A qualitative study on the impact and participation in the AGELESS multidomain intervention: Insights from older adults with cognitive frailty and their caregivers

Ong, Ying Qian and Shahar, Suzana and Safien, A'isyah Mohd and Ibrahim, Norhayati and Chin, Ai-Vyrn and Mangialasche, Francesca and Kivipelto, Miia and Singh, Devinder Kaur Ajit (2025) A qualitative study on the impact and participation in the AGELESS multidomain intervention: Insights from older adults with cognitive frailty and their caregivers. BMC Public Health, 25 (1). p. 7. ISSN 1471-2458, DOI https://doi.org/10.1186/s12889-024-20704-5.

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Official URL: https://doi.org/10.1186/s12889-024-20704-5

Abstract

BackgroundCognitive frailty (CF) is a major precursor to dementia, and multidomain interventions have the potential to delay, prevent or reverse its early onset. However, the successful translation and sustainability of such interventions in real-life settings remain uncertain. In this study, we aimed to explore the insights of older adults with CF and their caregivers regarding the impact and participation in the AGELESS multidomain intervention.MethodsThis qualitative study was conducted following the completion of AGELESS multidomain intervention. Semi-structured interviews covering domains such as perceptions, benefits, barriers, facilitators, and program preferences were conducted among 17 older adults with CF and 10 caregivers following the completion of the intervention. The data obtained were transcribed verbatim and analyzed using thematic analysis. Each transcript was reviewed and coded to identify prevailing themes derived from the interview data.ResultsThe analysis revealed five distinct themes: (1) impact of the program, (2) facilitators enhancing participation, (3) barriers hindering participation, (4) suggestions for improving participation and (5) challenges to adopt digital platforms. Based on the findings, the AGELESS multidomain intervention had a positive impact on the participants and their caregivers. It was noted that they showed preference for in-person sessions over virtual ones. The study highlighted key factors critical for successful participation, including diversity and inclusivity. It emphasized incorporating a multi-component, group-based approach with social aspects. The intervention should be people-centered, dignified, affordable, and customized to meet the unique needs of each participant.ConclusionsThe AGELESS multidomain intervention was well received by older adults with CF and their caregivers who participated in this study. Moving forward, it is recommended that future initiatives focus on identifying opportunities to implement existing evidence-based programs on a larger scale for the prevention of dementia in older adults.

Item Type: Article
Funders: Ministry of Education, Malaysia
Uncontrolled Keywords: Cognitive frailty; Multidomain intervention; Caregiver; Qualitative; Participation
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Universiti Malaya Medical Centre (UMMC)
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Mar 2025 04:24
Last Modified: 14 Mar 2025 01:05
URI: http://eprints.um.edu.my/id/eprint/47741

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