Reducing Disabilities in Alzheimer's Disease (RDAD) Translation in Area Agencies on Aging (AAAs)

NCT01708304 | Completed DMC

• 1 other identifier: 41906
• Study Type: interventional
• Target: 510
• Locations: 1 country
• Sites: 1

Brief Summary

The University of Washington's Northwest Research Group on Aging is partnering with Area Agencies on Aging (AAA) in Washington and Oregon to complete this translational investigation of RDAD (Reducing Disabilities in Alzheimer's Disease). RDAD is an evidence-based program with demonstrated efficacy in helping older adults with dementia maintain physical function and remain physically and mentally healthy. This study asks two questions: 1) Can AAA partners successfully translate and implement RDAD, and 2) Is AAA implementation of RDAD effective in producing desired outcomes among agencies, providers, and older adults with dementia and their family members. This study is being conducted in Washington and Oregon states.

Conditions

Alzheimer's Disease; Dementia; Memory Impairment; Cognitive Impairment

Keywords

Dementia; Alzheimer's Disease; Exercise; Caregiver; Behavior modification

Outcome Measures

Primary Outcomes (7)

• Minutes of exercise per week

  Caregivers will track the number of minutes per week the care recipients engage in exercise recommended by the coach.

  Change from baseline in number of minutes of exercise each week during treatment phase of study, weeks 7-12

• Restricted Activity Days

  Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness.

  Baseline

• Restricted Activity Days

  Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness.

  Change from Baseline to Pre-Treatment (6 weeks)

• Restricted Activity Days

  Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness.

  Change from Baseline to Post- Treatment 1 (13 weeks)

• Restricted Activity Days

  Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness.

  Change from Baseline to Post-Treatment 2 (30 weeks)

• Restricted Days of Activity

  Restricted Activity Days measures how much the participant cut down his/her usual activities in the previous two weeks because of injury or illness and how many days the participant stayed in bed in the previous two weeks because of injury or illness.

  Change from Baseline to 13 Month Follow-Up

• Independence/Residential Status

  All participants will be in independent living situations at baseline. Any move from independent living to a care facility will be documented throughout the 13 month study.

  Change from Baseline to 13 Month Follow-Up

Secondary Outcomes (15)

• Revised Memory and Behavior Problem Checklist (RMBPC)

  Baseline

• Revised Memory and Behavior Problem Checklist (RMBPC)

  Change from Baseline to Pre-Treatment (6 weeks)

• Revised Memory and Behavior Problem Checklist (RMBPC)

  Change from Baseline to Post-Treatment 1 (13 weeks)

• Revised Memory and Behavior Problem Checklist (RMBPC)

  Change from Baseline to Post-Treatment 2 (30 weeks)

• Revised Memory and Behavior Problem Checklist (RMBPC)

  Change from Baseline to 13 Month Follow-Up

Study Arms (1)

RDAD

OTHER

Exercise training for caregiver and care recipient. Behavior modification training for caregiver.

Behavioral: RDAD

Interventions

RDAD BEHAVIORAL

Exercise training for caregiver and care recipient. Behavioral modification training for caregiver.

RDAD

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Care Recipients must
• Have a diagnosis of dementia
• Be 65 years of age or older
• Currently exercise no more than 150 minutes a week and not regularly participate in a formal exercise program.
• Caregivers must
• Live in the community
• Provide care to the care recipient with dementia

You may not qualify if:

• Either Care-recipient or Caregiver must not
• Plan to move to a long-term residential care setting within 6 months of enrollment.
• Plan to move from the study geographic area within 4 months of enrollment.
• Have a known terminal illness (with death anticipated within the next 12 months)
• Have had a hospitalization for a psychiatric disorder in the 12 months prior to baseline
• Be actively suicidal, hallucinating, or delusional
• Be blind, deaf, or not ambulatory

Sponsors & Collaborators

• University of Washington: lead

Study Sites (1)

University of Washington

Seattle, Washington, 98195, United States

Location

Related Publications (1)

• Teri L, Logsdon RG, McCurry SM, Pike KC, McGough EL. Translating an Evidence-based Multicomponent Intervention for Older Adults With Dementia and Caregivers. Gerontologist. 2020 Apr 2;60(3):548-557. doi: 10.1093/geront/gny122.

  PMID: 30304477 DERIVED

MeSH Terms

Conditions

Alzheimer Disease; Dementia; Memory Disorders; Cognitive Dysfunction; Motor Activity

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Cognition Disorders; Behavior

Study Officials

• Linda Teri, Ph.D.

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Psychosocial & Community Health

Study Record Dates

• First Submitted: October 9, 2012
• First Posted: October 16, 2012
• Study Start: November 1, 2012
• Primary Completion: June 1, 2017
• Study Completion: June 1, 2017
• Last Updated: September 15, 2017

Record last verified: 2017-09

Locations

US (1)