Feasibility of Multicomponent Training for People with Moderate to Severe Dementia Living in a Long-Term Care Home: A Social Ethical Approach
| Autor: | Thomas Cordes, Steffen Schulz, Bettina Wollesen, Adele Kruse |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health Toxicology and Mutagenesis Pilot Projects Article law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Intervention (counseling) Medicine Dementia Humans 030212 general & internal medicine long-term care home Everyday life business.industry Public Health Environmental and Occupational Health Infant medicine.disease Gait Long-Term Care multicomponent training Long-term care Severe dementia social ethical approach Child Preschool Physical therapy Quality of Life Feasibility Studies Female business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 14 International Journal of Environmental Research and Public Health, Vol 18, Iss 7631, p 7631 (2021) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Multicomponent training is recommended for people with dementia living in long-term care homes. Nevertheless, evidence is limited and people with severe dementia are often excluded from trials. Hence, the aim of this study was to investigate (1) the feasibility and (2) the requirements regarding multicomponent training for people with moderate to severe dementia. The study was conducted as an uncontrolled single arm pilot study with a mixed methods approach. Fifteen nursing home residents with a mean age of 82 years (range: 75–90 years female: 64%) with moderate to severe dementia received 16 weeks of multicomponent training. Feasibility and requirements of the training were assessed by a standardized observation protocol. Eleven participants regularly attended the intervention. The highest active participation was observed during gait exercises (64%), the lowest during strength exercises (33%). It was supportive if exercises were task-specific or related to everyday life. This study confirms that multicomponent training for the target group is (1) feasible and well accepted, and (2) to enhance active participation, individual instructions and the implementation of exercises related to everyday life is required. The effectiveness of the adapted training should be tested in future randomized controlled trials. |
| Databáze: | OpenAIRE |
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