Charlene H Chu1, Martine Puts2, Dina Brooks3,4, Monica Parry2, Katherine S McGilton2,4. 1. Department of Occupational Therapy and Occupational Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. 2. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. 3. Department of Physical Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada. 4. Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Abstract
PURPOSE: The aim of the study was to evaluate the feasibility, acceptability, and efficacy of a multifaceted walking intervention (MWI) aimed to maintain the functional mobility, activities of daily living function, and quality of lifeof long-term care home residents with dementia. DESIGN/ METHODS: A quasiexperimental time-series design was used. The 4-month intervention provided one-on-one walking 2-4 days a week, guided by an individualized communication care plan and interviews with collaterals and staff. RESULTS: The MWI was feasible based on high recruitment and adherence rates (86% and 94%, respectively) and highly acceptable to stakeholders. Residents (n = 25) showed significant improvements after the intervention: Timed Up-and-Go (-8.85 seconds, p = .00), Two-Minute Walk Test (27.47 m, p = .00), Functional Independence Measure (0.72, p = .00), and Alzheimer's Disease-Related Quality of Life (2.44, p = .05). CONCLUSION: The MWI was feasible and improved functional mobility compared to usual care. CLINICAL RELEVANCE: Physical activity delivered with a person-centered care was feasible and may be beneficial to mitigate decline in long-term care home residents with dementia.
RCT Entities:
PURPOSE: The aim of the study was to evaluate the feasibility, acceptability, and efficacy of a multifaceted walking intervention (MWI) aimed to maintain the functional mobility, activities of daily living function, and quality of life of long-term care home residents with dementia. DESIGN/ METHODS: A quasiexperimental time-series design was used. The 4-month intervention provided one-on-one walking 2-4 days a week, guided by an individualized communication care plan and interviews with collaterals and staff. RESULTS: The MWI was feasible based on high recruitment and adherence rates (86% and 94%, respectively) and highly acceptable to stakeholders. Residents (n = 25) showed significant improvements after the intervention: Timed Up-and-Go (-8.85 seconds, p = .00), Two-Minute Walk Test (27.47 m, p = .00), Functional Independence Measure (0.72, p = .00), and Alzheimer's Disease-Related Quality of Life (2.44, p = .05). CONCLUSION: The MWI was feasible and improved functional mobility compared to usual care. CLINICAL RELEVANCE: Physical activity delivered with a person-centered care was feasible and may be beneficial to mitigate decline in long-term care home residents with dementia.
Authors: Charlene H Chu; Renée K Biss; Amanda My Linh Quan; Henrique Matulis; Lara Cooper Journal: JMIR Serious Games Date: 2021-03-09 Impact factor: 4.143
Authors: Elizabeth M Galik; Barbara Resnick; Sarah D Holmes; Erin Vigne; Karen Lynch; Jeanette Ellis; Shijun Zhu; Erik Barr Journal: J Am Med Dir Assoc Date: 2021-01-15 Impact factor: 7.802
Authors: Claudio Di Lorito; Alessandro Bosco; Vicky Booth; Sarah Goldberg; Rowan H Harwood; Veronika Van der Wardt Journal: Prev Med Rep Date: 2020-06-01