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Development of an Internet of things-based treatment adherence program among older adults with mild cognitive impairment using Intervention Mapping: A developmental study

 Jinhee Shin  ;  Eunhee Cho  ;  Gwang Suk Kim  ;  Heejung Kim  ;  Byoung Seok Ye  ;  Chang-Gi Park 
 Journal of Korean Gerontological Nursing (노인간호학회지), Vol.25(3) : 217-236, 2023-08 
Journal Title
Journal of Korean Gerontological Nursing(노인간호학회지)
Issue Date
Cognitive dysfunction ; Treatment adherence and compliance ; Internet of things ; Methods ; Aged
Purpose : Dementia and altered cognitive function are highly prevalent among older adults with mild cognitive impairment (MCI); hence, prevention is necessary before it develops into dementia. Treatment adherence—medication adherence and physical activity—is essential to prevent and delay dementia; however, comprehensive interventions to promote it in this population are lacking. This study aimed to develop a program for treatment adherence utilizing an Internet of Things (IoT) device.

Methods : The six-step mapping protocol was used to develop the IoT-based treatment adherence intervention (ITAI). The intervention was based on a literature review, expert opinions, and input from older adults with MCI.

Results : In Step 1, a needs assessment was conducted to gain insights into health problems and their underlying determinants. In Steps 2 and 3, performance objectives were identified for behavior change and selected theoretical and evidence-based methods were linked to the intervention outcomes. In Step 4, the ITAI was designed with components and materials consistent with the identified change goals and methods, and specific intervention components were developed. In Step 5, implementation plans and solutions to barriers to its application were identified. In Step 6, the plan to evaluate intervention effectiveness was outlined.

Conclusion : The Intervention Mapping provided a systematic procedure for developing an ITAI for older adults with MCI and preparing a randomized controlled trial. Utilizing Intervention Mapping is useful as ITAI systematically processes treatment adherence for MCI using the IoT and is acceptable and valid. ITAI is expected to increase medication adherence and physical activity in older adults with MCI.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Gwang Suk(김광숙) ORCID logo https://orcid.org/0000-0001-9823-6107
Kim, Heejung(김희정) ORCID logo https://orcid.org/0000-0003-3719-0111
Ye, Byoung Seok(예병석) ORCID logo https://orcid.org/0000-0003-0187-8440
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
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