1166338/fullexercisetrainingexergamesphysicalcognitiveeveryday function |
| spellingShingle | Christine B. Phillips Christine B. Phillips Ava McVey Ava McVey Junyan Tian Abigail T. Stephan Abigail T. Stephan W. Bennett Davis W. Bennett Davis Erica L. Aflagah Lesley A. Ross Lesley A. Ross Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function Frontiers in Aging exercise training exergames physical cognitive everyday function |
| title | Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function |
| title_full | Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function |
| title_fullStr | Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function |
| title_full_unstemmed | Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function |
| title_short | Feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults’ cognitive, physical and everyday function |
| title_sort | feasibility of a pilot dyadic randomized controlled trial testing the effects of three behavioral interventions on older adults cognitive physical and everyday function |
| topic | exercise training exergames physical cognitive everyday function |
| url | https://www.frontiersin.org/articles/10.3389/fragi.2023.1166338/full |
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