Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment

Abstract

2020) Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment, The Clinical Neuropsychologist, 34:5, 937-955, ABSTRACT Objective: Behavioral interventions during early memory decline hold promise in delaying the development of dementia. In the present study, participants in a multimodal behavioral intervention study were assessed for post-intervention adherence and predictors of adherence. Methods: Participants (N ¼ 272, mean age ¼ 75.04 ± 7.54) diagnosed with amnestic Mild Cognitive Impairment (aMCI) were assigned to intervention groups receiving four out of five behavioral intervention components, including yoga, memory compensation training, computerized cognitive training, support groups, and/or wellness education. Length of the intervention was 10 days, 4 h per day, with post-intervention follow-up at 6, 12, and 18 months. Results: Two-hundred and thirty-seven participants completed the 6-month post-intervention follow-up measures, 228 participants completed the 12-month measures, and 218 participants completed the 18-month measures. Participants fully adhered to a mean of 2 out of the 4 taught intervention components. Eightynine percent of participants were at least partially adherent to one or more taught intervention components at 6-, 12-, and 18-month post-intervention follow-up. Physical activity was the most adhered to intervention while group support was the least adhered to intervention across all three follow-up time-points. Higher educational level, higher baseline depressive symptoms, higher baseline global cognitive functioning, and better baseline and concurrent functional abilities were associated post-intervention adherence. Conclusion: Changes in functional abilities are associated with disease progression among persons with aMCI. In the present study, individuals with aMCI who have higher education, higher depressive symptoms, and better baseline functioning abilities are ARTICLE HISTORY more likely to adhere to behavioral intervention components over time. Post-intervention adherence also associates with concurrent daily function.

Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment

“…Participants who received CCT intervention were prescribed to engage in 150 min per week of at-home CCT for the 12 months following the intervention. However, as we have reported previously, the majority of the participants in the study did not continue to engage in the prescribed target at-home CCT [22]. Nevertheless, it is encouraging that there were greater benefits in psychomotor/attention at the 12 months follow-up for pwMCI who participated in greater amounts of at-home CCT.…”

“…HABIT is a five-component program that includes CCT, yoga, MSS-Calendar, wellness education, and support groups. Of the 272 dyads who enrolled in the study, 237 dyads completed procedures at a 6 month follow-up, 228 completed procedures at a 12 month follow-up, and 218 participants at a 18 month follow-up [22]. We hypothesized that each of the HABIT interventions would provide different types of benefits for pwMCI and their care partner.…”

Comparative Effects of Physical Exercise and Other Behavioral Interventions on Functional Status Outcomes in Mild Cognitive Impairment

“…Adherence criteria for each component led to classification of participants as "adherent," "indeterminate," or "nonadherent." Full details of adherence have been reported elsewhere (Amofa et al, 2019). Briefly, physical exercise had the highest number of participants in full adherence at 12 months, while SG had the least.…”

Validez de constructo de la escala para evaluar la adherencia a procesos de neurorrehabilitación funcional (SMAN) en personas adultas

“…Asimismo, factores como el proceso de neurorrehabilitación funcional, la frecuencia de las terapias [17,18], la percepción del cumplimiento por parte del profesional de la salud [5,6], la percepción de mejoría por parte del usuario [19][20][21] y las complicaciones o los efectos secundarios resultado de los procesos terapéuticos [18,22,23] muestran un impacto directo sobre el cumplimiento y la adherencia a dichos procesos. Igualmente, en el factor que tiene que ver con la discapacidad, se han descrito relaciones de la adherencia terapéutica con la condición funcional [24], la progresión de la enfermedad [22], la severidad de la enfermedad [15,22,25] y las comorbilidades [22,26,27]. Por último, respecto a los factores asociados al paciente, el nivel de motivación en el proceso de rehabilitación [12,21], la importancia dada en el proceso de recuperación [11,28], la comprensión del proceso [21,29] y la esperanza [15,30] son considerados elementos importantes para la adherencia a procesos de neurorrehabilitación funcional.…”