The aim of the present study was to examine adherence and acceptance of a home-based program to promote physical activity (PA) in older persons with cognitive impairment (CI) following inpatient rehabilitation. Sixty-three older persons (≥ 65 years) with mild to moderate CI (Mini-Mental State Examination score 17–26), allocated to the intervention group of a randomized, controlled intervention trial underwent a 12-week home-based PA intervention including (1) physical training and outdoor walking to improve functional fitness and (2) motivational strategies (goal-setting, pedometer-based self-monitoring, social support delivered by home visits, phone calls) to promote PA. Training logs were used to assess adherence to physical training, outdoor walking and to motivational strategies (goal-setting, pedometer-based self-monitoring). Acceptance (subjective feasibility and effectiveness) of the program components was assessed by a standardized questionnaire. Mean adherence rates over the intervention period were 63.6% for physical training, 57.9% for outdoor walking, and between 40.1% (achievement of walking goals), and 60.1% (pedometer-based self-monitoring) for motivational strategies. Adherence rates significantly declined from baseline to the end of intervention (T1: 43.4–76.8%, T2: 36.1–51.5%, p values<.019). Most participants rated physical training, outdoor walking, goal-setting, and pedometer self-monitoring as feasible (68.2–83.0%) and effective (63.5–78.3%). Highest ratings of self-perceived effectiveness were found for home visits (90.6%) and phone calls (79.2%). The moderate to high adherence to self-performed physical training and motivational strategies proved the feasibility of the home-based PA program in older persons with CI following inpatient rehabilitation.

中文翻译：

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促进康复病房出院后患有认知障碍的老年患者的体力活动：一项可行性研究。

本研究的目的是检查住院康复后患有认知障碍（CI）的老年人对促进身体活动（PA）的家庭计划的遵守和接受程度。63 名患有轻度至中度 CI（简易精神状态检查评分 17-26）的老年人（≥ 65 岁）被分配到随机对照干预试验的干预组，接受了为期 12 周的家庭 PA 干预，包括(1) 体能训练和户外步行，以改善功能健康；(2) 激励策略（目标设定、基于计步器的自我监测、通过家访、电话提供的社会支持）来促进 PA。训练日志用于评估对体能训练、户外行走和激励策略（目标设定、基于计步器的自我监控）的遵守情况。项目组成部分的接受度（主观可行性和有效性）通过标准化调查问卷进行评估。干预期间体能训练的平均坚持率为 63.6%，户外步行的平均坚持率为 57.9%，激励策略的平均坚持率为 40.1%（实现步行目标）和 60.1%（基于计步器的自我监控）。坚持率从基线到干预结束显着下降（T1：43.4–76.8%，T2：36.1–51.5%，p 值<.019）。大多数参与者认为体能训练、户外行走、目标设定和计步器自我监测是可行的（68.2-83.0%）和有效的（63.5-78.3%）。自我感知有效性最高的评分是家访（90.6%）和电话（79.2%）。对自我进行的体能训练和激励策略的中度至高度依从性证明了住院康复后脑梗死老年人的家庭 PA 计划的可行性。