老年人护理个性化锻炼的发展：可行性和单臂研究

IF 4.4 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology Pub Date : 2026-04-01 Epub Date: 2026-04-25 DOI:10.1016/j.ijchp.2026.100674

Madalena Raposo de Lima , Carla Pombo , Cátia Gameiro , Beatriz Lopes , Heitor Cardoso , Alexandre Bernardino , Maria Vania Silva Nunes

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引用次数: 0

摘要

在世界范围内，轻度认知障碍和痴呆的患病率正在迅速增加，这深刻地影响了老年人的生活质量，并对医疗保健系统提出了重大挑战。病理的异质性，缺乏可定制和可用的资源，以及医疗保健专业人员的稀缺是老年护理设施中反复出现的问题。本研究旨在验证exexcogs®，这是一种新型集成便携式运动游戏平台，旨在增强老年人在老年护理机构中的认知功能。方法：我们进行了两项实验：1)对12名医疗保健专业人员和30名老年人进行可行性研究，以评估技术的接受度和可用性；2)对204名老年护理机构的老年人进行单臂研究，以探讨四个excogs®（认知、情感、社会、功能和生活质量）的潜在多维影响。干预实施了12周，每周两次。结果干预效果良好，在老年人和医疗保健专业人员中接受度较高。依从性非常高（91.68%），并且对继续使用有强烈的兴趣。在通常受衰老影响的多个领域，包括认知、情绪、感知孤独和生活质量，都观察到显著的改善，反映了所有评估维度的积极结果。结论初步结果表明，exrecogs®是一种很有前途的工具，可以支持老年护理机构的医护人员。未来的研究应该包括一个对照组和随机临床试验，以进一步验证这些发现。

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Development of personalized exercogs for older adults care: A feasibility and single-arm study

Introduction

The prevalence of mild cognitive impairment and dementia is rapidly increasing worldwide, profoundly impacting older adults’ quality of life and presenting significant challenges to healthcare systems. The heterogeneity of pathologies, the lack of customizable and available resources, and the scarcity of healthcare professionals are recurrent issues in aged care facilities. This study aimed to validate Exercogs®, a newly integrated portable exergaming platform designed to enhance cognitive function in older adults within elderly care facilities.

Methodology

We conducted two experiments: 1) a feasibility study with 12 healthcare professionals and 30 older adults to assess technology acceptance and usability, and 2) a single-arm pre-post study involving 204 seniors in aged care facilities to explore the potential multidimensional effects of the four Exercogs® (cognitive, affective, social, functional, and quality of life). The intervention was implemented over 12 weeks, with two weekly sessions.

Results

The intervention was well-received, with high-acceptance among older adults and healthcare professionals. Adherence was notably high (91.68%) with strong interest in continued use. Significant improvements were observed across multiple domains commonly impacted by aging, including cognition, mood, perceived loneliness, and quality of life, reflecting positive outcomes across all evaluated dimensions.

Conclusion

Preliminary results suggest that the Exercogs® is a promising tool to support healthcare professionals in aged care facilities. Future research should include a control group and randomized clinical trials to further validate these findings.

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来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.