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Comparing the effect of the frequentation of an enriched garden vs sensory conventional garden by nursing home residents with Alzheimer disease. The effects will be evaluated as regards to cognitive impairment (MMSE), autonomy (ADL) and prevention of falls (Unipodal stance and UpandGo Test)
The cluster controlled trial is conducted over a six months period after recruitment of residents from 4 different nursing homes in France. The participants are distributed into 3 groups. One group does not receive incentive from carers to visit any garden, the second group receives incentives to visit regularly a conventional sensory garden and the third group receive incentives from carers to visit regularly an enriched garden. The study is conducted over a period of 6 months. All participants are giving consent to the study. They will be evaluated before and after over 4 different tests. MMSE (Mini Mental Status Examination) for cognitive impairment, ADL (Activity for day Living) for functional autonomy, TUG (Test up and Go) and Unipodal Stance for prevention of falls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP ONE | No Intervention | The participants do not receive incentive to visit any gardens | |
| GROUP TWO | Placebo Comparator | The participants receive incentives by carers to visit regularly a conventional sensory garden |
|
| GROUP THREE | Experimental | The participants receive incentives by carers to visit regularly an enriched garden |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INCENTIVE VISITING A GARDEN : ENRICHED OR CONVENTIONAL SENSORY GARDEN | Other | Carers invites every the participants of group 2 and 3 visiting their respective gardens (enriched or conventional sensory garden) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in global cognitive function | Mini Mental Status Examination (MMSE) , 0-30, higher score is the better outcome | 6 MONTHS |
| Change in functional independence | Activities of daily living (ADL), 0-6, higher score is the better outcome | 6 MONTHS |
| Measure | Description | Time Frame |
|---|---|---|
| Change in gait ability | Timed Up and Go test (sec), higher time is the worse outcome | 6 MONTHS |
| Change in balance | Unipodal Stance (sec), higher time is the better outcome |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpitaux Universitaires Pitié Salpêtrière - Charles Foix et Sorbonne Université | Ivry-sur-Seine | Val De Marne | 94200 | France |
IPD will only be available to study reviewers
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D003704 | Dementia |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
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Cluster controlled trial
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The investigators and outcomes assessor do not know which groups the participants belongs to
| 6 MONTHS |
| D019636 |
| Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003072 | Cognition Disorders |