Behavioural and psychological symptoms of dementia Mental and Behavioural Disorders Unspecified dementia
Conditions
Interventions
A 6-week supervised incremental course of walking outside, at a pace and distance to suit the participant and carer for at least 5 days per week. Walking is a useful exercise which is considered accep
Sponsors
Central and North West London NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Both males and females, no age limits 2. Diagnosis of: 2.1. Dementia in primary or secondary care OR 2.2. Suspected dementia confirmed by the researcher to ensure the International Classification of Diseases 10th Revision (ICD-10) research criteria for dementia (DCR-10) are met 3. Presence of a carer (professional, friend or family member, who does not necessarily have to live with the participant) 4. Neuropsychiatric Inventory (NPI) score in any one sub-set except only hallucination or delusion more than or equal to 2 in severity and more than or equal to 2 in frequency 5. Consent of participant, or in the case of an individual who is not capable of giving informed consent, the assent of the participant with agreement of carer 6. Consent of carer
Exclusion criteria
Exclusion criteria: 1. Cardio-respiratory condition, neurological or musculo-skeletal condition of a degree that prevents participation to even the modified exercise regime unsafe or not possible 2. A score of three or more assessed using the Falls Risk Assessment Tool or less than one minute as assessed by the Timed Unsupported Steady Stand test 3. Uncontrolled medical problems, which the GP considers would exclude participants from undertaking the exercise programme; for example, acute systemic illness such as pneumonia, poorly controlled angina, acute rheumatoid arthritis, unstable or acute heart failure 4. Sensory impairment to an extent that prevents dyad facilitated exercise 5. Participant or carer dissent to engage in the exercise programme 6. Acute confusional state
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Behavioural and psychological symptoms measured by NPI at baseline, week 6 and 12. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participants' mental health (General Health Questionnaire) at baseline, week 6 and 12 2. Participants' quality of life (DemQOL-Proxy) at baseline, week 6 and 12 3. Caregivers' burden of caring (short Zarit Caregiver Burden Inventory) at baseline, week 6 and 12 4. Participants' level of physical activity and compliance with the intervention (diaries and heart rate monitors, to be completed by the participant and their carer) 5. Participants' and carers' views about the intervention (Diaries and semi-structured questionnaires to be carried out after the trial) 6. Mortality and domiciliary status at 6 months | — |
Countries
United Kingdom
Outcome results
None listed