TY - JOUR
T1 - Dyadic Group Exercises for Persons with Memory Deficits and Care Partners
T2 - Mixed-Method Findings from the Paired Preventing Loss of Independence through Exercise (PLIÉ) Randomized Trial
AU - Mehling, E. Wolf
AU - Scott, M. Travis
AU - Duffy, James
AU - Whitmer, A. Rachel
AU - Chesney, A. Margaret
AU - Boscardin, W. John
AU - Barnes, E. Deborah
N1 - Funding Information:
This study was supported by (1) an intramural grant from the University of California, San Francisco (Resource Allocation Program, RAP, with funding from the UCSF Pepper Center (P30AG044281) and Tideswell at UCSF to Dr. Mehling and Dr. Barnes) and (2) funding from the Alzheimer’s Association to Dr. Barnes (NPSASA-15–364656). We are deeply indebted to the participants for volunteering; Alzheimer’s Services of the East Bay, ASEB, in Berkeley, CA, for providing space and support; the staff of Kaiser Permanente Oakland Medical Center for logistical support; the exercise instructors for assisting with developing and applying the
Publisher Copyright:
© 2020 - IOS Press and the authors. All rights reserved.
PY - 2020/1
Y1 - 2020/1
N2 - Background: Non-pharmacological therapies for persons with dementia (PWD) are needed. Objective: To develop and test the Paired Preventing Loss of Independence through Exercise (PLIÉ) program, an integrative group movement program for PWD and care partners (CPs). Methods: Participants were randomized to immediate or delayed start to Paired PLIÉ in community-based classes (1 hour, 2 days/week, 12 weeks, 3 home visits). Co-primary outcomes included standard measures of cognition, physical function,and quality of life (PWD) and caregiver burden (CPs) assessed by blinded assessors, analyzed using linear mixed models to calculate effect sizes for outcome changes during Paired PLIÉ, controlling for randomization group. Anonymous satisfaction surveys included satisfaction ratings and thematic analysis of open-ended responses. Results: Thirty dyads enrolled, 24 (80%) completed. PWD (mean age 80; 55% female) experienced significant improvement in self-rated quality of life (Effect Size+0.23; p=0.016) when participating in Paired PLIÉ, while CPs experienced a non-significant increase in burden (-0.23, p=0.079). Changes in physical and cognitive function in PWD were not significant. All CPs returning the satisfaction survey (n=20) reported being moderately-to-highly satisfied with the program. Thematic analyses identified physical (e.g., sit-to-stand, more energy), emotional (enjoyment), and social benefits (peer-to-peer interaction) for PWD and CPs; challenges were primarily related to getting to the in-person classes. Conclusion: Paired PLIÉ is a promising integrative group movement program that warrants further study. It is feasible and may improve self-rated quality of life in PWD. Although CPs may experience increased burden due to logistical challenges, most reported high satisfaction and physical, emotional, and social benefits.
AB - Background: Non-pharmacological therapies for persons with dementia (PWD) are needed. Objective: To develop and test the Paired Preventing Loss of Independence through Exercise (PLIÉ) program, an integrative group movement program for PWD and care partners (CPs). Methods: Participants were randomized to immediate or delayed start to Paired PLIÉ in community-based classes (1 hour, 2 days/week, 12 weeks, 3 home visits). Co-primary outcomes included standard measures of cognition, physical function,and quality of life (PWD) and caregiver burden (CPs) assessed by blinded assessors, analyzed using linear mixed models to calculate effect sizes for outcome changes during Paired PLIÉ, controlling for randomization group. Anonymous satisfaction surveys included satisfaction ratings and thematic analysis of open-ended responses. Results: Thirty dyads enrolled, 24 (80%) completed. PWD (mean age 80; 55% female) experienced significant improvement in self-rated quality of life (Effect Size+0.23; p=0.016) when participating in Paired PLIÉ, while CPs experienced a non-significant increase in burden (-0.23, p=0.079). Changes in physical and cognitive function in PWD were not significant. All CPs returning the satisfaction survey (n=20) reported being moderately-to-highly satisfied with the program. Thematic analyses identified physical (e.g., sit-to-stand, more energy), emotional (enjoyment), and social benefits (peer-to-peer interaction) for PWD and CPs; challenges were primarily related to getting to the in-person classes. Conclusion: Paired PLIÉ is a promising integrative group movement program that warrants further study. It is feasible and may improve self-rated quality of life in PWD. Although CPs may experience increased burden due to logistical challenges, most reported high satisfaction and physical, emotional, and social benefits.
KW - Alzheimer's disease
KW - caregiver
KW - dementia
KW - exercise
KW - quality of life
UR - http://www.scopus.com/inward/record.url?scp=85097597954&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85097597954&partnerID=8YFLogxK
U2 - 10.3233/JAD-200713
DO - 10.3233/JAD-200713
M3 - Article
C2 - 33185602
AN - SCOPUS:85097597954
VL - 78
SP - 1689
EP - 1706
JO - Journal of Alzheimer's Disease
JF - Journal of Alzheimer's Disease
SN - 1387-2877
IS - 4
ER -