Alzheimer's Disease, Cognitive Impairment, Dementia, Memory Impairment
Conditions
Keywords
Dementia, Alzheimer's Disease, Exercise, Caregiver, Behavior modification
Brief summary
The University of Washington's Northwest Research Group on Aging is partnering with Area Agencies on Aging (AAA) in Washington and Oregon to complete this translational investigation of RDAD (Reducing Disabilities in Alzheimer's Disease). RDAD is an evidence-based program with demonstrated efficacy in helping older adults with dementia maintain physical function and remain physically and mentally healthy. This study asks two questions: 1) Can AAA partners successfully translate and implement RDAD, and 2) Is AAA implementation of RDAD effective in producing desired outcomes among agencies, providers, and older adults with dementia and their family members. This study is being conducted in Washington and Oregon states.
Interventions
BEHAVIORALRDAD
Exercise training for caregiver and care recipient. Behavioral modification training for caregiver.
Sponsors
University of Washington
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Care Recipients must * Have a diagnosis of dementia * Be 65 years of age or older * Currently exercise no more than 150 minutes a week and not regularly participate in a formal exercise program. Caregivers must * Live in the community * Provide care to the care recipient with dementia
Exclusion criteria
Either Care-recipient or Caregiver must not * Plan to move to a long-term residential care setting within 6 months of enrollment. * Plan to move from the study geographic area within 4 months of enrollment. * Have a known terminal illness (with death anticipated within the next 12 months) * Have had a hospitalization for a psychiatric disorder in the 12 months prior to baseline * Be actively suicidal, hallucinating, or delusional * Be blind, deaf, or not ambulatory
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Minutes of exercise per week | Change from baseline in number of minutes of exercise each week during treatment phase of study, weeks 7-12 | Caregivers will track the number of minutes per week the care recipients engage in exercise recommended by the coach. |
| Restricted Activity Days | Baseline | Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness. |
| Restricted Days of Activity | Change from Baseline to 13 Month Follow-Up | Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness. |
| Independence/Residential Status | Change from Baseline to 13 Month Follow-Up | All participants will be in independent living situations at baseline. Any move from independent living to a care facility will be documented throughout the 13 month study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life-AD | Baseline | This 13-item measure is specifically designed for individuals with dementia and focuses on quality of life domains identified as important for cognitively impaired older adults. |
| CES-D | Baseline | This 20-item scale that assesses depression in caregivers. |
| Revised Memory and Behavior Problem Checklist (RMBPC) | Baseline | Checklist rates 24 care recipient behaviors for frequency of occurrence and caregiver reaction. |
Countries
United States
Outcome results
None listed