Sistematización de una intervención cognitivo – comunicativa basada en reminiscencia para adultos mayores

RESUMEN Objetivo Determinar el efecto del programa de intervención cognitivo - comunicativo basado en la reminiscencia (PECC-R) sobre el procesamiento cognitivo global y la autopercepción de bienestar subjetivo. Método En una muestra intencional de 100 adultos mayores autovalentes, 65 conformaron el grupo estudio y 35 el grupo control. El programa se administró en el grupo de estudio. Mediante la prueba de Wilcoxon, se compararon las medidas de resultado de eficacia cognitiva global (MMSE) y bienestar subjetivo (SWLS) antes y después del programa, Asimismo, se compararon las diferencias del pre y postest de ambos grupos mediante U de Mann Whitney. Resultados Se observó una diferencia estadísticamente significativa entre el pre y post test del SWLS en el grupo estudio, no así en el grupo control. Este resultado se replicó en la variable eficacia cognitiva global. Se observó una diferencia entre los grupos en ambas medidas, con mayor beneficio en el grupo que recibió la intervención. Conclusión El PECC-R constituye una alternativa viable para la estimulación cognitivo-comunicativa de orden funcional. La evidencia de las diferencias en las actuaciones respalda su utilidad y validez para la intervención en Atención Primaria u otros contextos similare

Augmenting K-Means Clustering With Qualitative Data to Discover the Engagement Patterns of Older Adults With Multimorbidity When Using Digital Health Technologies: Proof-of-Concept Trial

Background:Multiple chronic conditions (multimorbidity) are becomingmore prevalent among aging populations. Digital health technologies have thepotential to assist in the self-management of multimorbidity, improving theawareness and monitoring of health and well-being, supporting a betterunderstanding of the disease, and encouraging behavior change.Objective:The aim of this study was to analyze how 60 older adults(mean age 74, SD 6.4; range 65-92 years) with multimorbidity engaged withdigital symptom and well-being monitoring when using a digital health platformover a period of approximately 12 months. Methods:Principal component analysis and clustering analysis wereused to group participants based on their levels of engagement, and the dataanalysis focused on characteristics (eg, age, sex, and chronic healthconditions), engagement outcomes, and symptom outcomes of the differentclusters that were discovered.Results:Three clusters were identified: the typical user group, theleast engaged user group, and the highly engaged user group. Our findings showthat age, sex, and the types of chronic health conditions do not influenceengagement. The 3 primary factors influencing engagement were whether the samedevice was used to submit different health and well-being parameters, thenumber of manual operations required to take a reading, and the daily routineof the participants. The findings also indicate that higher levels ofengagement may improve the participants’ outcomes (eg, reduce symptomexacerbation and increase physical activity).Conclusions:The findings indicate potential factors that influence olderadult engagement with digital health technologies for home-based multimorbidityself-management. The least engaged user groups showed decreased health andwell-being outcomes related to multimorbidity self-management. Addressing thefactors highlighted in this study in the design and implementation ofhome-based digital health technologies may improve symptom management andphysical activity outcomes for older adults self-managing multimorbidity.</p

Digital storytelling intervention to enhance social connections and participation for people with mild cognitive impairment: a research protocol

IntroductionInterventions utilizing the principles of digital storytelling can improve cognitive ability by cultivating positive emotions and framing a new way to enhance social participation among people with mild cognitive impairment. However, existing research has understudied group-based storytelling, focusing instead on building individual stories and connections with family and friends. In response to this research gap, this paper proposes co-designing a digital storytelling intervention for people with Mild Cognitive Impairment (MCI) to enhance their social participation and build meaningful connections.MethodsWe will conduct two co-design workshops with people with MCI (n = 12), their caregivers (n = 4–12), and therapists (n = 5) in Beijing, China, to facilitate the co-development of the digital storytelling application. During the first workshop, we will utilize card sorting and voting to define potential facilitators of social participation, identifying the abilities people with MCI want to improve through storytelling. During the second workshop, we will build on these findings to facilitate people with MCI and their caregivers to visualize the interfaces. After reflexive thematic analysis of the co-design workshops, we will develop a digital storytelling application and test its usability and efficacy among people with MCI and therapists, respectively. A single-blinded field test will be conducted with 20 community-dwelling adults with MCI (Age: 65+). The testing will consist of an intervention group of 10 participants who use the co-designed digital storytelling intervention and a control group of 10 participants who will not use the co-designed intervention on the waiting list. The intervention period will extend over 7 weeks, with individual intervention sessions lasting 30 min. We will evaluate its efficacy in terms of social participation, social connectedness, self-efficacy, subjective sense of happiness, and user experience of people with MCI.DiscussionThis study will examine an innovative digital storytelling intervention to enhance social participation among people with MCI. This study is expected to advance the concept of community-centric social groups in social health service contexts by integrating technological solutions with the self-identified needs and lived experiences of people with MCI, increasing the motivation of people with MCI to cultivate social participation.Ethics and disseminationSwinburne University of Technology’s Human Research Ethics Committee gave ethics approval for this research (Approval Number: 20226525-11105; Date: 26/09/2022). Our findings shall be reported in peer-reviewed journal articles and at relevant conferences