This project seeks to develop a novel dyadic intervention (titled as Buddy-Up Dyadic Physical Activity; BUDPA), using exercise as the common treatment component to improve the cognitive outcomes of persons with dementia and manage the stress-related symptoms of their family caregivers.
This project is a pilot study that seeks to develop a novel dyadic BUDPA intervention, using exercise as the common treatment component to improve the cognitive outcomes of persons with dementia and manage the stress-related symptoms of their family caregivers. BUDPA has integrated the concept of developing social capital for dementia management. By applying partner exercise, the longer-term provider for this therapeutic care will be shifted from service providers to the family caregivers and the persons with dementia. Helping them to translate the practice to a home-care setting further strengthens the notions of family responsibility and ability in dementia management. BUDPA fully engages the care dyads in a mutual helping relationship during the exercise training. The partner exercise also creates a platform to enable more meaningful encounter within the care dyad. The family caregivers are facilitated to find meaning in the caregiving process, which eventually can benefit their role commitment and mental wellness. Also, the use of mixed-method study design can provide high quality findings to inform both the feasibility and preliminary effects of the BUDPA program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
40
The overall program includes 12 weekly 1-hour training class. Each session starts with a 10-minute warm-up period using stretching exercise and stationary mobilizing exercise for trunk and limb joints at both upper and lower bodies (e.g. shoulders, elbows, wrists, hips, knees and ankles), and followed by a session of four to six selected partnering exercise, with duration increase gradually from 20 minutes to 40minutes in four weeks' time. The Borg Rate of Perceived Exertion (Borg RPE) will be used to monitor the exercise intensity. The Research assistant will explain the Borg RPE scale to the subjects and instruct them to speed up or slow down their movements. The training session will end with a 10-minute cool down session with walking exercise and stationary trunk and limb mobilizing exercise involving joints of shoulders, elbows, wrists, hips, knees, and ankles.
Active Comparator: Usual Care Activities will be provided by the elderly community center such as dementia or caregiver supporting service. They will be allowed to use the regular service provided such services are not related to physical activity or exercise training
School of Nursing, LKS Faculty of Medicine
Hong Kong, Hong Kong
Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)
evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD
Time frame: Baseline
Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)
evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD
Time frame: 6th week
Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)
evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD
Time frame: 12th week
Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)
evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD
Time frame: 18th week
Zarit Burden Interview (Chinese version; ZBI-C)
measuring the caregiving burden of the family caregivers
Time frame: Baseline
Zarit Burden Interview (Chinese version; ZBI-C)
measuring the caregiving burden of the family caregivers
Time frame: 6th week
Zarit Burden Interview (Chinese version; ZBI-C)
measuring the caregiving burden of the family caregivers
Time frame: 12th week
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Zarit Burden Interview (Chinese version; ZBI-C)
measuring the caregiving burden of the family caregivers
Time frame: 18th week
Neuro-psychiatric Inventory (CNPI; Chinese version)
Evaluating neuro-psychiatric symptoms of the PwD
Time frame: Baseline
Neuro-psychiatric Inventory (CNPI; Chinese version)
Evaluating neuro-psychiatric symptoms of the PwD
Time frame: 6th week
Neuro-psychiatric Inventory (CNPI; Chinese version)
Evaluating neuro-psychiatric symptoms of the PwD
Time frame: 12th week
Neuro-psychiatric Inventory (CNPI; Chinese version)
Evaluating neuro-psychiatric symptoms of the PwD
Time frame: 18th week
Lawton Instrumental activities of daily living IADL(IADL) Questionnaire
Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd
Time frame: Baseline
Lawton Instrumental activities of daily living IADL(IADL) Questionnaire
Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd
Time frame: 6th week
Lawton Instrumental activities of daily living IADL(IADL) Questionnaire
Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd
Time frame: 12th week
Lawton Instrumental activities of daily living IADL(IADL) Questionnaire
Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd
Time frame: 18th week
Profile of Mood State (Abbreviated)
Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers
Time frame: Baseline
Profile of Mood State (Abbreviated)
Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers
Time frame: 6th week
Profile of Mood State (Abbreviated)
Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers
Time frame: 12th week
Profile of Mood State (Abbreviated)
Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers
Time frame: 18th week
Positive Affect Index
Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.
Time frame: Baseline
Positive Affect Index
Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.
Time frame: 6th week
Positive Affect Index
Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.
Time frame: 12th week
Positive Affect Index
Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.
Time frame: 18th week
Positive Aspects of Caregiving Scale
To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.
Time frame: Baseline
Positive Aspects of Caregiving Scale
To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.
Time frame: 6th week
Positive Aspects of Caregiving Scale
To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.
Time frame: 12th week
Positive Aspects of Caregiving Scale
To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.
Time frame: 18th week