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KMID : 0603920220300020059
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Journal of Korean Academy of Occupational Therapy
2022 Volume.30 No. 2 p.59 ~ p.77
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Development of a Online Cognitive-motor Dual Task Program for Dementia Prevention in Community-Dwelling Older Adults: A Delphi Study
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Bae Su-Yeong
Ju Yu-Mi
Jin Yeon-Ju
Kang Su-Ra
Nam Sang-Hun
Hong Ick-Pyo
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Abstract
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Objective: This study applied the Delphi method to develop a non-face-to-face cognitive-motor interventionprogram for the prevention of dementia in healthy community-dwelling older adults.
Methods: The study was performed from September to December 2021. First, from September to October 2021, aliterature review was conducted by three researchers on cognitive-motor intervention program developments andDelphi surveys, after which the primary cognitive-motor intervention program was developed. The first Delphisurvey was conducted from October 2021 to November 2021. The expert Delphi survey panel was divided intotwo groups: a professor group comprising occupational therapy professors from domestic and foreign universities;and a researcher group comprising those who had more than 5 years of occupational therapy clinical experienceand students from the occupational therapy masters and doctoral programs. The intervention program wasdeveloped and then revised based on the results of the first Delphi survey. Twelve non-face-to-facecognitive-motor intervention program sessions were finally developed. The second Delphi survey was conductedon the modified intervention program to collect further opinions.
Results: From the results of the first Delphi survey, the content validity ratio (CVR) values for all 61 items wereabove the standard value of .5, so no items were deleted. However, the second Delphi survey, which collected adviceand opinions from the expert panel, modified the cognitive domain to match the task difficulty. The second Delphisurvey results had CVR values for all 65 items of .7?1.0 and stability of .5 or less, which indicated that the expertpanel's responses were stable. The degree of convergence was .125?.5, and the degree of agreement was .67?1.0.
Conclusion: In this study, 12 cognitive-motor intervention program sessions were developed through a literaturereview and Delphi surveys to provide evidence-based interventions. The cognitive-motor intervention programderived from this study could provide evidence-based interventions based on task suitability, appropriatedifficulty, valid matching, and appropriate cognitive paradigms and domains.
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KEYWORD
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Older adults, Dementia prevention program, Cognitive-motor intervention program, Dual task program
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