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Brain Vitality Enhancement (BRAVE) program to promote brain health among persons with mild cognitive impairment: A study protocol.

Abstract：

AIM:This study aims to evaluate the effects of a community-based program entitled 'Brain Vitality Enhancement (BRAVE)' on the cognitive function, physical and mental well-being of persons with mild cognitive impairment. STUDY DESIGN:This is a parallel wait list randomized controlled trial. METHODS:The BRAVE program consists of two phases. Phase 1 is an empowerment workshop for training 50 peer mentors to be the exercise ambassadors, while Phase 2 is a supervised exercise program for 250 persons with mild cognitive impairment. They will be randomly allocated to intervention or wait list control groups. For the intervention group, the peer mentors and mentees will be matched according to gender and residential areas to form mentor-mentee groups to attend an 8-week supervised exercise training. The mentor-mentee groups will continue to participate mentor-directed exercise sessions in the community thereafter. A mobile application will be developed for self-directed learning. We hypothesize that persons with mild cognitive impairment receiving the BRAVE program will demonstrate better cognitive function and health-related quality of life than the control group who receive usual care. This study is funded by a grant from the Food and Health Bureau of the Government of Hong Kong Special Administrative Region in April 2018. DISCUSSION:This study will empower a group of golden-aged adults to be the ambassadors to promote brain health in the community and persons with mild cognitive impairment to integrate moderate-intensity exercise into their lifestyle to achieve long-term beneficial effects on their cognition and well-being. IMPACT:Given the population with mild cognitive impairment is growing rapidly and expected to keep escalating in coming decades and limited treatment options for cognitive decline and its significant burden on the health and social care system, this study is timely to promote active ageing in the society and reduce the burden associated with cognitive decline. :目的: 本研究旨在评估一个名为“大脑活力增强(BRAVE)”的社区项目对轻度认知障碍患者的认知功能、身体和精神状态的影响。研究设计: 这是一个平行候补名单随机对照实验。方法: BRAVE计划分为两个阶段。第一阶段是一个赋权培训班,负责将50名同伴导师培训成为运动大使,而第二阶段是250名轻度认知障碍患者的监督运动项目。参与者将被随机分配到干预组或候补名单对照组。干预组的情况是,将同伴导师和被辅导者根据性别和居住区域配对,以形成导师-被辅导者小组,然后参加为期8周的监督锻炼训练。此后,导师-被辅导者小组将继续在社区参加导师指导的训练课程。我们将开发一个用于自主学习的移动应用程序。我们假设接受BRAVE项目的轻度认知障碍患者将比接受常规治疗的对照组表现出更好的认知功能和健康相关生活质量。本研究由香港特别行政区政府食品卫生局于2018年4月拨款资助。讨论: 本研究将授权一组黄金年龄的成年人担任社区健康大使内促进人们大脑健康,帮助轻度认知障碍患者将中等强度的锻炼融入其生活方式中,从而对他们的认知和健康产生长期的有益影响。影响: 考虑到患有轻度认知障碍的人口在未来几十年里将可能快速增长,认知功能下降的治疗选择有限、以及对健康和社会保健系统的影响深远,该研究将及时促进积极老龄化社会和缓解认知能力下降。.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Li PWC,Yu DSF,Siu PM,Wong SCK

doi

10.1111/jan.14175

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

3758-3767

issue

eissn

0309-2402

issn

1365-2648

journal_volume

pub_type

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Brain Vitality Enhancement (BRAVE) program to promote brain health among persons with mild cognitive impairment: A study protocol.