Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research

AimsTo evaluate the effectiveness of a multicomponent exercise intervention and to clarify the underlying mechanisms of the program in community-dwelling older adults with cognitive frailty. Additionally, the perception of participants in the program will be explored.DesignA mixed-methods design, in...

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Main Authors: Hongting Ning, Fenghui Chen, Junxin Li, Yan Du, Xi Chen, Shuang Wu, Abigael Joseph, Yinyan Gao, Zeng Cao, Hui Feng
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2024.1282263/full
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author Hongting Ning
Hongting Ning
Fenghui Chen
Fenghui Chen
Junxin Li
Yan Du
Xi Chen
Shuang Wu
Abigael Joseph
Yinyan Gao
Zeng Cao
Hui Feng
author_facet Hongting Ning
Hongting Ning
Fenghui Chen
Fenghui Chen
Junxin Li
Yan Du
Xi Chen
Shuang Wu
Abigael Joseph
Yinyan Gao
Zeng Cao
Hui Feng
author_sort Hongting Ning
collection DOAJ
description AimsTo evaluate the effectiveness of a multicomponent exercise intervention and to clarify the underlying mechanisms of the program in community-dwelling older adults with cognitive frailty. Additionally, the perception of participants in the program will be explored.DesignA mixed-methods design, including a randomized controlled trial and an exploratory qualitative study, was used.MethodsEach group consists of 41 participants. The experimental group will undergo a 12-week multicomponent exercise intervention, including warm-up, exergaming aerobic exercise, elastic-band resistance exercise, and cool-down. This intervention was developed based on the Health Belief Model (HBM) and Self-Efficacy Model (SEM). The control group will not receive any intervention. Physical frailty and cognitive function will be considered as primary outcomes. Data will be collected both at baseline and at the end of the intervention period. Fisher’s exact test, analysis of covariance, and generalized linear models will be conducted to compare mean changes between the two groups. Additionally, the mediation models will be used to examine whether any intervention effects are mediated through exercise self-efficacy.DiscussionThe findings of this study are anticipated to provide valuable insights for healthcare providers, enabling them to learn about effective strategies to enhance exercise adherence and promote improved functionality, independence, and quality of life for older adults with cognitive frailty.Clinical trial registration: [https://clinicaltrials.gov/], identifier [ChiCTR2200058850].
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spelling doaj.art-7c677dad3bec4f3480a76b2dfbba30ba2024-04-11T09:58:50ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652024-02-011610.3389/fnagi.2024.12822631282263Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods researchHongting Ning0Hongting Ning1Fenghui Chen2Fenghui Chen3Junxin Li4Yan Du5Xi Chen6Shuang Wu7Abigael Joseph8Yinyan Gao9Zeng Cao10Hui Feng11Xiangya School of Nursing, Central South University, Changsha, Hunan, ChinaSchool of Nursing, Johns Hopkins University, Baltimore, MD, United StatesXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaNursing School, Xinjiang Medical University, Urumqi, ChinaSchool of Nursing, Johns Hopkins University, Baltimore, MD, United StatesSchool of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaSchool of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, ChinaDepartment of Physical Medicine and Rehabilitation, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaXiangya School of Nursing, Central South University, Changsha, Hunan, ChinaAimsTo evaluate the effectiveness of a multicomponent exercise intervention and to clarify the underlying mechanisms of the program in community-dwelling older adults with cognitive frailty. Additionally, the perception of participants in the program will be explored.DesignA mixed-methods design, including a randomized controlled trial and an exploratory qualitative study, was used.MethodsEach group consists of 41 participants. The experimental group will undergo a 12-week multicomponent exercise intervention, including warm-up, exergaming aerobic exercise, elastic-band resistance exercise, and cool-down. This intervention was developed based on the Health Belief Model (HBM) and Self-Efficacy Model (SEM). The control group will not receive any intervention. Physical frailty and cognitive function will be considered as primary outcomes. Data will be collected both at baseline and at the end of the intervention period. Fisher’s exact test, analysis of covariance, and generalized linear models will be conducted to compare mean changes between the two groups. Additionally, the mediation models will be used to examine whether any intervention effects are mediated through exercise self-efficacy.DiscussionThe findings of this study are anticipated to provide valuable insights for healthcare providers, enabling them to learn about effective strategies to enhance exercise adherence and promote improved functionality, independence, and quality of life for older adults with cognitive frailty.Clinical trial registration: [https://clinicaltrials.gov/], identifier [ChiCTR2200058850].https://www.frontiersin.org/articles/10.3389/fnagi.2024.1282263/fullexercise interventionexergamingresistance exercisecommunity-dwellingolder adultscognitive frailty
spellingShingle Hongting Ning
Hongting Ning
Fenghui Chen
Fenghui Chen
Junxin Li
Yan Du
Xi Chen
Shuang Wu
Abigael Joseph
Yinyan Gao
Zeng Cao
Hui Feng
Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research
Frontiers in Aging Neuroscience
exercise intervention
exergaming
resistance exercise
community-dwelling
older adults
cognitive frailty
title Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research
title_full Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research
title_fullStr Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research
title_full_unstemmed Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research
title_short Effectiveness of a multicomponent exercise intervention in community-dwelling older Chinese people with cognitive frailty: protocol for a mixed-methods research
title_sort effectiveness of a multicomponent exercise intervention in community dwelling older chinese people with cognitive frailty protocol for a mixed methods research
topic exercise intervention
exergaming
resistance exercise
community-dwelling
older adults
cognitive frailty
url https://www.frontiersin.org/articles/10.3389/fnagi.2024.1282263/full
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