Paired Integrative Exercise Program for People With Dementia and Caregivers
| Status: | Completed |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/6/2019 |
| Start Date: | July 1, 2016 |
| End Date: | December 31, 2018 |
Preventing Loss of Independence through Exercise (PLIÉ) is a unique, multimodal movement
program for people with dementia (affected individuals) that is taught by trained instructors
and combines physical, mental and social activities. The Paired PLIÉ Program is an adapted
version designed for pairs of affected individuals and care partners. The goal of this study
is to perform a randomized, controlled trial (RCT) with a delayed start design to examine the
effects of the Paired PLIÉ Program on function and quality of life in affected individuals
and care partners.
program for people with dementia (affected individuals) that is taught by trained instructors
and combines physical, mental and social activities. The Paired PLIÉ Program is an adapted
version designed for pairs of affected individuals and care partners. The goal of this study
is to perform a randomized, controlled trial (RCT) with a delayed start design to examine the
effects of the Paired PLIÉ Program on function and quality of life in affected individuals
and care partners.
Study participants are 60 pairs of individuals with mild-to-moderate dementia and their
primary care partners who are randomly assigned to Group 1 (immediate start) or Group 2
(delayed start). Pairs randomized to Group 1 participate together in the Paired PLIÉ program
2 days/week for 12 weeks (24 classes total) while pairs randomized to Group 2 continue with
their usual activities. Then Group 1 transitions into a maintenance phase, and Group 2
participates in the Paired PLIÉ program 2 days/week for 12 weeks. Outcome data are collected
in all study participants at baseline, mid-point and end-point so that we can examine the
initial impact of the program as well as whether effects are maintained in Group 1. Outcome
measures include cognitive function, physical performance, quality of life and caregiver
well-being.
primary care partners who are randomly assigned to Group 1 (immediate start) or Group 2
(delayed start). Pairs randomized to Group 1 participate together in the Paired PLIÉ program
2 days/week for 12 weeks (24 classes total) while pairs randomized to Group 2 continue with
their usual activities. Then Group 1 transitions into a maintenance phase, and Group 2
participates in the Paired PLIÉ program 2 days/week for 12 weeks. Outcome data are collected
in all study participants at baseline, mid-point and end-point so that we can examine the
initial impact of the program as well as whether effects are maintained in Group 1. Outcome
measures include cognitive function, physical performance, quality of life and caregiver
well-being.
Inclusion Criteria: Affected Individuals
- diagnosis of cognitive impairment or dementia
- mild to moderate severity, defined as Clinical Dementia Rating of 0.5, 1 or 2
- willing and able to engage in study procedures
- English language fluency
Inclusion Criteria: Care Partners
- provide care for affected individual
- willing and able to engage in study procedures
- English language fluency
Exclusion Criteria: Affected Individuals
- planning to miss more than 2 weeks during the study period
- behavioral or physical issues that would be disruptive or dangerous to themselves or
others (e.g., drug abuse, severe mental health issues)
- unable to take 2 steps independently without cane or walker
- terminal illness (life expectancy < 1 year)
- currently participating in another research study that could impact current study
- changes to dementia medications 3 months prior to baseline or changes planned during
the study period
Exclusion Criteria: Care Partners
- planning to miss more than 2 weeks during the study period
- behavioral or physical issues that would be disruptive or dangerous to themselves or
others (e.g., drug abuse, severe mental health issues)
- unable to take 2 steps independently without cane or walker
- terminal illness (life expectancy < 1 year)
- currently participating in another research study that could impact current study
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