Home-based Exercise and Support Programme for People with Dementia and Their Caregivers: Study Protocol of a Randomised Controlled Trial

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2011 Nov 29

PMID 22117691

Citations 10

Authors

Anna-Eva Prick

Jacomine de Lange

Erik Scherder

Anne Margriet Pot

Affiliations

Soon will be listed here.

Abstract

Background: Dementia affects the mood of people with dementia but also of their caregivers. In the coming years, the number of people with dementia will increase worldwide and most of them will continue to live in the community as long as possible. Home-based psychosocial interventions reducing the depressive symptoms of both people with dementia and their caregivers in their own home are highly needed.

Methods/design: This manuscript describes the design of a Randomised Controlled Trial (RCT) of the effects of a home-based exercise and support programme for people with dementia and their caregivers. The aim is to randomly assign 156 dyads (caregiver and dementia diagnosed person) to an intervention group or a comparison group. The experimental group receives a home programme in which exercise and support for the people with dementia and their caregivers are combined and integrated. The comparison group receives a minimal intervention. Primary outcomes are physical health (people with dementia) and mood (people with dementia and caregivers). In addition, to get more insight in the working components of the intervention and the impact of the intervention on the relationship of the dyads a qualitative sub-study is carried out.

Discussion: This study aims to contribute to an evidence-based treatment to reduce depressive symptoms among people with dementia and their caregivers independently living in the community.

Trial Registration: The study has been registered at the Netherlands National Trial Register (NTR), which is connected to the International Clinical Trials Registry Platform of the WHO.

Trial Number: NTR1802.

Citing Articles

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Impact of physiotherapy with telerehabilitation on caregivers of patients with neurological disorders: A systematic review protocol.

Gomes de Souza E Silva E, Melo L, Souza A, de Holanda L, Ribeiro T, Valentim R Front Aging Neurosci. 2022; 14:951397.

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A Systematic Review of Home-Setting Psychoeducation Interventions for Behavioral Changes in Dementia: Some Lessons for the COVID-19 Pandemic and Post-Pandemic Assistance.

Alves G, Casali M, Veras A, Gomes Carrilho C, Bruno Costa E, Rodrigues V Front Psychiatry. 2020; 11:577871.

PMID: 33132937 PMC: 7550734. DOI: 10.3389/fpsyt.2020.577871.

Exploring the usefulness of indicators for referring people with dementia and their informal caregivers to activating interventions: a qualitative analysis of needs assessments.

Vant Leven N, de Lange J, Groenewoud J, van der Ploeg E, Pot A BMC Geriatr. 2019; 19(1):230.

PMID: 31443632 PMC: 6706924. DOI: 10.1186/s12877-019-1221-0.

Working mechanisms of dyadic, psychosocial, activating interventions for people with dementia and informal caregivers: a qualitative study.

Vant Leven N, de Lange J, van der Ploeg E, Pot A Clin Interv Aging. 2018; 13:1847-1857.

PMID: 30310270 PMC: 6166763. DOI: 10.2147/CIA.S160363.

References

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

Heyn P, Abreu B, Ottenbacher K . The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehabil. 2004; 85(10):1694-704. DOI: 10.1016/j.apmr.2004.03.019. View

Teri L, Gibbons L, McCurry S, Logsdon R, Buchner D, Barlow W . Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial. JAMA. 2003; 290(15):2015-22. DOI: 10.1001/jama.290.15.2015. View

Alexopoulos G, ABRAMS R, Young R, SHAMOIAN C . Cornell Scale for Depression in Dementia. Biol Psychiatry. 1988; 23(3):271-84. DOI: 10.1016/0006-3223(88)90038-8. View

Bizzarro A, Marra C, Acciarri A, Valenza A, Tiziano F, Brahe C . Apolipoprotein E epsilon4 allele differentiates the clinical response to donepezil in Alzheimer's disease. Dement Geriatr Cogn Disord. 2005; 20(4):254-61. DOI: 10.1159/000087371. View

Cuijpers P . Depressive disorders in caregivers of dementia patients: a systematic review. Aging Ment Health. 2005; 9(4):325-30. DOI: 10.1080/13607860500090078. View

van Someren E . Actigraphic monitoring of movement and rest-activity rhythms in aging, Alzheimer's disease, and Parkinson's disease. IEEE Trans Rehabil Eng. 1998; 5(4):394-8. DOI: 10.1109/86.650297. View

Gatz M . Commentary on evidence-based psychological treatments for older adults. Psychol Aging. 2007; 22(1):52-5. DOI: 10.1037/0882-7974.22.1.52. View

Pot A, van Dyck R, Deeg D . [Perceived stress caused by informal caregiving. Construction of a scale]. Tijdschr Gerontol Geriatr. 1995; 26(5):214-9. View

10.

Reisberg B, Ferris S, de Leon M, Crook T . The Global Deterioration Scale for assessment of primary degenerative dementia. Am J Psychiatry. 1982; 139(9):1136-9. DOI: 10.1176/ajp.139.9.1136. View

11.

Bergner M, Bobbitt R, Pollard W, Martin D, Gilson B . The sickness impact profile: validation of a health status measure. Med Care. 1976; 14(1):57-67. DOI: 10.1097/00005650-197601000-00006. View

12.

Rolland Y, Pillard F, Klapouszczak A, Reynish E, Thomas D, Andrieu S . Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial. J Am Geriatr Soc. 2007; 55(2):158-65. DOI: 10.1111/j.1532-5415.2007.01035.x. View

13.

Teri L, Logsdon R, Uomoto J, McCurry S . Behavioral treatment of depression in dementia patients: a controlled clinical trial. J Gerontol B Psychol Sci Soc Sci. 1997; 52(4):P159-66. DOI: 10.1093/geronb/52b.4.p159. View

14.

Quinn C, Clare L, Woods B . The impact of the quality of relationship on the experiences and wellbeing of caregivers of people with dementia: a systematic review. Aging Ment Health. 2009; 13(2):143-54. DOI: 10.1080/13607860802459799. View

15.

Potter R, Ellard D, Rees K, Thorogood M . A systematic review of the effects of physical activity on physical functioning, quality of life and depression in older people with dementia. Int J Geriatr Psychiatry. 2011; 26(10):1000-11. DOI: 10.1002/gps.2641. View

16.

Smits C, de Lange J, Droes R, Meiland F, Vernooij-Dassen M, Pot A . Effects of combined intervention programmes for people with dementia living at home and their caregivers: a systematic review. Int J Geriatr Psychiatry. 2007; 22(12):1181-93. DOI: 10.1002/gps.1805. View

17.

Kirschbaum C, Hellhammer D . Salivary cortisol in psychoneuroendocrine research: recent developments and applications. Psychoneuroendocrinology. 1994; 19(4):313-33. DOI: 10.1016/0306-4530(94)90013-2. View

18.

Frijters D, Achterberg W, Hirdes J, Fries B, Morris J, Steel K . [Integrated health information system based on Resident Assessment Instruments]. Tijdschr Gerontol Geriatr. 2001; 32(1):8-16. View

19.

Romero B, Wenz M . [Concept and effectiveness of a treatment program for patients with dementia and their relatives. Results from the Bad Aibling Alzheimer Disease Therapy Center]. Z Gerontol Geriatr. 2002; 35(2):118-28. DOI: 10.1007/s003910200016. View

20.

Olazaran J, Reisberg B, Clare L, Cruz I, Pena-Casanova J, Del Ser T . Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dement Geriatr Cogn Disord. 2010; 30(2):161-78. DOI: 10.1159/000316119. View