Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review

van der Wardt, Veronika; Hancox, Jennie; Gondek, Dawid; Logan, Pip; das Nair, Roshan; Pollock, Kristian; Harwood, Rowan H.

Abstract

Exercise-based therapy may improve health status for people with Mild Cognitive Impairment (MCI) or dementia but cannot work without adherence, which has proven difficult. This review aimed to evaluate strategies to support adherence among people with MCI or Dementia and was completed in Nottingham/UK in 2017. A narrative synthesis was used to investigate the effectiveness or usefulness of adherence support strategies. Fifteen adherence support strategies were used including theoretical underpinning (programmes based on behavior change theories), individual tailoring, worksheets and exercise booklets, goal setting, phone calls or reminders, newsletters, support to overcome exercise barriers, information, adaptation periods, individual supervision, support for clinicians, group setting, music, accelerometers/pedometers and emphasis on enjoyable activities. Music was the only strategy that was investigated in a comparative design but was found to be effective only for those who were generally interested in participating in activities. A wide range of adherence support strategies are being included in exercise interventions for people with MCI or dementia, but the evidence regarding their effectiveness is limited.

Citation

van der Wardt, V., Hancox, J., Gondek, D., Logan, P., das Nair, R., Pollock, K., & Harwood, R. H. (2017). Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review. Preventive Medicine Reports, 7, https://doi.org/10.1016/j.pmedr.2017.05.007

• Journal Article Type: Article
• Acceptance Date: May 15, 2017
• Online Publication Date: May 18, 2017
• Publication Date: Sep 30, 2017
• Deposit Date: Jul 7, 2017
• Publicly Available Date: Jul 7, 2017
• Journal: Preventive Medicine Reports
• Electronic ISSN: 2211-3355
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 7
• DOI: https://doi.org/10.1016/j.pmedr.2017.05.007
• Keywords: Dementia, Mild cognitive impairment, Exercise, adherence, Compliance, Motivator, Adherence support, Behavior change
• Public URL: https://nottingham-repository.worktribe.com/output/885874
• Publisher URL: http://www.sciencedirect.com/science/article/pii/S2211335517300852
• Contract Date: Jul 7, 2017