F.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI)

Bruderer-Hofstetter, Marina; Münzer, Thomas; Felbecker, Ansgar; Niedermann Schneider, Karin

Publication type:	Conference paper
Type of review:	Peer review (abstract)
Title:	F.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI)
Authors:	Bruderer-Hofstetter, Marina Münzer, Thomas Felbecker, Ansgar Niedermann Schneider, Karin
et. al:	No
Conference details:	2. Kooperationskongress SMARTER REHA, online, 6.-7. Mai 2021
Issue Date:	6-May-2021
Language:	English
Subjects:	Mild cognitive impairment; Multi-component intervention; Physical exercise; Cognitive training; Instrumental activities of daily living
Subject (DDC):	615.82: Physical therapy 616.8: Neurology, diseases of nervous system
Abstract:	Introduction: Preservation of instrumental activities of daily living (IADL) is crucial for persons with mild cognitive impairment (MCI) to participate independently in social life. To date no recommended treatment is available to reduce the impact of cognitive loss on functioning. Our aim was to develop an evidence-informed and individually tailored, multi-component intervention targeting IADL functioning. Methods: We applied a multi-step approach, according to the guidance of the British Medical Research Council (MRC) to develop the multi-component intervention F.I.T.AL. (Function – Information – Training) therapy for everyday life. The steps included: 1) a systematic review incorporating a network meta-analysis on the multi-component interventions effectiveness on functioning, 2) development of a model on factors possibly influencing IADL functioning in persons with MCI, 3) we developed an intervention draft which we elaborated in a patient and public involvement approach, and we implemented the current literature and guidelines to determine the training regimens. Results: The multi-component intervention F.I.T.AL. includes mainly three components: 1) cognitive training, 2) physical exercise, and 3) information and support. The intervention will be six months with three sessions per week, with variable settings and formats. It will be individually tailored to the person’s cognitive and physical capabilities, based on a comprehensive assessment battery. Discussion: F.I.T.AL. was designed to target IADL functioning in people with MCI, based on the current evidence and patient and public involvement. However, the next step is to investigate the feasibility and acceptability of the F.I.T.AL. and its potential to improve or stabilize IADL performance in people with MCI need to be estimated in a feasibility trial. Implications: This innovative intervention has the potential to improve or stabilise the functional status of people with MCI, which may be highly relevant for persons with MCI, their caregivers, the society and public health costs. That said, the multi-step and multi-professional approach, including patient and public involvement development process of F.I.T.AL. according to the guidance of the MRC may as such serve as showcase for the development of additional complex ambulatory rehabilitation interventions in Switzerland.
URI:	https://digitalcollection.zhaw.ch/handle/11475/26521
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Bruderer-Hofstetter, M., Münzer, T., Felbecker, A., & Niedermann Schneider, K. (2021, May 6). F.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI). 2. Kooperationskongress SMARTER REHA, Online, 6.-7. Mai 2021.

Bruderer-Hofstetter, M. et al. (2021) ‘F.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI)’, in 2. Kooperationskongress SMARTER REHA, online, 6.-7. Mai 2021.

M. Bruderer-Hofstetter, T. Münzer, A. Felbecker, and K. Niedermann Schneider, “F.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI),” in 2. Kooperationskongress SMARTER REHA, online, 6.-7. Mai 2021, May 2021.

BRUDERER-HOFSTETTER, Marina, Thomas MÜNZER, Ansgar FELBECKER und Karin NIEDERMANN SCHNEIDER, 2021. F.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI). In: 2. Kooperationskongress SMARTER REHA, online, 6.-7. Mai 2021. Conference paper. 6 Mai 2021

Bruderer-Hofstetter, Marina, Thomas Münzer, Ansgar Felbecker, and Karin Niedermann Schneider. 2021. “F.I.T.AL. An Evidence-Informed Intervention to Preserve Daily Life Activities in Persons with Mild Cognitive Impairment (MCI).” Conference paper. In 2. Kooperationskongress SMARTER REHA, Online, 6.-7. Mai 2021.

Bruderer-Hofstetter, Marina, et al. “F.I.T.AL. An Evidence-Informed Intervention to Preserve Daily Life Activities in Persons with Mild Cognitive Impairment (MCI).” 2. Kooperationskongress SMARTER REHA, Online, 6.-7. Mai 2021, 2021.