“Mind the step, step the mind” – conceptualizing a cognitively enriched walking program for older adults
Oral Presentation B5.2
DOI:
https://doi.org/10.14288/hfjc.v14i3.514Keywords:
Real-Life, Prevention, Cognition, Physical ActivityAbstract
Background: Simultaneous performance of physical and cognitive activity has a beneficial impact on cognitive function in older adults. However, most studies examined this effect under controlled laboratory conditions. Purpose: This translational research aimed to co-create a real-life, cognitively enriched walking program for older adults (65+) by investigating (a) which cognitive tasks are most suited for a walking program, and (b) how to embed these tasks into a feasible, enjoyable and effective program. Methods: First, 34 academic experts discussed the key characteristics of the program in a Delphi procedure. Next, 535 end users provided feedback and suggestions by means of a survey. Finally, 163 older adults tried out and evaluated 32 cognitive tasks during a walking session. Results: This study resulted in the following recommendations. Provide a range of cognitive tasks primarily targeting executive functioning and higher-order thinking as well as memory and learning. Integrate the tasks in the walk and ensure there is enough variation and differentiation to appropriately adjust cognitive demands for each participant. To be effective, the tasks should be the main component of the walk, accompanied by a warming-up and cooling-down. Minimum session frequency should be twice a week and competition can be occasionally included. Finally, ensure a safe walking environment and keep the walks fun. Conclusions: This study co-created a real-life, cognitively enriched walking program for older adults. Clear recommendations are provided to guide the next steps in the program development and evaluation. Funding: Research Foundation of Flanders (FWO) (G009819N).
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Copyright (c) 2021 Pieter-Jan Marent, Arwen Vangilbergen, Melanie Beeckman, Sebastien Chastin, Greet Cardon, Jannique G.Z. van Uffelen
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