Development and Testing of an Exergaming and Artmaking Program to Enhance Cognitive and Physical Function in Older Adults: Results of a Community-Based Pilot Study
Notice bibliographique
Résumé
Background: Group-based recreational activities, including physical activity and art-making, can help older adults preserve or even improve key functional outcomes essential to successful aging, while also fostering social support. Community-university partnerships can promote successful aging by facilitating the design and implementation of evidence-based, relevant, and impactful programs that better meet the needs of older adults in our community. Objective: This study aimed to leverage a community-integrated approach to develop and test a recreation-based exergaming and art-making program on improving cognitive and physical functional outcomes in older adults. Methods: Working with the Buffalo-Niagara YMCA, we developed the "Movers and Makers Club," a group-based recreation program to improve cognitive and physical function in aging. We recruited adults, ≥65 years, to participate in weekly group-based SMARTfit exergaming and artmaking during the 12-week program. The program was divided into 2 phases. During the design phase, we sought direct feedback from older adults in the community regarding the appeal and usability of proposed exergaming activities and art projects. In the impact phase, we administered a 1-group, 12-week pilot study to test the effects of group-based SMARTfit exergaming and visual artmaking on performance on the Trail-Making Test and Stroop Color and Word Test. In addition, other functional assessments included a 4-Stage Balance Test, 30-second Sit-to-Stand test, and a 6-Minute Walk Test. Key participant-reported outcomes were also collected on the appeal, enjoyability, and usability of program activities. Results: In all, 17 older adults (mean age 73.80, SD 4.10 y) enrolled in the program between 2 YMCA branches: one representing the City of Buffalo and one, a local suburb. At the end point, all 17 participants completed at least 9 out of 12 sessions. Participants reported high ratings of enjoyment and satisfaction with their experience. They also reported that their comfort level while exercising, maintaining their balance, and walking had improved. Participants also found their comfort level with doing art, and their interest in trying new artistic pursuits increased. In addition, performance on the Trail-Making Test and Stroop Color and Word Test improved from baseline to end point (P<.001). We also observed improvements in 1-leg balance, 30-second Sit-to-Stand test performance, and 6-Minute Walk Test distance (P<.001). Conclusions: Our group-based recreation program, delivering SMARTfit exergaming and guided art-making to older adults, improved cognitive and physical functions important to successful aging. In addition, our approach of seeking direct feedback from older adults, in developing the program, produced a highly enjoyable and appealing experience that was age- and ability-appropriate. Our future programs will integrate formal assessments of key psychosocial factors that may influence both the implementation and functional impacts of the "Movers and Makers" curriculum.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».