First Author (Year) | Health Domain: Outcome Measure (Tool) | Effects on Outcomes |
---|---|---|
Eyre et al. (2017) [22]; Eyre et al. (2016) [23] Yang et al. (2016) [24] | Cognition: verbal memory (HVLT-R, WMS-IV), visual memory (Rey-O), executive function (Trails B, Stroop Colour Task, Animal Naming Test) Mental health: mood (GDS), apathy (AES), resilience (CDRS); Cognition: verbal memory (HVLT-R), visual memory (Rey-O) Cognition: impairment (MMSE) | Both YG and CG showed enhanced verbal memory (all p ≤ 0.002) and visual memory (all p ≤ 0.01), while only YG improved on all executive function tests (all p ≤ 0.03), particularly relative to the CG on Trail Making Test B (p = 0.04). Both YG and EG improved on apathy (all p ≤ 0.002), but only YG improved on mood (p = 0.01) and resilience (p = 0.03). Only the YG showed enhanced visual memory (p = 0.03). NS between-group differences. NS within and between-group differences found. |
Karydaki et al. (2017) [25] | Cognition: impairment (MMSE); Mental health: sleep quality (PSQI); Physical health: upper body strength (arm curl), lower body strength (30-second chair stand), cardiopulmonary fitness (2-minute step test), agility and dynamic balance (8-ft up & go test) | Only the EG had enhanced sleep quality (p = 0.03). There were NS within-group and between-group changes for the YG and CG in cognition and mental health. EG also had better lower body strength (p = 0.002), while the YG showed improved cardiopulmonary fitness (p = 0.023) and upper body strength (p = 0.023). Both YG (p = 0.022) and EG (p = 0.001) showed significant within-group improvements in agility and dynamic balance, and relative to the CG (both p = 0.001). Both YG and EG had significantly better lower body strength c.f. the CG (p = 0.001). |
Innes et al. (2012) [26] | Cognition: memory function (MFQ) Mental health: perceived stress (PSS), sleep (GSDS), mood (POMS) Physical health: blood pressure | Participants improved on memory function (p = 0.04), perceived stress (p = 0.03), sleep quality (p = 0.02), mood (p = 0.01), and systolic blood pressure (p = 0.004). Reduction in perceived stress correlated with positive mood changes (r = 0.83, p = 0.003) and sleep scores (r = 0.57, p = 0.08). Sleep improvement correlated with mood enhancement (r = 0.71, p = 0.03). |
Innes et al. (2016) [27] | Cognition: self-reported cognitive changes (open-ended exit questionnaire); Mental health: self-reported mood and sleep changes (open-ended exit questionnaire) | Memory improvements were reported by 8.7% of YG and 3.7% of CG samples, while enhancements in clarity and focus were reported by 17.4% of YG and 0% of CG participants, and increased alertness was observed by 8.7% of YG and 0% of CG samples. 74% of YG and 30% of CG participants reported that the programs were relaxing, calming, peaceful and/or uplifting. Sleep improvements were identified by 8.7% of YG and 11.1% of CG participants. |
Newberg et al. (2010) [28] | Cognition: impairment (MMSE), semantic memory (Category Fluency), executive function (Trails A, Trails B, WAIS Symbol Substitution Test, Logical Memory Delayed) | Only the YG improved in semantic memory (p = 0.006) and all executive function tests (all p = 0.05), while the CG did not change (all p ≥ 0.11). NS between-group differences found. |
Fan et al. (2011) [29] | Mental health: mood (CSDD), problem behaviours (CAPE-BRS); Physical health: body composition (body fat, BMI), cardiopulmonary functions (blood pressure, pulse rate, respiration rate, breath-holding duration, vital capacity), cardiopulmonary fitness (2-minute step test), body flexibility (sit-and-reach, arm-shoulder flexibility), muscle strength and endurance (hand grip strength, upper limb and lower limb muscle endurance), balance (one-leg standing test, 6-m walking-speed test), joints motion (protractor measurement of hip and shoulder joints) | The YG had enhanced mood (p < 0.001), reduced problem behaviours (p < 0.001), and improved on all physical health measurements (all p ≤ 0.017) except body fat. The CG significantly worsened on breath-holding duration, vital capacity, body flexibility, 6-m walking speed, lower limb muscle endurance, and left and right hip abduction (all p ≤ 0.003), but had NS mental health changes. Relative to the CG, YG participants showed improvements in mood (p < 0.001), problem behaviours (p < 0.001), systolic blood pressure (p = 0.01), respiration rate p < 0.001), breath-holding duration (p < 0.001), cardiopulmonary fitness (p < 0.001), body flexibility (both p ≤ 0.02), muscle strength and endurance (all p ≤ 0.002), balance (both p ≤ 0.041); and increased joints motion (all p ≤ 0.023). |
Litchke et al. (2012) [30] Litchke et al. (2014) [31] | Cognition: impairment (SPMSQ); Mental health: anxiety (HAM-A), mood (HAM-D); Physical health: balance (BBS), daily functioning (Barthel ADL Index) Cognition: researcher and caregiver observations; Mental health: mood observed by caregiver; Physical health: researcher and caregiver observations | The YG had improved mood (p < 0.01) and daily functioning (p = 0.02). All other outcomes were NS. Reported mood change of participants was positive. Some caregivers also noted improved flexibility and strength. |
McCaffrey et al. (2014) [32] | Physical health: exercise tolerance (Six-Minute Walk Test), gait (Gait Speed Test), balance (BBS) | NS changes on all measures except improved balance at 12-week follow-up timepoint (p = 0.034). |
Park et al. (2019) [33] | Mental health: anxiety and mood (HADS), agitation (Cohen-Mansfield Agitation Inventory-Short Form), sleep quality (PSQI), daytime sleepiness (Epworth Sleepiness Scale); Physical health: fitness (mini-PPT), lower extremity function (SPPB), mobility (Timed Up and Go Test), body composition (BMI), hand grip strength (dynamometer) | Post-intervention, anxiety and mood worsened in the CG (p = 0.002) and EG (p = 0.037), as did anxiety in the EG (p = 0.034), and agitation in the YG (p = 0.001). There were NS within-group changes in physical health and NS between-group differences on all outcomes. |
Park et al. (2020) [34] | Cognition: caregiver observations; Mental health: caregiver observations; Physical health: caregiver observations | Cognition (specifically memory) was reported to have improved in the YG, while EG and CG participants showed increased communication abilities; Positive mood changes were observed in the YG and EG; YG was observed to have improved physical health, specifically mobility, posture, and balance. EG was reported to show general physical health improvements. |
RodrÃguez Salazar et al. (2017) [35] | Cognition: impairment (MMSE), executive function (Digit Symbol subtest, Trails A, Digit Span subtest in forward and reverse order), exit interview with participants and caregivers; Mental health: mood (GDS), exit interview with participants and caregivers | NS within-group changes across all measures. However, caregivers and participants self-reported positive changes in participants’ episodic memory, motivation, attention, vitality, and agility. |