A Feasibility Study of a Multifaceted Walking Intervention to Maintain the Functional Mobility, Activities of Daily Living, and Quality of Life of Nursing Home Residents With Dementia.
Autor: Chu, Charlene H.; Puts, Martine; Brooks, Dina; Parry, Monica; McGilton, Katherine S.
Publication year: 2020
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
issn:2048-7940 0278-4807
doi: 10.1097/rnj.0000000000000186
Abstract:
PURPOSE: The aim of the study was to evaluate the feasibility, acceptability, and efficacy of a multifaceted walking intervention (MWI) aimed to maintain the functional mobility, activities of daily living function, and quality of life of long-term care home residents with dementia. DESIGN/METHODS: A quasiexperimental time-series design was used. The 4-month intervention provided one-on-one walking 2-4 days a week, guided by an individualized communication care plan and interviews with collaterals and staff. RESULTS: The MWI was feasible based on high recruitment and adherence rates (86% and 94%, respectively) and highly acceptable to stakeholders. Residents (n = 25) showed significant improvements after the intervention: Timed Up-and-Go (-8.85 seconds, p = .00), Two-Minute Walk Test (27.47 m, p = .00), Functional Independence Measure (0.72, p = .00), and Alzheimer’s Disease-Related Quality of Life (2.44, p = .05). CONCLUSION: The MWI was feasible and improved functional mobility compared to usual care. CLINICAL RELEVANCE: Physical activity delivered with a person-centered care was feasible and may be beneficial to mitigate decline in long-term care home residents with dementia.
Language: eng
Rights:
Pmid: 30325875
Tags: Humans; Aged; Aged, 80 and over; Female; Male; Ontario; Feasibility Studies; Quality of Life/psychology; Activities of Daily Living/psychology; Dementia/prevention & control/psychology/*therapy; Nursing Homes/organization & administration/*statistics & numerical data; Walking/*physiology
Link: https://pubmed.ncbi.nlm.nih.gov/30325875/