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dc.contributor.authorBruderer-Hofstetter, Marina-
dc.contributor.authorMünzer, Thomas-
dc.contributor.authorFelbecker, Ansgar-
dc.contributor.authorNiedermann Schneider, Karin-
dc.date.accessioned2023-01-05T09:00:30Z-
dc.date.available2023-01-05T09:00:30Z-
dc.date.issued2021-05-06-
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/26521-
dc.description.abstractIntroduction: 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.de_CH
dc.language.isoende_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectMild cognitive impairmentde_CH
dc.subjectMulti-component interventionde_CH
dc.subjectPhysical exercisede_CH
dc.subjectCognitive trainingde_CH
dc.subjectInstrumental activities of daily livingde_CH
dc.subject.ddc615.82: Physiotherapiede_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.titleF.I.T.AL. an evidence-informed intervention to preserve daily life activities in persons with mild cognitive impairment (MCI)de_CH
dc.typeKonferenz: Paperde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
zhaw.conference.details2. Kooperationskongress SMARTER REHA, online, 6.-7. Mai 2021de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.publication.reviewPeer review (Abstract)de_CH
zhaw.webfeedG: IPT: Interventionde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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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.


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