REMIND – a novel “Music‐Movement‐Mind” intervention for the prevention of dementia

Abstract

AbstractBackgroundLifestyle‐based motor, sensory and cognitive enrichment can target several health risk factors in the older populations by improving psychosocial, cognitive and physical (dys)function1,2. Based on these findings, we developed a novel intervention called REMIND (An Envi r onmental E nrich m ent I ntervention to Preve n t D ementia) for the promotion of healthy aging. REMIND uses dance movement therapy (DMT) and Tango Sistema Dinzel© to integrate enriching activities based on music, movement and mind into a multimodal program.ObjectiveTo present the REMIND program and feasibility check of the telehealth adaptation.MethodsThe intervention was developed and manualized in collaboration with neuropsychologists, neuroscientists and DMT specialists. Several modes of training are employed throughout the program, consisting of the three core components “Music, Movement, and Mind”. These core components are practiced simultaneously using facilitator‐guided exercises, each consisting of motor, sensory, cognitive, emotional, and social stimulations with increasing complexity. As such REMIND enables multimodal enrichment with the goal to improve cognitive and mental health of older adults by activating beneficial brain plasticity. The adaptation of the program into the telehealth setting was assessed qualitatively in four online expert sessions for feasibility.ResultsThe REMIND program is published as an open access manual (doi.org/10.30819/5504) targeting the older population3. Through the simultaneous combination of motor (Movement), sensory (Music), and mental (Mind) stimulations, REMIND promotes enrichment of the body and mind. In the telehealth setting, the multimodal exercises are best practiced via an interactive video‐conference platform, adapted to the needs of older people, using small groups (n = 4‐8) and guidance of a trained facilitator. Break‐out groups, feedback rounds, and joined participation of family members are used to enhance and sustain inter‐personal contact and positive learning experiences in the digital environment. Supplementary on‐site sessions can facilitate social integration and participation.ConclusionThe REMIND program provides a low‐threshold prevention and early intervention tool that is accessible to the target group and health care system. Adaptation to the telehealth setting is cost‐effective, adaptable to individual needs and can be integrated into everyday life. A proof‐of‐concept study will evaluate feasibility and effectiveness of the REMIND program to promote psychosocial, cognitive and physical wellbeing in older adults.