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. 2025 Dec 12;72(3):171–190. doi: 10.1159/000549641

Table 2.

Intervention participant (people living with MCI) and PT identified barriers to the clock yourself intervention

Sub-themes Intervention participant (people living with MCI) quotes
Lack of motivation I’m not very motivated I suppose (ID30)
I suppose I’m lazy (laughter) that’s about all. But I don’t dislike them; I disliked them initially but I don’t dislike them now (ID75)
Other health issues Yes, during those ones and with the iPad, with the whole bit. The longer I went on, the harder it was on my lower back (ID16)
I had no trouble physically doing it until I stuffed the Achilles and then everything was… well, painful just to stand on it (ID32)
Did not enjoy I suppose it’s like a lot of things – there are some things that you enjoy 100 per cent and some 50 per cent and some only a small amount (ID22)
No, there was no joy out of them (ID29)
I think maybe I need something, like something new every week or something like that because maybe I was just getting a bit bored with them (ID62)
Not seeing improvement Oh, well, if exercise is going to stimulate your brain then I’ve been pushing the exercise with the long term… it’s a bit disappointing that there wasn’t any improvement, but at least it didn’t get too much worse (ID15)
I’ve never progressed past the Clock (ID63)
Cognitive load I realise that it’s made me realise that I don’t think in English as such. I translate quickly so I guess I forget on the way what I’m doing (ID08)
Focus. Part of it is I’m pretty physically capable, so physically it is not a problem, but to understand quick enough what you are asking me to do, that’s the problem (ID26)
I think when I was doing them, I was getting a bit confused with a couple of things, but they were simple and that annoys me. And it was always at the beginning of whatever I was doing, like when you changed feet I got confused and I tried to get my hands… instead of them going like that [demonstrating] they were going out there, and I couldn’t remember how to get them back in again, and it just annoyed me, so I stopped doing it (ID62)
Other commitments Grandkids, appointments. Yeah, I was taking people for appointments quite a lot all last year. And then in my down time, I didn’t really feel like doing it (ID30)
Oh, it would have only been I was too busy and of course with losing mum and that took care of 2 months (ID45)
Sub-themes PT quotes
Progressing past initial levels They got very comfortable with it and so it took a lot of explaining as to why they needed to move on and not be comfortable with it anymore. Instead trying to make them challenge themselves a little bit (PT3)
Lack of motivation and cognition I think cognition and motivation were my two biggest factors (PT4)
I never had the chance to do different languages or star signs. A lot of people were just not interested in it. It was more like we have to actually sit down and learn first …. then start using it. And I found a lot of people were like “Oh, I don’t want to learn that and then do the exercises” (PT1)
Sub-themes Intervention participant (person living with MCI) and PT quotes
Technology I have a participant who we wanted to give a CD player to, but she had very, very moderate, I would say, issues with her memory and probably cognitive decline and was actually aware of it, and was absolutely overwhelmed with the functions of a CD player and that involved me having to label the buttons on the CD player, and then she still didn’t know how to work it, so we actually ended up giving up (PT2)
The other ones that weren’t really tech savvy, they did find it a little bit difficult for them to navigate it sometimes; it was hard for them to remember just to pick up a phone or an iPad to use. Yeah, so it was a bit of a mix (PT3)