Table 5 Implementation strategies
Implementation Strategy | Theoretical Domain | Objective | Key Activities | Responsible Party |
|---|---|---|---|---|
Establish community MCI management team | Organizational | Enhance coordination and accountability | Form team with primary care physicians, community workers, research staff, Tai Chi instructors; assign roles; hold training and monthly meetings | Research team, community health center |
Introduce digital screening and cognitive training tools | Organizational | Reduce workforce burden; improve standardization | Deploy digital cognitive screening platform and app-based cognitive training system; train healthcare providers in their use; integrate into routine workflow | Research team, IT staff, primary care physicians |
Introduce digital cognitive training tool | Organizational | Increase intervention standardization; support self-management | Deploy app-based cognitive training; train participants and caregivers on use; monitor attendance via app data | Research team, community volunteers |
Develop and distribute intervention manual | Individual | Support home-based self-management | Create manual covering MCI knowledge, weekly plans, and progress log; distribute to participants | Research team |
Create WeChat support groups | Interpersonal | Enhance communication and peer support | Establish WeChat groups per community; include healthcare providers, Tai Chi instructors; provide Q&A and reminders | Research team, community workers |
Conduct health education sessions | Individual | Improve health literacy and attendance | Deliver 30-minute lectures on MCI, dementia prevention, nutrition, Tai Chi; promote attendance via WeChat | Research team, nutritionist, physicians |
Provide VR Tai Chi training and support | Organizational | Increase intervention acceptability and accessibility | VR instructors train community volunteers on equipment operation, safety; ongoing troubleshooting support | VR technicians, community volunteers |
