Dementia
Conditions
Keywords
older adult, physical activity, cognitive impairment, mental health
Brief summary
This study aims to evaluate the effect of a multidisciplinary six-minute walking group and activities on patients with dementia's physical activity levels, mobility, anxiety, and cognitive function. The primary objective of this study is to evaluate the effectiveness of a multidisciplinary six-minute walking group intervention-spearheaded by physiotherapists, occupational therapists, and psychologists-in enhancing physical activity, mobility, cognitive function, and functional independence among patients with dementia. A systematic review of existing evidence on the effectiveness of the existing interventions will be conducted to contextualise the findings, providing a robust benchmark for assessing the contribution of each therapeutic component. Secondary Objectives: 1. Physiotherapy Impact: To determine the specific effects of physiotherapy on mobility, endurance, and balance in dementia patients using validated, objective measures. 2. Occupational Therapy Contribution: To evaluate the role of occupational therapy in improving functional independence and the ability to perform daily activities through targeted, task-oriented activities. 3. Psychological Impact: To assess the psychological benefits of the intervention, including reductions in anxiety and enhancements in mood and overall mental health, as a result of the psychologist-led component. 4. Dietary Support Role: To investigate the influence of integrated dietary support on physical activity levels, nutritional status, and overall health. 5. Feasibility and Scalability: To explore the practicality of integrating this multidisciplinary intervention into routine dementia care and assess its potential for broader application across similar settings.
Detailed description
This study aim to implement and evaluate a multidisciplinary intervention designed to enhance mobility level, cognition and physical activity levels in dementia patients within an inpatient ward. Central to this intervention is a six-minute walking group led collaboratively by physiotherapists, occupational therapists (OT), and psychologists. The program will be augmented by tailored nutritional support from dietitians and ongoing psychiatric/medical team consultation. A vital component of this initiative is a scoping review, which will synthesise existing evidence on similar interventions, providing a robust foundation for the studys design and establishing benchmarks for assessing the effectiveness of each therapeutic element. This project will be piloted within one of our dementia ward, this project has significant potential for broader implementation across other units, directly supporting our mission to enhance the 'Culture of Care' by integrating evidence-based practices into the daily care routines of dementia patients.
Interventions
OTHERExercise
A multidisciplinary six-minute walking group intervention-spearheaded by physiotherapists, occupational therapists, and psychologists-in enhancing physical activity, mobility, cognitive function, and functional independence among patients with dementia. Physiotherapy Component: A six-minute walking group will be conducted twice a week for 8 weeks, targeting improvements in mobility, endurance, and balance. Occupational Therapy Intervention: Occupational therapists will integrate functional tasks (Games and throwing of balls to court, bean bag target game to enhance exercise relevance to daily activities. A psychologist will provide mental health support during the sessions, utilising techniques like time focus reminiscence therapy to engage patients and reduce anxiety.
DRUGClonazepam
Medication on our dementia wards are being review during ward round and when needs arise. The medication management in drugs will be fully documented and accounted for in the course of the study.
Sponsors
Oxleas NHS Foundation Trust
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Single-group pretest-post-test design
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of dementia. * Older adults from the age 65 and above * Must be able to mobilise independently. * Must be able to engage with minimal tasks that will be based on the
Exclusion criteria
* Must be free from acute comorbidities: Heart failure; hearing loss; * Free from significant visual impairment * Must be free from orthostatic hypotension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mobility | 8 weeks | A six-minute walking group will be conducted twice a week for 8 weeks, targeting improvements in mobility, endurance, and balance. The impact of physiotherapy will be evaluated using objective tools such as the Tinetti Balance and Gait Assessment. The Tinetti balance subdomain has 16 items, and the gait component has 12 items, with 28 possible outcomes on the tool. The higher the score the better the balance and gait outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional tasks | 8 weeks | Occupational therapists will integrate functional tasks, such as ball games involving throwing balls into a court and a bean bag target game, to enhance the relevance of exercises to daily activities. The effectiveness of occupational therapy will be measured by improvements in functional independence using the Pool Activity Level, PAL, Checklist. The Pool Activity Level (PAL) Checklist scores range from 1 to 10, indicating varying degrees of functional independence and engagement in daily activities. A score of 1 to 2 represents profound limitations requiring maximum assistance, while scores of 3 to 4 indicate severe limitations with significant support needed. Moderate independence is reflected in scores of 5 to 6, and scores of 7 to 8 show mild independence, allowing for participation with minimal assistance. Scores of 9 to 10 represent the highest level of independence, where individuals can plan and carry out activities independently. The higher the score the better |
| mental health and cognition | 8 weeks | A psychologist will provide mental health support during the sessions, utilising techniques like time focus reminiscence therapy to engage patients and reduce anxiety. The psychological impact will be assessed using the Neuropsychiatric Inventory Questionnaire (NPI-Q). The Neuropsychiatric Inventory Questionnaire, NPI-Q, assesses a range of neuropsychiatric symptoms, with scoring reflecting the severity and frequency of behaviours. Each item is rated based on how often the behaviour occurs from 0 for not at all to 3 for very frequently and the severity of the impact on daily life from 0 for not severe to 3 for very severe. Total scores can range from 0 to 30, with higher scores indicating more significant neuropsychiatric symptoms and a greater psychological impact on the individual. This scoring system helps psychologists evaluate the effectiveness of interventions and tailor support accordingly. |
Countries
United Kingdom
Contacts
Primary ContactTolulope Adeniji, PhD
Backup ContactHelen Macklin, B.Sc OT
Outcome results
None listed