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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Randomised controlled pilot study in Japan comparing a home visit program using a Functioning Improvement Tool with a

Shigekazu Ukawa¹, Motoyuki Yuasa, Tamiko Ikeno

¹Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.

Australasian Journal on Ageing

|September 7, 2012

Summary

A home visit program using the Functioning Improvement Tool (FIT) significantly improved cognitive function in older adults compared to standard conversational visits. This intervention shows promise for enhancing cognition in the elderly.

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Area of Science:

Gerontology
Cognitive Neuroscience
Public Health Interventions

Background:

Cognitive decline is a significant concern in aging populations.
Home-based interventions are crucial for supporting elderly individuals.
Existing conversational home visits may lack structured cognitive stimulation.

Purpose of the Study:

To evaluate the efficacy of a Functioning Improvement Tool (FIT) home visit program.
To compare FIT home visits against standard conversational home visits.
To assess the impact on cognitive function in older adults.

Main Methods:

Randomized controlled trial with 28 participants (mean age 78.6 years).
Intervention group received a 60-minute FIT home visit program for 3 months.
Control group received a 30-minute conversational home visit for 3 months.
Cognitive assessments included Mini-Mental State Examination, Frontal Assessment Battery (FAB), and Geriatric Depression Scale.

Main Results:

The Frontal Assessment Battery (FAB) score significantly improved in the FIT intervention group compared to the control group (2.5 vs -0.5, P = 0.02).
This indicates a positive effect of the FIT program on executive functions.

Conclusions:

The Functioning Improvement Tool (FIT) home visit program effectively enhanced cognitive function in older adults.
Further research with larger sample sizes and extended follow-up is recommended to confirm long-term cognitive benefits.