Enhancing Mobility and Mental Health in Dementia Patients

NCT06611202 | Not Yet Recruiting DMC

• 1 other identifier: IRAS Project ID: 349221
• Study Type: interventional
• Target: 6
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effect of a multidisciplinary six-minute walking group and activities on patients with dementia\'s physical activity levels, mobility, anxiety, and cognitive function. The primary objective of this study is to evaluate the effectiveness of a multidisciplinary six-minute walking group intervention-spearheaded by physiotherapists, occupational therapists, and psychologists-in enhancing physical activity, mobility, cognitive function, and functional independence among patients with dementia. A systematic review of existing evidence on the effectiveness of the existing interventions will be conducted to contextualise the findings, providing a robust benchmark for assessing the contribution of each therapeutic component. Secondary Objectives:

1. 1.Physiotherapy Impact: To determine the specific effects of physiotherapy on mobility, endurance, and balance in dementia patients using validated, objective measures.
2. 2.Occupational Therapy Contribution: To evaluate the role of occupational therapy in improving functional independence and the ability to perform daily activities through targeted, task-oriented activities.
3. 3.Psychological Impact: To assess the psychological benefits of the intervention, including reductions in anxiety and enhancements in mood and overall mental health, as a result of the psychologist-led component.
4. 4.Dietary Support Role: To investigate the influence of integrated dietary support on physical activity levels, nutritional status, and overall health.
5. 5.Feasibility and Scalability: To explore the practicality of integrating this multidisciplinary intervention into routine dementia care and assess its potential for broader application across similar settings.

Conditions

Dementia

Keywords

older adult; physical activity; cognitive impairment; mental health

Outcome Measures

Primary Outcomes (2)

• Mobility

  A six-minute walking group will be conducted twice a week for 8 weeks, targeting improvements in mobility, endurance, and balance. The impact of physiotherapy will be evaluated using objective tools such as the Tinetti Balance and Gait Assessment. The Tinetti balance subdomain has 16 items, and the gait component has 12 items, with 28 possible outcomes on the tool. The higher the score the better the balance and gait outcome

  8 weeks

• Mobility

  A six-minute walking group will be conducted twice a week for 8 weeks, targeting improvements in mobility, endurance, and balance. The impact of physiotherapy will be evaluated using an objective tool called the Elderly Mobility Scale (EMS), with outcomes ranging from 0 to 20. The higher the score the better the mobility level outcome

  8 weeks

Secondary Outcomes (3)

• Functional tasks

  8 weeks

• mental health and cognition

  8 weeks

• mental health and cognition

  8 weeks

Study Arms (1)

six minute walking group

EXPERIMENTAL

Intervention: Physiotherapy Component: A six-minute walking group will be conducted twice a week for 8 weeks, targeting improvements in mobility, endurance, and balance. Occupational Therapy Intervention: Occupational therapists will integrate functional tasks (Games and throwing of balls to court, bean bag target game to enhance exercise relevance to daily activities. Psychological Support: A psychologist will provide mental health support during the sessions, utilising techniques like time focus reminiscence therapy to engage patients

Other: Exercise; Drug: Clonazepam

Interventions

Exercise OTHER

A multidisciplinary six-minute walking group intervention-spearheaded by physiotherapists, occupational therapists, and psychologists-in enhancing physical activity, mobility, cognitive function, and functional independence among patients with dementia. Physiotherapy Component: A six-minute walking group will be conducted twice a week for 8 weeks, targeting improvements in mobility, endurance, and balance. Occupational Therapy Intervention: Occupational therapists will integrate functional tasks (Games and throwing of balls to court, bean bag target game to enhance exercise relevance to daily activities. A psychologist will provide mental health support during the sessions, utilising techniques like time focus reminiscence therapy to engage patients and reduce anxiety.

Also known as: walking, remniscent therapy, functional activities

six minute walking group

Clonazepam DRUG

Medication on our dementia wards are being review during ward round and when needs arise. The medication management in drugs will be fully documented and accounted for in the course of the study.

six minute walking group

Eligibility Criteria

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

You may qualify if:

• Clinical diagnosis of dementia.
• Older adults from the age 65 and above
• Must be able to mobilise independently.
• Must be able to engage with minimal tasks that will be based on the

You may not qualify if:

• Must be free from acute comorbidities: Heart failure; hearing loss;
• Free from significant visual impairment
• Must be free from orthostatic hypotension

Sponsors & Collaborators

• Oxleas NHS Foundation Trust: lead

Study Sites (1)

Holbrook ward

Sidcup, da146lt, United Kingdom

Location

MeSH Terms

Conditions

Dementia; Motor Activity; Cognitive Dysfunction; Psychological Well-Being

Interventions

Exercise; Walking; Clonazepam

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Behavior; Cognition Disorders; Personal Satisfaction

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Locomotion; Benzodiazepinones; Benzodiazepines; Benzazepines; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring; Heterocyclic Compounds

Central Study Contacts

Tolulope Adeniji, PhD

CONTACT

+447909485826.; tolulopeadeniji86@gmail.com

Helen Macklin, B.Sc OT

CONTACT

+4407941790843; helen.macklin@nhs.net

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: Dr

Model Details: Single-group pretest-post-test design

Study Record Dates

• First Submitted: September 19, 2024
• First Posted: September 24, 2024
• Study Start: January 6, 2025
• Primary Completion: November 20, 2025
• Study Completion: December 20, 2025
• Last Updated: September 24, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF

Locations

GB (1)