Home-based exercise training following ward-based rehabilitation in geriatric patients with cognitive impairment

Conditions

Moderate cognitive impairment Mental and Behavioural Disorders Moderate cognitive impairment

Ullrich P, Werner C, Schönstein A, Bongartz M, Eckert T, Beurskens R, Abel B, Bauer JM, Lamb SE, Hauer K.

2022-12-0114 citations

Development of a home-based training program for post-ward geriatric rehabilitation patients with cognitive impairment: study protocol of a randomized-controlled trail.

Bongartz M, Kiss R, Ullrich P, Eckert T, Bauer J, Hauer K.

2017-09-1213 citations

10.1186/s12877-017-0615-0

Interventions

Patients are randomly assigned to one of the two study groups (intervention group and control group): Intervention group: Patients take part in a standardized 12-weeks home training p

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Geriatric patients following ward-based rehabilitation 2. Cognitive impairment defined as a Mini-Mental State Examination (MMSE) score of 17-26 3. Aged 65 years or over 4. Ability to independently walk 4 meters 5. Residence = 30 kilometers away from study center 6. No simultaneous participation in other studies 7. Telephone contact possible 8. Capacity to give written informed consent

Exclusion criteria

Exclusion criteria: 1. Delirium (positive Confusion Assessment Method; CAM) 2. Severe somatic or psychiatric diseases, which doesn’t allow participation 3. Insufficient hearing ability to conduct phone calls 4. Patient is not able to understand and speak German 5. Progressive, terminal status

Design outcomes

Primary

Measure	Time frame
1. Physical and functional performance is measured using the Short Physical Performance Battery and Timed Up & Go at baseline, 3 months and 6 months 2. Physical activity (duration, intensity, and frequency of lying, sitting, standing, and walking) is be recorded using tri-axial accelerometers for 48 consecutive hours at baseline, 3 months and 6 months	—

Secondary

Measure	Time frame
1. Life space is measured using a Global Positioning System device recording participants’ locations (Qstarz International Co., Ltd., Taiwan) over a period of 48 hours. Data registered include distance and time spent in various activities (i.e., walking, standing, in a vehicle). Subjects’ life space will also be measured with the UAB Study of Aging Life-Space Assessment. The LSA will retrospectively assess the frequency of in- and outdoor activities over a period of one week at baseline, 3 months and 6 months 2. Psycho-social parameters are measured at baseline, 3 months and 6 months 2.1. Fear of falling is measured using the short version of the falls efficacy scale (FES-I) 2.2. Fall-related activity avoidance is assessed using the Fear of Falling Avoidance-Behavior Questionnaire (FFABQ) 2.3. Quality of life is measured using the EuroQol health status questionnaire (EQ-5D) 2.4. Apathy is measured using the Apathy Evaluation Scale (AES) 2.5. Social support is assessed using the German questionnaire "Soziale Situation" developed by Nikolaus et al. 3. Cognitive performance (i.e., working memory) is measured using a sub-scale of the Wechsler Adult Intelligence Scale [WAIS] at at baseline, 3 months and 6 months 4. Costs of the intervention are measured using the Questionnaire for Health-Related Resource Use in an Elderly Population (FIMA) at baseline, 3 months and 6 months	—

Measure

Time frame

1. Life space is measured using a Global Positioning System device recording participants’ locations (Qstarz International Co., Ltd., Taiwan) over a period of 48 hours. Data registered include distance and time spent in various activities (i.e., walking, standing, in a vehicle). Subjects’ life space will also be measured with the UAB Study of Aging Life-Space Assessment. The LSA will retrospectively assess the frequency of in- and outdoor activities over a period of one week at baseline, 3 months and 6 months 2. Psycho-social parameters are measured at baseline, 3 months and 6 months 2.1. Fear of falling is measured using the short version of the falls efficacy scale (FES-I) 2.2. Fall-related activity avoidance is assessed using the Fear of Falling Avoidance-Behavior Questionnaire (FFABQ) 2.3. Quality of life is measured using the EuroQol health status questionnaire (EQ-5D) 2.4. Apathy is measured using the Apathy Evaluation Scale (AES) 2.5. Social support is assessed using the German questionnaire "Soziale Situation" developed by Nikolaus et al. 3. Cognitive performance (i.e., working memory) is measured using a sub-scale of the Wechsler Adult Intelligence Scale [WAIS] at at baseline, 3 months and 6 months 4. Costs of the intervention are measured using the Questionnaire for Health-Related Resource Use in an Elderly Population (FIMA) at baseline, 3 months and 6 months

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Countries

Germany

Outcome results

None listed