scholarly journals Effects of Physical Activity in Nursing Home Residents with Dementia: A Randomized Controlled Trial

2018 ◽  
Vol 46 (1-2) ◽  
pp. 60-80 ◽  
Author(s):  
Marinda Henskens ◽  
Ilse M. Nauta ◽  
Marieke C.A. van Eekeren ◽  
Erik J.A. Scherder
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Exercise Training ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Functional Mobility ◽  
Physical Endurance ◽  
Physical Stimulation ◽  
Combined Training ◽  
Nonpharmacological Intervention

Background/Aims: There is no consensus regarding the optimal nonpharmacological intervention to slow down dementia-related decline. We examined whether physical stimulation interventions were effective in reducing cognitive, physical, mood, and behavioral decline in nursing home residents with dementia. Methods: Eighty-seven nursing home residents with dementia were randomly assigned to 3 physical activity interventions: activities of daily living (ADL) training, multicomponent exercise training, or combined multicomponent exercise and ADL training. Outcomes were measured at baseline, and after 3 and 6 months. Results: A 6-month ADL training benefitted executive functions, physical endurance, and depression among men. Exercise training benefitted only grip strength of participants with mild-to-moderate cognitive impairment. A combined training benefitted functional mobility compared to ADL training, depressive symptoms and agitation compared to exercise training, and physical endurance compared to no physical stimulation. Conclusions: ADL training appears to be effective for nursing home residents with moderately severe dementia. It remains unclear whether exercise training is an effective type of stimulation.

scholarly journals Optimizing Physical Activity and Decreasing Care-Resistant Behaviors Among Nursing Home Residents With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 630-630
Author(s):  
Elizabeth Galik ◽  
Barbara Resnick ◽  
Erin Vigne ◽  
Sarah Holmes
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Cognitively Impaired ◽  
Repeated Measures Design ◽  
Randomized Controlled ◽  
Resistiveness To Care ◽  
And Behavior

Abstract The purpose of this study was to test the effectiveness of the Function and Behavior Focused Care (FBFC) intervention on function, physical activity and behavioral symptoms among nursing home residents with dementia. This study was a clustered, randomized controlled trial with a repeated measures design in 12 nursing homes. The participants (N=336) were 82.6 (SD=10.1) years of age, mostly female and were moderate to severely cognitively impaired (MMSE of 7.8, SD=5.1). There were a statistically significant improvements in time spent in light, moderate and overall physical activity based on actigraphy and a decrease in resistiveness to care at 4 months among participants in the treatment group. There was no change in mood, agitation, and the use of psychotropic medications. This study provides some support for the use of the FBFC intervention to increase time spent in physical activity and decrease resistive behaviors during care among nursing home residents with dementia. Part of a symposium sponsored by Nursing Care of Older Adults Interest Group.

scholarly journals The use of a non-pedal tricycle to promote physical activity in nursing home residents: a pilot study

2021 ◽  
Vol 15 (2) ◽  
pp. 118-126
Author(s):  
Tatiane Calve ◽  
Ana Maria F. Barela
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Nursing Homes ◽  
Walking Speed ◽  
Nursing Home Residents ◽  
Functional Mobility ◽  
Walking Distance ◽  
Practice Session ◽  
Timed Up And Go ◽  
Elderly Individuals

BACKGROUND: Elderly individuals living in nursing homes are usually inactive and do not seem motivated to engage in physical activity. Therefore, it is important to investigate new possibilities that enable them to be active in these environments. AIM: To investigate the feasibility of a protocol using a non-pedal tricycle in elderly individuals living in nursing homes and its effects on improving endurance, walking speed, and functional mobility. METHOD: Fourteen nursing home residents aged from 60 to 93 years were included in the study protocol. They were randomly allocated into two groups: control (CG) and intervention (IG). The CG kept their routine during the engagement in the study, and the IG, in addition to the routine, used a non-pedal tricycle to move around the nursing home twice a week for 12 weeks. Participants from both groups underwent the 6-minute walk, 10-meter walk, and timed-up and go tests, one week before the first practice session and one week after the last practice session provided to the IG. RESULTS: Before the intervention, there was no group difference in any test, and after the intervention, only IG participants presented an increase in walking distance and walking speed. Both groups did not change their time to conclude the timed-up and go test. CONCLUSION: The use of a non-pedal tricycle seems appropriate in stimulating physical activity in individuals living in nursing homes. Besides the motivation to move around, walking resistance and speed improved.

scholarly journals A tablet-based intervention for activating nursing home residents with dementia: results from a cluster-randomized controlled trial

2021 ◽  
pp. 1-13
Author(s):  
Julie L. O’Sullivan ◽  
Sonia Lech ◽  
Paul Gellert ◽  
Ulrike Grittner ◽  
Jan-Niklas Voigt-Antons ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Nursing Home ◽  
Nursing Homes ◽  
Psychotropic Medication ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Randomized Controlled ◽  
Cluster Randomized

Abstract Objectives: To investigate global and momentary effects of a tablet-based non-pharmacological intervention for nursing home residents living with dementia. Design: Cluster-randomized controlled trial. Setting: Ten nursing homes in Germany were randomly allocated to the tablet-based intervention (TBI, 5 units) or conventional activity sessions (CAS, 5 units). Participants: N = 162 residents with dementia. Intervention: Participants received regular TBI (n = 80) with stimulating activities developed to engage people with dementia or CAS (n = 82) for 8 weeks. Measurements: Apathy Evaluation Scale (AES-I, primary outcome), Quality of Life in Alzheimer’s Disease scale, QUALIDEM scale, Neuropsychiatric Inventory, Geriatric Depression Scale, and psychotropic medication (secondary outcomes). Momentary quality of life was assessed before and after each activity session. Participants and staff were blinded until the collection of baseline data was completed. Data were analyzed with linear mixed-effects models. Results: Levels of apathy decreased slightly in both groups (mean decrease in AES-I of .61 points, 95% CI −3.54, 2.33 for TBI and .36 points, 95% CI −3.27, 2.55 for CAS). Group difference in change of apathy was not statistically significant (β = .25; 95% CI 3.89, 4.38, p = .91). This corresponds to a standardized effect size (Cohen’s d) of .02. A reduction of psychotropic medication was found for TBI compared to CAS. Further analyses revealed a post-intervention improvement in QUALIDEM scores across both groups and short-term improvements of momentary quality of life in the CAS group. Conclusions: Our findings suggest that interventions involving tailored activities have a beneficial impact on global and momentary quality of life in nursing home residents with dementia. Although we found no clear advantage of TBI compared to CAS, tablet computers can support delivery of non-pharmacological interventions in nursing homes and facilitate regular assessments of fluctuating momentary states.

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