Main Goal:

The purpose of this study was to determine the effect of home based-exercise using mobile application to improve cognitive functions in patients with hypertension.

Methods:

This study was conducted using a queasy experimental with one group pre-post test design at a public health center located in West Java, Indonesia on February to July 2019. A mobile-based exercise program was a walking activity at home every day for one month. The sample in the study was selected using convenience sampling to adults aged above 18 years old and diagnosed with hypertension. The Montreal Cognitive Assessment (MoCA) was used to measure cognitive function. A paired t-test used to analyze data with the significance level was set at 0.05.

Results:

A total of 120 participants were enrolled in this study. The mean age of the sample was 56.42 ± 10.6 years old, 70 (58.3%) were male, 61 (50.8%) had lower education level, and 77 (64.2%) were unemployed. The mean score of MoCA showed improved after intervention, from 23.3 ± 3.42 to 26.7 ± 2.78, p=0.010. In more detail, there were improvement after intervention in domain of naming (2.930.34 vs. 3.141.06, p=0.003), attention (2.39 ± 0.68 vs. 3.12 ± 1.04, p=0.001), and abstraction (1.56 ± 0.49 vs. 2.01 ± 0.89, p=0.043).

Conclusion:

Using a mobile-exercise App was effective, easy to do with low cost to improve cognitive function and prevent dementia in hypertensive patients.

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