Percorrer por autor "Almeida, Maria de Lurdes"
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- Digi&Mind: Development and validation of a multi-domain digital cognitive stimulation program for older adults with cognitive declinePublication . Couto, Filipa; Almeida, Maria de Lurdes; Dixe, Maria dos Anjos; Ribeiro, Jaime; Braúna, Mónica; Gomes, Nuno; Caroço, João; Monteiro, Luís; Martinho, Ricardo; Rijo, Rui; Apóstolo, João; Rijo, RuiOlder adults present a decline on their cognitive function. Digital cognitive interventions are related to the maintenance of cognitive function and are associated with better health-related outcomes. This study aims to describe the development process of a multi-domain digital cognitive stimulation program for older adults with cognitive decline. The digital program was developed in four phases: preliminary phase (conceptualization), modeling (experts panel), field test (usability tests), and consensus conference. To ensure software suitability the development process followed also software guidelines for mobile and web applications for older adults. The result was the Digi&Mind digital platform made of a mobile application a backoffice web application. The backoffice web application usability test was conducted with 7 healthcare professionals through the Post-Study System Usability Questionnaire System (PSSUQ). The mobile application test was conducted with 4 older adults and 7 professionals through direct observation user testing. Healthcare professionals considered that the system, the information and the interface had quality. Older adults considered the mobile application as appropriate, useful and easy to use, despite of their low digital experience.
- Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trialPublication . Apóstolo, João Luís Alves; Dixe, Maria dos Anjos; Bobrowicz-Campos, Elzbieta Malgorzata; Areosa, Timóteo; Santos-Rocha, Rita; Braúna, Mónica; Ribeiro, Jaime; Marques, Isabel; Freitas, Joana; Almeida, Maria de Lurdes; Couto, FilipaBackground: Older adults experience physical and psychological declines affecting independency. Adapted and structured combined interventions composed of cognitive stimulation and physical exercise contribute to comorbidities’ reduction. Methods: Multicenter single-blinded two-arm cluster randomized controlled trial conducted to assess effectiveness of a combined intervention (CI), composed of a cognitive stimulation program (CSP) and a physical exercise program (PEP), on psychological and physical capacities of frail older adults as to on their activities of daily living. Were recruited 50 subjects from two elderly end-user organizations. Of these, 44 (65.9% females, mean age of 80.5 8.47 years) were considered eligible, being randomly allocated in experimental (EG) or control group (CG). Data collected at baseline and post-intervention. EG received CI three times a week during 12 weeks. CG received standard care. Non-parametric measures were considered. Results: At baseline, groups were equivalent for study outcomes. The comparison of pre- and post-intervention data revealed that subjects receiving CI reduced depressive symptomatology and risk of fall based on gait and balance, and improved gait speed. Simultaneously, in the CG a significant decline on activities of daily living was observed. Significant results were found among biomechanical parameters of gait (BPG). EG’ effect size revealed to be small (0.2 r < 0.5). CG’ effect size was also small; but for activities of daily living there was an evident decrease. Conclusion: The CI is effective on managing older adults’ psychological and physical capacities.