Feasibility and Preliminary Efficacy of a Multimodal Approach to Increase Physical Activity in Older Adults With Memory Complaints: The Education for Action Study

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Danylo F. Cabral
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Vinicius S. Santos
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Oceano T.T. Pereira
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Maria J. Silva
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Alvaro Pascual-Leone
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Tatjana Rundek
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David A. Loewenstein
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Neva Kirk-Sanchez
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Augusto C.A. Oliveira
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Joyce Gomes-Osman
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In this randomized controlled pilot trial, the authors explored the feasibility, technology compliance, and preliminary efficacy of the Education for Action (EDU-ACT), a multimodal intervention combining evidence-based strategies of physical activity (PA) education and coaching in PA levels over 4 weeks between EDU-ACT and control groups. The authors also assessed pre–post changes in neurocognitive function, functional mobility and dual-task performance, sleep and quality of life. Thirty-two sedentary older adults with memory complaints (age = 66 ± 5.3) completed the study (EDU-ACT = 18 and control = 14). The EDU-ACT adherence rate was 95%, and compliance of daily PA reporting was, on average, 22.7 days (94.6%). The EDU-ACT group demonstrated a significantly greater number of steps, processing speed, and dual-task performance when compared with controls (p < .05). In this study, a multimodal, evidence-based, low-cost intervention was feasible, well-accepted, with high adherence and compliance rates, and effective at promoting clinically meaningful increases in PA, for at least 1 month postintervention, in older adults with memory complaints.

Oliveira and Gomes-Osman contributed equally to this work.

Cabral, Kirk-Sanchez, and Gomes-Osman are with the Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, USA. Cabral, Santos, Pereira, Silva, and Oliveira are with the Department of Physical Therapy, Alagoas State University of Health Sciences, Maceió, Alagoas, Brazil. Rundek, Kirk-Sanchez, and Gomes-Osman are with the Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA. Pascual-Leone is with the Department of Neurology, Harvard Medical School, Boston MA, USA; Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Rosindale, MA, USA; and the Guttmann Brain Health Institute, Barcelona, Spain. Loewenstein is with the Center for Cognitive Neuroscience and Aging, University of Miami, Miami, FL, USA.

Gomes-Osman (j.gomes@miami.edu) is corresponding author.

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