Conclusions
cognitive complaints, MCI, cognitive impairment
RECRUITMENT
Based on our lower than expected rates of recruitment, retention, and adherence we found that our study did not meet the feasibility benchmarks as proposed in the current research design. However, this study highlighted that MBSR is feasible for practice, in an older adult population with early cognitive impairment in an interprofessional primary care setting. A future RCT is recommended with changes to the design to account for the findings of this study. A future trial may consider using an alternative LOCF method, we noted that drop-outs significantly impacted our rates of retention and adherence. Second, the recruitment period should extend beyond 4.5 months or the program offered at multiple primary care sites to achieve a larger sample size and the desired recruitment rate.Our participants reported on their satisfaction and perceived benefits from the qualitative data and there is much promise for this intervention as it is well aligned with the philosophies of primary care and team-based models. The study’s findings uphold the acceptability and portability of technology and illustrate those persons with SCD or MCI are receptive to learning and using computer tablets. Thus, future group MBSR programs in primary care may adopt technology use with this population. This study adds to the sparse literature on types of health care delivery in an interprofessional primary care setting and the vital contribution of occupational therapy to better support individuals with complex health conditions compared with physician care alone. This study will inform future research for evidence-based, occupational therapy-focused interventions on how best to deliver care to older adults with cognitive complaints such as SCD or MCI in an interprofessional primary care setting.