Motion-based Interactive Technology for Improved Quality of Life in Individuals With Cognitive Impairment

NCT06466460 | Recruiting

• 1 other identifier: Wake it _OrebroU
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aging population is growing in Sweden and worldwide, highlighting the urgent need to address their needs using available societal resources. In Swedish nursing homes, about 80,000 people reside, 70% of whom have cognitive impairments, and many are physically inactive. Cognitive impairment negatively impacts daily activities and quality of life, and is the most common reason for moving from home to a nursing home. Methods to meet these individuals' needs must be developed to motivate physical, cognitive, and social activation, aiming to improve the quality of life for older people with cognitive impairments. Movement-based interactive technology is a type of welfare technology that uses a virtual environment to stimulate activity. Virtual cycling is one example, where the individual pedals a stationary bike while watching a self-chosen interactive film. Virtual cycling thus includes multiple elements such as physical activation and cognitive and social stimulation. Previous research has shown virtual cycling to be a promising method for older adults with cognitive impairments. Few nursing homes have used this method, but a pilot project (unpublished) at nursing home for people with dementia, the investigators observed positive effects on the residents' quality of life. Virtual cycling has only been evaluated in three small international research studies, none of which have examined the impact on participants' quality of life. Therefore, the project's aim is to evaluate whether virtual cycling can improve quality of life and the physical, social, and cognitive activity abilities of older people with cognitive impairments.

1. 1.Does virtual cycling contribute to an improved quality of life for older people with cognitive impairment?
2. 2.How do residential staff and research assistants perceive the impact of virtual cycling on the physical, social, and cognitive abilities, as well as the quality of life, of older people with cognitive impairment?
3. 3.What experiences do residential staff and research assistants have regarding the opportunities and obstacles for implementing virtual cycling?

Conditions

Dementia; Cognitive Impairment

Keywords

interactive technology; quality of life; motion based; intervention

Outcome Measures

Primary Outcomes (1)

• Quality of life- Quality of Life in Late-Stage Dementia

  Quality of Life in Late-Stage Dementia (QUALID) is a proxy instrument and assesses observable quality of life in dementia. The QUALID includes eleven questions about observed behavior and mood (smiling, appearing sad, crying, irritable, etc.) that assess quality of life in dementia on a five-point Likert scale. The result of the test is scored between 11-55 points, where lower scores indicate a higher quality of life. It will be conducted two times, approximately 1-2 weeks before and after the intervention, for both the treatment group and the control group. The required time for the test is 15 minutes.

  10 weeks

Secondary Outcomes (5)

• Quality of life- EuroQol-5 Dimensions-5 Levels

  10 weeks

• Behavioral and psychological symptoms- The Neuropsychiatric Inventory

  10 weeks

• Physical test- The Timed Chair Stand Test

  10 weeks

• Physical test- The Timed Up and Go

  10 weeks

• Cognitive test- The Mini-Mental State Examination

  10 weeks

Other Outcomes (3)

• Use of medication

  12 weeks

• Health data- Body Mass Index

  10 weeks

• Number of falls

  24 weeks

Study Arms (2)

Motion based intervention

EXPERIMENTAL

To examine whether the activity of virtual cycling contributes to the improvement of quality of life for individuals with cognitive impairment

Other: Motion based - Virtual cycling

No intervention

NO INTERVENTION

no intervention for this group

Interventions

Motion based - Virtual cycling OTHER

To examine whether the activity of virtual cycling contributes to the improvement of quality of life for individuals with cognitive impairment. (Intervention study)

Motion based intervention

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• age more than 65
• resides in a nursing home
• cognitive impairment measured by MMSE, scoring \<24 points on the MMSE.

You may not qualify if:

• Individuals who cannot provide their own informed consent will be excluded, in consultation with their relatives/guardians.
• Individuals who cannot do the movement to the cycle
• Study 2)
• no age limits
• the residential staff should have worked closely with the participant in the intervention study for three months before the intervention began.
• the residential staff should have worked closely with the participant during the duration of the intervention study (16 sessions).
• the residential staff should have participated once when the participant conducted the cycling intervention, as the staff member being interviewed.
• \- residential staff who are not assessed to understand and speak Swedish to an extent that allows the interview to be conducted will be excluded.

Sponsors & Collaborators

• Marie Matérne: lead
• Region Örebro County: collaborator

Study Sites (1)

School of behavioural, social and legal sciences

Örebro, 70182, Sweden

RECRUITING

Related Publications (12)

• de Souto Barreto P, Morley JE, Chodzko-Zajko W, H Pitkala K, Weening-Djiksterhuis E, Rodriguez-Manas L, Barbagallo M, Rosendahl E, Sinclair A, Landi F, Izquierdo M, Vellas B, Rolland Y; International Association of Gerontology and Geriatrics - Global Aging Research Network (IAGG-GARN) and the IAGG European Region Clinical Section. Recommendations on Physical Activity and Exercise for Older Adults Living in Long-Term Care Facilities: A Taskforce Report. J Am Med Dir Assoc. 2016 May 1;17(5):381-92. doi: 10.1016/j.jamda.2016.01.021. Epub 2016 Mar 21.

  PMID: 27012368 BACKGROUND

• Moyle W, Jones C, Murfield J, Draper B, Beattie E, Shum D, Thalib L, O'Dwyer S, Mervin CM. Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-h snapshot. Maturitas. 2017 Aug;102:62-68. doi: 10.1016/j.maturitas.2017.05.015. Epub 2017 May 30.

  PMID: 28610686 BACKGROUND

• Dove E, Astell AJ. The Use of Motion-Based Technology for People Living With Dementia or Mild Cognitive Impairment: A Literature Review. J Med Internet Res. 2017 Jan 11;19(1):e3. doi: 10.2196/jmir.6518.

  PMID: 28077346 BACKGROUND

• D'Cunha NM, Isbel ST, Frost J, Fearon A, McKune AJ, Naumovski N, Kellett J. Effects of a virtual group cycling experience on people living with dementia: A mixed method pilot study. Dementia (London). 2021 Jul;20(5):1518-1535. doi: 10.1177/1471301220951328. Epub 2020 Aug 21.

  PMID: 32820955 BACKGROUND

• Marinus N, Hansen D, Feys P, Meesen R, Timmermans A, Spildooren J. Cycling: how can we activate care-dependent older adults with a mild cognitive impairment? Disabil Rehabil Assist Technol. 2023 Aug;18(6):896-903. doi: 10.1080/17483107.2021.1936665. Epub 2021 Jun 8.

  PMID: 34102092 BACKGROUND

• Zorz S, Dellaire S, Reilly K, Wilson-Sanchez J, Rodriguez RA, Campbell TM. Reminiscence-tied cycling technology in long-term care: A feasibility study. J Am Geriatr Soc. 2021 Oct;69(10):2987-2990. doi: 10.1111/jgs.17307. Epub 2021 Jun 5. No abstract available.

  PMID: 34089262 BACKGROUND

• Weiner MF, Martin-Cook K, Svetlik DA, Saine K, Foster B, Fontaine CS. The quality of life in late-stage dementia (QUALID) scale. J Am Med Dir Assoc. 2000 May-Jun;1(3):114-6.

  PMID: 12818023 BACKGROUND

• Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001 Jul;33(5):337-43. doi: 10.3109/07853890109002087.

  PMID: 11491192 BACKGROUND

• Cummings JL. The Neuropsychiatric Inventory: assessing psychopathology in dementia patients. Neurology. 1997 May;48(5 Suppl 6):S10-6. doi: 10.1212/wnl.48.5_suppl_6.10s.

  PMID: 9153155 BACKGROUND

• Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

  PMID: 1991946 BACKGROUND

• Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999 Jun;70(2):113-9. doi: 10.1080/02701367.1999.10608028.

  PMID: 10380242 BACKGROUND

• Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. No abstract available.

  PMID: 1202204 BACKGROUND

MeSH Terms

Conditions

Dementia; Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Cognition Disorders

Study Officials

• Marie Matérne

  Örebro University, Sweden

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Marie Matérne, PhD

CONTACT

+46707961388; marie.materne@oru.se

Alexandra Björck, Master

CONTACT

+4619586943; alexandra.bjorck@oru.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: June 7, 2024
• First Posted: June 20, 2024
• Study Start: September 20, 2024
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2029
• Last Updated: January 12, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)