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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BUDPA Program | Experimental | 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 and followed by a session of four to six selected partnering exercise, with duration increase gradually from 20 minutes to 40 minutes 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 in order to achieve a feeling of 'somewhat hard' at the Borg RPE rating of 12-14. The training session will end with a 10-minute cool down exercise session. |
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| Usual Care | Active Comparator | 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BUDPA Program | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 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 | 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 | 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 | 18th week |
| Zarit Burden Interview (Chinese version; ZBI-C) | measuring the caregiving burden of the family caregivers | Baseline |
| Zarit Burden Interview (Chinese version; ZBI-C) | measuring the caregiving burden of the family caregivers | 6th week |
| Zarit Burden Interview (Chinese version; ZBI-C) |
| Measure | Description | Time Frame |
|---|---|---|
| Neuro-psychiatric Inventory (CNPI; Chinese version) | Evaluating neuro-psychiatric symptoms of the PwD | Baseline |
| Neuro-psychiatric Inventory (CNPI; Chinese version) | Evaluating neuro-psychiatric symptoms of the PwD |
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Inclusion Criteria:
For PwD,
For family caregivers
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Doris, Sau Fung YU, PhD | The University of Hong Kong | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of Nursing, LKS Faculty of Medicine | Hong Kong | Hong Kong |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25161263 | Background | Dassel KB, Carr DC. Does Dementia Caregiving Accelerate Frailty? Findings From the Health and Retirement Study. Gerontologist. 2016 Jun;56(3):444-50. doi: 10.1093/geront/gnu078. Epub 2014 Aug 26. | |
| 23883489 | Background | Van't Leven N, Prick AE, Groenewoud JG, Roelofs PD, de Lange J, Pot AM. Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review. Int Psychogeriatr. 2013 Oct;25(10):1581-603. doi: 10.1017/S1041610213000860. Epub 2013 Jul 24. |
| Label | URL |
|---|---|
| Alzheimer's Disease International. World Alzheimer Report-2015 | View source |
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Only study investigators and research assistants involved in the study will have access to the data.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Nov 1, 2020 | May 30, 2021 | ICF_000.pdf |
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To examine the feasibility and preliminary effect of a partnering exercise program on the health outcomes of the PwD and their family caregivers
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| Control arm (Usual care) | Other | 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 |
|
measuring the caregiving burden of the family caregivers
| 12th week |
| Zarit Burden Interview (Chinese version; ZBI-C) | measuring the caregiving burden of the family caregivers | 18th week |
| 6th week |
| Neuro-psychiatric Inventory (CNPI; Chinese version) | Evaluating neuro-psychiatric symptoms of the PwD | 12th week |
| Neuro-psychiatric Inventory (CNPI; Chinese version) | Evaluating neuro-psychiatric symptoms of the PwD | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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. | 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. | 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. | 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. | 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. | Baseline |
| Positive Aspects of Caregiving Scale | To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life. | 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. | 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. | 18th week |
| 29128685 | Background | Yu DSF, Cheng ST, Wang J. Unravelling positive aspects of caregiving in dementia: An integrative review of research literature. Int J Nurs Stud. 2018 Mar;79:1-26. doi: 10.1016/j.ijnurstu.2017.10.008. Epub 2017 Oct 16. |
| 25414947 | Background | Hernandez SS, Sandreschi PF, da Silva FC, Arancibia BA, da Silva R, Gutierres PJ, Andrade A. What are the Benefits of Exercise for Alzheimer's Disease? A Systematic Review of the Past 10 Years. J Aging Phys Act. 2015 Oct;23(4):659-68. doi: 10.1123/japa.2014-0180. Epub 2014 Nov 21. |
| 30266522 | Background | Puterman E, Weiss J, Lin J, Schilf S, Slusher AL, Johansen KL, Epel ES. Aerobic exercise lengthens telomeres and reduces stress in family caregivers: A randomized controlled trial - Curt Richter Award Paper 2018. Psychoneuroendocrinology. 2018 Dec;98:245-252. doi: 10.1016/j.psyneuen.2018.08.002. Epub 2018 Aug 2. |
| 27099480 | Background | Prick AE, de Lange J, Scherder E, Twisk J, Pot AM. The effects of a multicomponent dyadic intervention on the mood, behavior, and physical health of people with dementia: a randomized controlled trial. Clin Interv Aging. 2016 Mar 31;11:383-95. doi: 10.2147/CIA.S95789. eCollection 2016. |
| 28798651 | Background | Gellert P, Ziegelmann JP, Warner LM, Schwarzer R. Physical activity intervention in older adults: does a participating partner make a difference? Eur J Ageing. 2011 Jul 7;8(3):211. doi: 10.1007/s10433-011-0193-5. eCollection 2011 Sep. |
| 25125421 | Background | Yeung PY, Wong LL, Chan CC, Leung JL, Yung CY. A validation study of the Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) in Chinese older adults in Hong Kong. Hong Kong Med J. 2014 Dec;20(6):504-10. doi: 10.12809/hkmj144219. Epub 2014 Aug 15. |
| 19516148 | Background | American College of Sports Medicine; Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009 Jul;41(7):1510-30. doi: 10.1249/MSS.0b013e3181a0c95c. |
| 11056778 | Background | Chu LW, Chiu KC, Hui SL, Yu GK, Tsui WJ, Lee PW. The reliability and validity of the Alzheimer's Disease Assessment Scale Cognitive Subscale (ADAS-Cog) among the elderly Chinese in Hong Kong. Ann Acad Med Singap. 2000 Jul;29(4):474-85. |
| 11536346 | Background | Leung VP, Lam LC, Chiu HF, Cummings JL, Chen QL. Validation study of the Chinese version of the neuropsychiatric inventory (CNPI). Int J Geriatr Psychiatry. 2001 Aug;16(8):789-93. doi: 10.1002/gps.427. |
| 18515696 | Background | Ko KT, Yip PK, Liu SI, Huang CR. Chinese version of the Zarit caregiver Burden Interview: a validation study. Am J Geriatr Psychiatry. 2008 Jun;16(6):513-8. doi: 10.1097/JGP.0b013e318167ae5b. |
| 12100873 | Background | Chen KM, Snyder M, Krichbaum K. Translation and equivalence: the Profile of Mood States Short Form in English and Chinese. Int J Nurs Stud. 2002 Aug;39(6):619-24. doi: 10.1016/s0020-7489(01)00068-2. |
| 25488014 | Background | Lou VW, Lau BH, Cheung KS. Positive aspects of caregiving (PAC): scale validation among Chinese dementia caregivers (CG). Arch Gerontol Geriatr. 2015 Mar-Apr;60(2):299-306. doi: 10.1016/j.archger.2014.10.019. Epub 2014 Nov 7. |
| Alzheimer's Disease International. World Alzheimer Report-2016 | View source |
| World Health Organization. Dementia: A public health priority | View source |