Age and ageing
Remote multicomponent intervention for older adults with cognitive impairment in community settings: multisite randomised controlled trial
Par Jang GY, Jo S, Baek JY et 4 autres.
Contenu en anglais
Résumé
Background
Cognitive impairment is common among community-dwelling older adults and represents a pragmatic target for community-level intervention. This study evaluated the effectiveness of a scalable, remotely delivered multicomponent intervention for older adults with cognitive impairment, integrated into community and primary care settings.
Methods
This 6-month, parallel-group, randomised controlled trial was performed at two public health centres in South Korea, enrolling adults aged 60-80 years with cognitive impairment and preserved functional independence. Participants were randomly assigned (1:1) to a videoconference-based exercise and nutritional support programme or to usual health promotion services. The primary outcome was change in the Montreal Cognitive Assessment-Korean version (MoCA-K) score at 6 months; secondary outcomes included cognitive, functional, physical performance, frailty and depressive measures at 6 and 12 months.