OBJECTIVES: Preventing Loss of Independence through Exercise (PLIÉ) is a novel, integrative exercise program for individuals with dementia that combines elements of different conventional and complementary exercise modalities (e.g. tai-chi, yoga, Feldenkrais, and dance movement therapy) and focuses on training procedural memory for basic functional movements (e.g., sit-to-stand) while increasing mindful body awareness and facilitating social connection. This study presents analyses of qualitative data collected during a 36-week cross-over pilot clinical trial in 11 individuals. METHODS: Qualitative data included exercise instructors' written notes, which were prepared after each class and also following biweekly telephone calls with caregivers and monthly home visits; three video-recorded classes; and written summaries prepared by research assistants following pre- and post-intervention quantitative assessments. Data were extracted for each study participant and placed onto a timeline for month of observation. Data were coded and analyzed to identify themes that were confirmed and refined through an iterative, collaborative process by the entire team including a qualitative researcher (SA) and the exercise instructors. RESULTS: Three overarching themes emerged: (1) Functional changes included increasing body awareness, movement memory and functional skill. (2) Emotional changes included greater acceptance of resting, sharing of personal stories and feelings, and positive attitude toward exercise. (3) Social changes included more coherent social interactions and making friends. CONCLUSIONS: These qualitative results suggest that the PLIÉ program may be associated with beneficial functional, emotional, and social changes for individuals with mild to moderate dementia. Further study of the PLIÉ program in individuals with dementia is warranted.
RCT Entities:
OBJECTIVES: Preventing Loss of Independence through Exercise (PLIÉ) is a novel, integrative exercise program for individuals with dementia that combines elements of different conventional and complementary exercise modalities (e.g. tai-chi, yoga, Feldenkrais, and dance movement therapy) and focuses on training procedural memory for basic functional movements (e.g., sit-to-stand) while increasing mindful body awareness and facilitating social connection. This study presents analyses of qualitative data collected during a 36-week cross-over pilot clinical trial in 11 individuals. METHODS: Qualitative data included exercise instructors' written notes, which were prepared after each class and also following biweekly telephone calls with caregivers and monthly home visits; three video-recorded classes; and written summaries prepared by research assistants following pre- and post-intervention quantitative assessments. Data were extracted for each study participant and placed onto a timeline for month of observation. Data were coded and analyzed to identify themes that were confirmed and refined through an iterative, collaborative process by the entire team including a qualitative researcher (SA) and the exercise instructors. RESULTS: Three overarching themes emerged: (1) Functional changes included increasing body awareness, movement memory and functional skill. (2) Emotional changes included greater acceptance of resting, sharing of personal stories and feelings, and positive attitude toward exercise. (3) Social changes included more coherent social interactions and making friends. CONCLUSIONS: These qualitative results suggest that the PLIÉ program may be associated with beneficial functional, emotional, and social changes for individuals with mild to moderate dementia. Further study of the PLIÉ program in individuals with dementia is warranted.
Entities:
Keywords:
Alzheimer's disease; general; other dementias; qualitative methods
Authors: James J Casey; Krista L Harrison; Maria I Ventura; Wolf Mehling; Deborah E Barnes Journal: Aging Ment Health Date: 2019-02-12 Impact factor: 3.658
Authors: Rebecca Erwin Wells; Catherine Kerr; Michelle L Dossett; Suzanne C Danhauer; Stephanie J Sohl; Bonnie C Sachs; Jacquelyn Walsh Feeley; Jennifer Wolkin; Robert Wall; Ted Kaptchuk; Daniel Z Press; Russell S Phillips; Gloria Y Yeh Journal: J Alzheimers Dis Date: 2019 Impact factor: 4.472
Authors: Deborah E Barnes; Wolf Mehling; Eveline Wu; Matthew Beristianos; Kristine Yaffe; Karyn Skultety; Margaret A Chesney Journal: PLoS One Date: 2015-02-11 Impact factor: 3.240
Authors: André de Camargo Smolarek; Luis Henrique Boiko Ferreira; Luis Paulo Gomes Mascarenhas; Steven R McAnulty; Karla Daniele Varela; Mônica C Dangui; Marcelo Paes de Barros; Alan C Utter; Tácito P Souza-Junior Journal: Clin Interv Aging Date: 2016-06-01 Impact factor: 4.458
Authors: Philipp Zimmer; Freerk T Baumann; Max Oberste; Peter Wright; Alexander Garthe; Alexander Schenk; Thomas Elter; Daniel A Galvao; Wilhelm Bloch; Sven T Hübner; Florian Wolf Journal: Biomed Res Int Date: 2016-04-10 Impact factor: 3.411