Evidence has shown that exercise, a healthier diet, and smoking cessation may protect the brain, but evidence is scarce on exercise combined with cognitive training and its benefits for people with mild cognitive impairment. The aim of this study is to identify key issues with utility, effectiveness, and appeal of specific electronic applications for people with mild cognitive impairment in order to guide the design and development of a mobile application which incorporates both physical and cognitive activities, which may improve, impede or prevent cognitive decline. Sixteen participants, 65 and older, with mild cognitive impairment, assessed using the Montreal Cognitive Assessment tool, with a range of 19-25 were recruited. To assess the participants' ability to consent to the study, the MacArthur Competence Assessment Tool for Clinical Research was used. Participants were observed playing a physical activity application and cognitive training application via a tablet, on two separate occasions. A Usability Observation form was used to obtain data on facial features as well as verbal and body language while playing. A survey and focus group sessions were held to get feedback from the participants. The majority of the participants were able to use the tablets and play the physical activity and cognitive training applications. However, some of the applications had levels that were more difficult for some of the participants, but a few said parts of the applications were too easy. The investigators noted that a 'tablet stand' would have highly enhanced participation during the use of physical activity applications.
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