Activities of Daily Living, Disease and Dysfunction, Functional Fitness Deterioration, Instrumental Activities of Daily Living, Sleep Quality
Conditions
Brief summary
This project was aimed to examine the effects of a six-month VA exercise program incorporated the SPOZ technology in improving the disease dysfunction and functional fitness deterioration of older adults with dementia in adult daycare centers.
Detailed description
A cluster-randomized controlled trial was conducted to examine the effects of a six-month VA exercise program incorporated the SPOZ technology in improving the disease dysfunction, functional fitness deterioration (balance, lower muscle endurance, gait speed, handgrip strength, cardiorespiratory endurance, muscle endurance, agility, body flexibility), activities of daily living, instrumental activities of daily living, and sleep quality of older adults with dementia in adult daycare centers. Using convenience sampling, 10 adult daycare centers with 142 older adults were recruited, and then cluster-randomized by the daycare centers to an experimental or a control group. The experimental group received a 40-minute program 3 times a week for 6 months; the control group maintained their routine activities. The two groups were measured at three time points: before the intervention, and at three months and six months of the intervention.
Interventions
The VA-SPOZ exercise program had 3 phases and took 40 minutes to complete. The program was performed in a seated position, and the participants wore SPOZ devices on both hands to record and track the accuracy of the movements.
OTHERControl
Participants maintained their routine activities.
Sponsors
Kaohsiung Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* diagnosed as dementia by a physician, or * screened by the SPMSQ as dementia * age 65 and older
Exclusion criteria
* have severe cardiopulmonary disease * have physical mobility impairment * have spinal cord injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body flexibility | 6 months | measured by the SPOZ devices |
| Cardiorespiratory endurance | 6 months | measured by the 2-minute step test |
| Muscle endurance | 6 months | measured by the SPOZ devices |
| Agility | 6 months | measured by the SPOZ devices |
| Balance | 6 months | measured by the Balance tests in SPPB |
| Lower muscle endurance | 6 months | measured by the 5-time sit-to-stand in SPPB |
| Gait speed | 6 months | measured by the 4-m walk in SPPB |
| Handgrip strength | 6 months | measured by the Digital Handgrip Dynamometer (TKK-5101) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Instrumental activities of daily living (IADL) | 6 months | measured by the Disability Assessment for Dementia (Categories 5-10). The scale has 47 questions measuring 11 types of activities; of which, 22 questions measuring 6 types of IADL. The scoring system (yes = 1, no = 0, and not applicable = N/A) can be divided into three parts: (1) initiation (6 items): measuring the ability to decide or to start an action; (2) planning and organization (6 items): measuring the ability to structure activities in an appropriate sequence and to be able to prepare relevant supplies or develop strategies before action; and (3) performance (10 items): measuring the ability to complete the entire activity. Divide the total score by the number of questions answered (excluding the number of questions that are not applicable), the score converts into a percentage. A higher percentage indicates less disability in daily activities. |
| Sleep quality | 6 months | measured by the Neuropsychiatric Inventory Questionnaire (Item 11). The item 11 measures sleep/nighttime behaviors. The assessment consists of three parts: (1) to determine the presence or absence of symptoms, 0 = no, 1 = yes; (2) to determine the severity of the symptoms, rating between 1 and 3, and with higher scores indicate more severe symptoms; (3) to rate the degree of caregiver's distress caused by the client's symptoms on a scale of 0-5, and with higher scores indicating greater distress. |
| Activities of daily living (ADL) | 6 months | measured by the Disability Assessment for Dementia (Categories 1-4). The scale has 47 questions measuring 11 types of activities; of which, 22 questions measuring 4 types of ADL. The scoring system (yes = 1, no = 0, and not applicable = N/A) can be divided into three parts: (1) initiation (7 items): measuring the ability to decide or to start an action; (2) planning and organization (8 items): measuring the ability to structure activities in an appropriate sequence and to be able to prepare relevant supplies or develop strategies before action; and (3) performance (7 items): measuring the ability to complete the entire activity. Divide the total score by the number of questions answered (excluding the number of questions that are not applicable), the score converts into a percentage. A higher percentage indicates less disability in daily activities. |
Countries
Taiwan
Outcome results
None listed