Dementia Moves: protocol for a feasibility study testing a physical rehabilitation program for long-term care residents with moderate to severe dementia.

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Caitlin McArthur, Niousha Alizadehsaravi, Rebecca Affoo, Karen Cooke, Natalie F Douglas, Marie Earl, Melanie K Farlie, Trudy Flynn, Parisa Ghanouni, Susan W Hunter, Shannan M Grant, Laura E Middleton, Elaine Moody, Cheryl Smith, Linda Verlinden, Lori E Weeks
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引用次数: 0

Abstract

Background: Most long-term care (LTC) residents live with dementia and the proportion with more advanced cognitive impairment is increasing. Residents with dementia often have limited functional ability to complete their activities of daily living (ADLs) and are vulnerable to further functional decline. Multicomponent exercise can help prevent functional decline, but residents with dementia are less likely to receive it and have not often been included in previous intervention studies. The Dementia Moves intervention was designed to fill this gap. It is an individually tailored multicomponent group exercise program with an aerobic warm-up and a focus on moderate to high-intensity functional balance and strength training. We will measure the feasibility and effect of the Dementia Moves program on ADLs for LTC residents with moderate to severe dementia (Mini-Mental State Exam of 20 or less). We hypothesize the intervention will be feasible without modification if 16 individuals are recruited over 6 months, 65% of our sample is retained at 6 months and 75% of the completed exercises are performed at a moderate to high intensity.

Methods: A pre-post study will be used to assess feasibility, safety (rates of falls and adverse events extracted from the electronic medical record), and change in ADLs at 3 and 6 months among LTC residents with moderate to severe dementia. There will be no control or comparison group. A physiotherapist, physiotherapy assistant and three volunteers will deliver the group-based exercise program to groups of four residents, three times per week, for 6 months. Assessments will be completed at 3 and 6 months. Feasibility outcomes include (1) recruitment over 6 months; (2) retention at 3- and 6-month follow-up; and adherence via (3) attendance and (4) proxy and self-reported ratings of exercise intensity. We will also assess fidelity of the intervention through program audits, and audio diaries and interviews to identify barriers and facilitators to implementation of the intervention.

Discussion: The feasibility of the Dementia Moves intervention will be evaluated in LTC residents with dementia, and we will examine rates of falls and adverse events and change in ADLs. We will use the collected information to inform a definitive parallel cluster randomized controlled trial.

Trial registration:

Clinicaltrials: gov: NCT06400108, May 3, 2024, Version 1. https://classic.

Clinicaltrials: gov/ct2/show/NCT06400108.

Abstract Image

痴呆症运动:一项可行性研究协议,测试中度至重度痴呆症长期护理居民的物理康复计划。
背景:大多数长期护理(LTC)居民患有痴呆症,并且患有更严重认知障碍的比例正在增加。痴呆症患者通常有有限的功能能力来完成他们的日常生活活动(ADLs),并且很容易进一步的功能下降。多成分锻炼有助于预防功能衰退,但患有痴呆症的居民不太可能接受这种锻炼,而且以前的干预研究通常不包括在内。痴呆症运动干预旨在填补这一空白。这是一项针对个人量身定制的多组分团体锻炼计划,有氧热身,重点是中等到高强度的功能平衡和力量训练。我们将测量痴呆运动项目对LTC中重度痴呆(迷你精神状态测试20分或以下)居民adl的可行性和效果。我们假设如果在6个月内招募16个人,65%的样本在6个月时保留,75%的完成运动以中等到高强度进行,干预将是可行的,无需修改。方法:一项研究将用于评估可行性、安全性(从电子病历中提取的跌倒率和不良事件),以及中度至重度痴呆症LTC居民3个月和6个月时adl的变化。没有对照组或对照组。一名物理治疗师、一名物理治疗助理和三名志愿者将为四名居民提供以小组为基础的锻炼计划,每周三次,持续6个月。评估将在3个月和6个月完成。可行性结果包括:(1)招聘时间超过6个月;(2)随访3个月和6个月的保留率;坚持通过(3)出勤率(4)代理和自我报告的运动强度评级。我们还将通过项目审计、音频日记和访谈来评估干预措施的保真度,以确定实施干预措施的障碍和促进因素。讨论:痴呆运动干预的可行性将在LTC痴呆患者中进行评估,我们将检查跌倒和不良事件的发生率以及adl的变化。我们将利用收集到的信息为一项明确的平行群随机对照试验提供信息。试验注册:Clinicaltrials: gov: NCT06400108, 2024年5月3日,版本1。https://classic.Clinicaltrials gov / ct2 /显示/ NCT06400108。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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