Feasibility and Preliminary Efficacy of a Multimodal Approach to Increase Physical Activity in Older Adults With Memory Complaints: The Education for Action Study

Danylo F. Cabral, Vinicius S. Santos, Oceano T.T. Pereira, Maria J. Silva, Alvaro Pascual-Leone, Tatjana Rundek, David A. Loewenstein, Neva Kirk-Sanchez, Augusto C.A. Oliveira, Joyce Gomes-Osman

Research output: Contribution to journalArticlepeer-review

Abstract

In this randomized controlled pilot trial, the authors explored the feasibility, technology compliance, and preliminary efficacy of the Education for Action (EDU-ACT), a multimodal intervention combining evidence-based strategies of physical activity (PA) education and coaching in PA levels over 4 weeks between EDU-ACT and control groups. The authors also assessed pre–post changes in neurocognitive function, functional mobility and dual-task performance, sleep and quality of life. Thirty-two sedentary older adults with memory complaints (age = 66 ± 5.3) completed the study (EDU-ACT = 18 and control = 14). The EDU-ACT adherence rate was 95%, and compliance of daily PA reporting was, on average, 22.7 days (94.6%). The EDU-ACT group demonstrated a significantly greater number of steps, processing speed, and dual-task performance when compared with controls (p < .05). In this study, a multimodal, evidence-based, low-cost intervention was feasible, well-accepted, with high adherence and compliance rates, and effective at promoting clinically meaningful increases in PA, for at least 1 month postintervention, in older adults with memory complaints.

Original languageEnglish (US)
Pages (from-to)204-216
Number of pages13
JournalJournal of Aging and Physical Activity
Volume30
Issue number2
DOIs
StatePublished - Apr 1 2022

Keywords

  • behavior change
  • coaching
  • cognition
  • exercise
  • health education

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Gerontology
  • Geriatrics and Gerontology

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