AI Article Synopsis
- A randomized controlled trial indicated that exercise can improve cognitive function in older adults with mild cognitive impairment, prompting a deeper investigation into factors affecting adherence to these exercise programs.
- During follow-up interviews six months post-trial, it was found that adherence was at a mean of 53%, with a significant split among participants: one-third experienced lapses, one-third maintained consistency, and one-third either dropped out or never started.
- Key barriers affecting adherence included practical issues like time and location for initial participation and functional limitations contributing to dropout rates, while those who maintained exercise reported fewer health concerns and greater satisfaction with the program.
Article Abstract
After a randomized controlled trial showing that improvement on some aspects of cognitive function was related to adherence to an exercise program, determinants of adherence and maintenance were further studied. Older adults with mild cognitive impairment were contacted 6 mo after the end of exercise programs for a telephone interview addressing patterns of adherence and determinants of maintenance. Mean adherence during the trial was 53%. About one third of participants had lapses during the trial but completed, one third had no lapses, and one third dropped out or never started. Practical barriers (time, location) were related to not starting and functional limitations to dropout. After the trial 25% of participants continued the programs, 14% reported intention to continue, and 61% quit. Maintenance was determined by fewer health complaints, higher satisfaction with the programs, and better adherence during the programs. Although maintenance was low, this study identified several reasons and barriers to adherence and maintenance that could be addressed.
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| http://dx.doi.org/10.1123/japa.20.1.32 | DOI Listing |
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