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P2‐539: ‘YOU DON'T NEED TO DO THINGS FACE‐TO‐FACE ANYMORE...’: STAR‐C‐TELEMEDICINE
Author(s) -
Shofner Sabrina,
Teri Linda,
Mincks Katherine,
Croff Raina,
Lindauer Allison
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.06.1233
Subject(s) - telemedicine , focus group , intervention (counseling) , empathy , psychological intervention , dementia , videoconferencing , psychology , the internet , medicine , face to face , nursing , disease , multimedia , social psychology , world wide web , health care , computer science , philosophy , epistemology , pathology , marketing , economics , business , economic growth
(MCI) or mild dementia, even though it is used in this population. Methods: We enrolled 28 older adults ( 50 years) to a randomized parallel-group trial of center-based versus home-based exercise. Participants were diagnosed with MCI or mild dementia (MoCA 17 or MMSE 22), were safe to exercise, and were currently exercising 2x/wk. At baseline, participants reported physical activity levels using the PASE and had physical activity assessed using an accelerometer (Actigraph GT3x+) over 7 days. Physical function was assessed using the 6-min walk, 5x sit-stand, and gait speed. Spearman’s rank correlation coefficient (rs) was calculated between PASE scores and accelerometer (% time in moderate-vigorous physical activity [MVPA], step count) and physical function scores. Results: Participants’ average age (SD) was 75.5 (8.2) years and education was 15.0 (3.5) years; they were 18% (n1⁄45) female. There were no significant relationships between the PASE score and either accelerometer scores (% time in moderate-vigorous physical activity, step count) or physical function (sit-stand, 6min walk, gait speed) (p>0.07). However, rs were in the expected direction. Non-significant, positive rs occurred between PASE score and % MVPA (rs1⁄40.31, p1⁄40.13), step count (rs1⁄40.30, p1⁄40.14), and 6-min walk time (rs1⁄40.23, p1⁄40.16). Negative rs occurred between PASE score and gait speed (rs1⁄4-0.34, p1⁄40.06). Conclusions: Our results are insufficient to support the validation of the PASE of among individuals with MCI or mild dementia. Further work is needed to support use of the PASE in this group. With additional participants enrolled to the trial through late 2018, it is possible that the expanded sample will clarify the validity of the PASE in this population.