The goal of this clinical trial is to test a twice a week, moderate intensity exercise and coaching program (an in-person group and a distance group) for adults with mild-moderate cognitive impairments living in South Carolina. The main questions it aims to answer are: 1. Is the program practical to conduct, and it is acceptable and enjoyable? The hypothesis is that it will be possible to recruit participants, obtain the desired dosage of moderate intensity fitness and strength training twice a week for both groups. 2. Are their changes at 3, 6, 9 and 12 months in endurance, mobility, cognitive function and perception of cognitive function? The hypotheses are that endurance, strength and mobility will improve and cognitive measures will not decline (remain the same or improve) for both groups.
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Aim 1 Feasibility: Recruitment and Uptake through qualified referrals
Timeframe: through study completion, an average of 1 year
Aim 1 Feasibility: Program Fidelity Dosage: session adherence
Timeframe: through study completion, an average of 1 year
Aim 1 Feasibility: Program Fidelity Dosage: Session Duration
Timeframe: through study completion, an average of 1 year
Aim 1 Feasibility: Program Fidelity: Exercise Intensity
Timeframe: through study completion, an average of 1 year
Aim 1 Feasibility: Acceptability: Participant Satisfaction
Timeframe: through study completion, an average of 1 year
Aim 2 Exploratory Individual Outcomes: Processing Speed and Executive Function through the Oral Symbol Digits Test (NIH Toolbox)
Timeframe: pre-program (baseline), 3, 6 9 and 12 months
Aim 2 Exploratory Individual Outcomes: Cardiovascular Endurance through the six-minute walk test
Timeframe: pre-program (baseline), 3, 6 9 and 12 months
Aim 2 Exploratory Individual Outcomes: Working Memory through the Auditory Verbal Learning Test (NIH Toolbox)
Timeframe: pre-program (baseline), 3, 6 9 and 12 months