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Rehabil Nurs. 2018 Oct 12. doi: 10.1097/rnj.0000000000000186. [Epub ahead of print]

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.

Author information

1
Department of Occupational Therapy and Occupational Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
2
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
3
Department of Physical Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
4
Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.

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.

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