A preliminary feasibility study of a virtual mentally stimulating activities program for older adults
DOI:
https://doi.org/10.5055/ajrt.2022.0270Keywords:
loneliness, depressive symptoms, cognitive stimulation, life satisfactionAbstract
Objectives: To examine preliminary feasibility of a virtually mentally stimulating activities (VMSA) program for community-dwelling older adults (aim 1) and the impact of VMSA on loneliness, depressive symptoms, and satisfaction with life (aim 2).
Design: This was designed as a pre-experimental case study.
Setting: Virtual for community-dwelling participants.
Participants: Four older adults, age range from 67 to 79 (mean age = 72, SD = 4.6) who resided in the community and were active in a local senior resource center, were included in this study.
Intervention: A 4-week (eight sessions at 60 minutes/session) VMSA program as transformed from the in-person, evidence-based, Mentally Stimulating Activities Recreation Therapy program.
Main outcome measures: Preliminary feasibility, eg, acceptability, demand, implementation, and practicality, of the VMSA program was explored (aim 1). The efficacy of the VMSA program on loneliness (University of California, Los Angeles 3-Item Loneliness Scale), depressive symptoms (Patient Health Questionnaire—9-Item), and satisfaction with life (Satisfaction with Domains of Life Scale) was also explored (aim 2).
Results: Regarding aim 1, 97 percent of participants attended eight sessions (only one participant missed one session). All participants (100 percent) rated the program quality as “Excellent” (scoring 10/10), and 100 percent of participants recorded satisfaction as a 10/10. Most (75 percent) of the participants noted that the program was “somewhat” challenging, and 100 percent reported that the program met expectations. For aim 2, positive mean change across all participants was observed in loneliness and satisfaction with life scores; however, there was no change in depressive symptom scores across the eight sessions.
Conclusion: Findings from this preliminary feasibility and efficacy study show the potential viability of a VMSA program for community-dwelling older adults. Additional research within this area has the potential to provide recreation therapy professionals with a virtual program that promotes psychosocial health in older adults. Additional research, particularly with larger sample sizes, is needed to further examine feasibility and efficacy of such programming.
References
Khosravi P, Rezvani A, Wiewiora A: The impact of technology on older adults’ social isolation. Comput Hum Behav. 2016; 63: 594-603.
Mehrabi F, Béland F: Effects of social isolation, loneliness and frailty on health outcomes and their possible mediators and moderators in community-dwelling older adults: A scoping review. Arch Gerontol Geriatr. 2020; 90: 104119.
Smith ML, Steinman LE, Casey EA: Combatting social isolation among older adults in a time of physical distancing: The COVID-19 social connectivity paradox. Front Public Health. 2020; 403: 1-9.
Peplau LA, Perlman D: Perspectives on loneliness. In Peplau LA, Perlman D (eds.): Loneliness: A Sourcebook of Current Theory, Research and Therapy. New York: John Wiley & Sons, 1982: 1-18.
National Academies of Sciences, Engineering, and Medicine: Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System. Washington, DC: National Academies Press, 2020.
Fakoya OA, McCorry NK, Donnelly M: Loneliness and social isolation interventions for older adults: A scoping review of reviews. BMC Public Health. 2020; 20(1): 14.
Holt-Lunstad J, Smith TB, Layton JB: Social relationships and mortality risk: A meta-analytic review. PLoS Med. 2010; 7(7): E1000316-20.
Holt-Lunstad J, Robles TF, Sbarra DA: Advancing social connection as a public health priority in the United States. Am Psychol. 2017; 72(6): 517-530.
Wiles JL, Leibing A, Guberman N, et al.: The meaning of “aging in place” to older people. Gerontologist. 2012; 52(3): 357-366.
Vanleerberghe P, De Witte N, Claes C, et al.: The quality of life of older people aging in place: A literature review. Qual Life Res. 2017; 26(11): 2899-2907.
Sardina AL, Tan SC, Perry J, et al.: Preliminary study of the correlates of leisure interests and constraints among adults residing in public housing. J Aging Environ. 2022; 36: 113-135.
Manca R, De Marco M, Venneri A: The impact of COVID-19 infection and enforced prolonged social isolation on neuropsychiatric symptoms in older adults with and without dementia: A review. Front Psychiatry. 2020; 11: 1-11.
Siette J, Dodds L, Seaman K, et al.: The impact of COVID-19 on the quality of life of older adults receiving community-based aged care. Australas J Ageing. 2021; 40(1): 84-89.
Kang S-J, Jung SI: Age-related morbidity and mortality among patients with COVID-19. Infect Chemother. 2020; 52(2): 154-164.
George DR, Whitehouse PJ: Marketplace of memory: What the brain fitness technology industry says about us and how we can do better. Gerontologist. 2011; 51(5): 590-596.
Tak SH, Zhang H, Patel H, et al.: Computer activities for persons with dementia. Gerontologist. 2015; 55: S40-S49.
Sood P, Kletzel SL, Krishnan S, et al.: Nonimmersive brain gaming for older adults with cognitive impairment: A scoping review. Gerontologist. 2019; 59(6): E764-E781.
Botner E: Impact of a virtual learning program on social isolation for older adults. Ther Recreat J. 2018; 52(2): 126-139.
Morris A, Brading H: E-literacy and the grey digital divide: A review with recommendations. J Inform Liter. 2007; 1(3): 13-28.
Gitlow L: Technology use by older adults and barriers to using technology. Phys Occup Ther Geriatr. 2014; 32(3): 271-280.
Hutto CJ, Bell C, Farmer S, et al.: Social media gerontology: Understanding social media usage among older adults. Web Intell. 2015; 13: 69-87.
Edwards JD, Fausto BA, Tetlow AM, et al.: Systematic review and meta-analyses of useful field of view cognitive training. Neurosci Biobehav Rev. 2018; 84: 72-91.
Buitenweg J, Murre J, Ridderinkhof KR: Brain training in progress: A review of trainability in healthy seniors. Front Hum Neurosci. 2012; 6: 1-11.
Guo PJ: Older adults learning computer programming: Motivations, frustrations, and design opportunities. In Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems, Denver, Colorado, USA, 2017.
Ruthirakuhan MT, Luedke AC, Tam A, et al.: Use of physical and intellectual activities and socialization in the management of cognitive decline of aging and in dementia: A review. J Aging Res. 2012; 2012: 1-14.
Cramer SC, Sur M, Dobkin BH, et al.: Harnessing neuroplasticity for clinical applications. Brain. 2011; 134(6): 1591-1609.
Buettner LL, Fitzsimmons S, Atav S, et al.: Cognitive stimulation for apathy in probabprobable early-stage Alzheimer’s. J Aging Res. 2011; 2011: 1-6.
Fitzsimmons S: Brain Fitness: An Instructor’s Manual of 150 Exercises for People with Low to High Cognitive Function. Edmonton: Venture Publishing, 2008.
Sardina AL, Fitzsimmons S, Hoyt C, et al.: A mentally stimulating activities program for the treatment of neuropsychiatric symptoms in Alzheimer’s disease. Am J Recreat Ther. 2019; 18(4): 27-37.
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; 12(3): 189-198.
Bowen DJ, Kreuter M, Spring B, et al.: How we design feasibility studies. Am J Prev Med. 2009; 36(5): 452-457.
Hughes ME, Waite LJ, Hawkley LC, et al.: A short scale for measuring loneliness in large surveys: Results from two population-based studies. Res Aging. 2004; 26(6): 655-672.
Russell DW: UCLA loneliness scale (version 3): Reliability, validity, and factor structure. J Pers Assess. 1996; 66(1): 20-40.
Kroenke K, Spitzer RL, Williams JBW: The PHQ-9. J Gen Intern Med. 2001; 16(9): 606-613.
Loewe N, Bagherzadeh M, Araya-Castillo L, et al.: Life domain satisfactions as predictors of overall life satisfaction among workers: Evidence from Chile. Soc Indic Res. 2014; 118(1): 71-86.
Lawton M: The dimensions of well-being. Exp Aging Res. 1983; 9(2): 65-72.
Gamaldo AA, Sardina AL, Tan SC, et al.: Correlates of life satisfaction among middle-aged and older Black adults. J Racial Ethn Health Disparities. 2021; 8(5): 1249-1259.
Folstein MF, Robins LN, Helzer JE: The Mini-Mental State Examination. Arch Gen Psychiatry. 1983; 40(7): 812-812.
Gamaldo AA, Sardina AL, Corona RT, et al.: The association between educational parameters and a cognitive screening measure in older Blacks. Int Psychogeriatr. 2018; 30(3): 311-322.
Steptoe A, Shankar A, Demakakos P, et al.: Social isolation, loneliness, and all-cause mortality in older men and women. Proc Natl Acad Sci USA. 2013; 110(15): 5797-5801.
Cason J: Telehealth: A rapidly developing service delivery model for occupational therapy. Int J Telerehab. 2014; 6(1): 29-36.
Gately ME, Tickle-Degnen L, Voydetich DJ, et al.: Video telehealth occupational therapy services for older veterans: National survey study. JMIR Rehabil Assist Technol. 2021; 8(2): e24299-12.
Lee AC: COVID-19 and the advancement of digital physical therapist practice and telehealth. Phys Ther. 2020; 100(7): 1054-1057.
Applegate WB, Ouslander JG: COVID-19 presents high risk to older persons. J Am Geriatr Soc. 2020; 68(4): 681-681.
Gray SM, Franke T, Sims-Gould J, et al.: Rapidly adapting an effective health promoting intervention for older adults—choose to move—for virtual delivery during the COVID-19 pandemic. BMC Public Health. 2022; 22(1): 1-15.
Shapira S, Yeshua-Katz D, Cohn-Schwartz E, et al.: A pilot randomized controlled trial of a group intervention via zoom to relieve loneliness and depressive symptoms among older persons during the COVID-19 outbreak. Internet Interv. 2021; 24: 100368.
Adepoju OE, Jennings S, Schrader P, et al.: Leveraging public–private partnerships during COVID-19: Providing virtual field opportunities for student learners and addressing social isolation in older adults. J Appl Gerontol. 2022; 41: 1657-1664.
Ibrahim A, Chong MC, Khoo S, et al.: Virtual group exercises and psychological status among community-dwelling older adults during the COVID-19 pandemic—A feasibility study. Geriatrics. 2021; 6: 31-12.
Tan LF, Tee LYS, Seetharaman SK: Virtual intergenerational therapy: New platforms for engagement of older adults during the COVID-19 crisis. Am J Geriatr Psychiatry. 2020; 28(12): 1330-1331.
Baez M, Far IK, Ibarra F, et al.: Effects of online group exercises for older adults on physical, psychological and social wellbeing: A randomized pilot trial. Peer J. 2017; 5: e3150-27.
Vincenzo JL, Hergott C, Schrodt L, et al.: Capitalizing on virtual delivery of community programs to support health and well-being of older adults. Phys Ther. 2021; 101(4): 1-4.
Yoon H, Jang Y, Vaughan PW, et al.: Older adults’ internet use for health information: Digital divide by race/ethnicity and socioeconomic status. J Appl Gerontol. 2020; 39(1): 105-110.
Published
How to Cite
Issue
Section
License
Copyright 2000-2023, Weston Medical Publishing, LLC
All Rights Reserved