Exploring person with mild cognitive impairment and peer volunteer experiences of engaging in a peer-supported...

This study aimed to explore the engagement experiences of individuals with mild cognitive impairment (MCI) and peer volunteers participating in an 8-week, peer-supported exercise program. Community-dwelling individuals with MCI and peer volunteers were recruited from community centers in Hong Kong. From a prior randomized controlled trial, 28 MCI participants and 16 peer volunteers were purposively sampled to capture diverse perspectives. Interviews were conducted approximately one month after program completion. MCI participants discussed motivations, challenges, perceived benefits, and the role of peer volunteers; volunteers shared their experiences, challenges, and suggestions. All interviews were audio-recorded and transcribed verbatim. Reflective thematic analysis was applied to identify key themes. Four themes were generated: (1) Awareness and motivation-participants recognized cognitive challenges and feared decline, motivating engagement; (2) Enjoyment and group dynamics-social interaction and peer support fostered motivation and adherence; (3) Perceived benefits and desire for continuity-physical and social improvements encouraged ongoing participation; (4) Barriers and suggestions-technological difficulties, family commitments, and social distancing affected engagement, with recommendations for tailored activities and additional support. Volunteers reported personal health benefits, a sense of purpose, and a desire for expanded roles and training. The findings suggest that a peer-supported exercise program may support engagement among individuals with MCI through social support, motivation, and perceived benefits. Programs may benefit from education on cognitive health, face-to-face interaction, tailored support, and volunteer training.