The effects of exercise on depressive symptoms of individuals with dementia: A pilot study

2017 ◽  
Vol 15 (4) ◽  
pp. 23
Author(s):  
Deborah Logan, MS, LRT/CTRS ◽  
Marieke Van Puymbroeck, PhD, CTRS, FDRT
Keyword(s):  
Depressive Symptoms ◽  
Pilot Study ◽  
Assisted Living ◽  
Nonparametric Statistics ◽  
Exercise Group ◽  
Health Conditions ◽  
Assisted Living Facility ◽  
Diagnosis Of Dementia

Dementia is a disease that can affect individuals as they age, and for many individuals with dementia, there is a chance of additional comorbidities, such as depression. When these two health conditions occur simultaneously, it is more difficult to treat the depressive symptoms. To evaluate changes of depressive symptoms in residents of an assisted living facility who have the diagnosis of dementia, 10 days of 30-minute exercise sessions were conducted. Nonparametric statistics indicated a significant decrease in depressive symptoms for the seven participants in this exploratory pilot study. The results from this study indicate that a decrease in depressive symptoms is possible and can be facilitated by a recreational therapist via a structured exercise group. Further research ideas and implications for practice are described.

scholarly journals Impairment and activity limitation changes in assisted living facility residents over the course of one year- A pilot study

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Sarah Larsen ◽  
Rebecca Luedeker ◽  
Carlos Morgan ◽  
Christina Taylor ◽  
Heather Braden ◽  
...  
Keyword(s):  
Pilot Study ◽  
Assisted Living ◽  
Activity Limitation ◽  
Assisted Living Facility ◽  
One Year

scholarly journals Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Kalpana P. Padala ◽  
Prasad R. Padala ◽  
Timothy R. Malloy ◽  
Jenenne A. Geske ◽  
Patricia M. Dubbert ◽  
...  
Keyword(s):  
Pilot Study ◽  
Assisted Living ◽  
Repeated Measures ◽  
Berg Balance Scale ◽  
Assisted Living Facility ◽  
Timed Up And Go ◽  
Wii Fit ◽  
Walking Program ◽  
Significant Difference ◽  
Walking Group

Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer’s dementia (AD).Methods. A prospective randomized (1 : 1) pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and pairedt-tests were used to analyze changes.Results. Both groups showed improvement in Berg Balance Scale (BBS), Tinetti Test (TT) and Timed Up and Go (TUG) over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P=0.003), and TT (P=0.013). The walking group showed a trend towards improvement on BBS (P=0.06) and TUG (P=0.07) and significant improvement in TT (P=0.006).Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.

scholarly journals HOSPICE SERVICES IN THE HOME SETTING AND CHARACTERISTICS OF MEDICARE DECEDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S500-S500
Author(s):  
Pauline Karikari-Martin ◽  
Lirong Zhao ◽  
Lynn Miescier
Keyword(s):  
Nursing Homes ◽  
Assisted Living ◽  
Hospice Care ◽  
Secondary Analysis ◽  
Empirical Work ◽  
Health Conditions ◽  
Medicare Beneficiaries ◽  
Home Setting ◽  
Chi Squared ◽  
Diagnosis Of Dementia

Abstract There is little empirical work documenting the characteristics of Medicare beneficiaries receiving hospice services in the home setting using the Medicare place of service codes. The objective of this study is to examine differences in Medicare decedents who received hospice services in traditional and non-traditional homes (assisted living, and nursing home settings) defined by these codes. We conducted a secondary analysis of 675,782 Medicare decedents who received hospice services in 2015. Chi-squared and ANOVA tests were used to describe the socio-demographics, health conditions, utilization, and hospice payments of the decedents. Most of the decedents received hospice care in a traditional home (64.9%), but beneficiaries, aged 85 years and over, received hospice services in assisted living (72.1%) or nursing homes (59.8%). Overall, decedents who received Medicare hospice benefits in assisted living had the highest number of hospice days (mean=149.7 lifetime days; median = 30; standard deviation (S.D.) =245), and decedents in traditional homes had the fewest number of hospice days (mean=86.7 lifetime days; median = 24; S.D. =179). Among Medicare–Medicaid (duals) decedents who used hospice care, 49% received hospice care in nursing homes, and infrequently, 7% at assisted living. Medicare hospice payments were highest ($20,439 per beneficiary) for decedents in assisted living, but least for those in traditional homes ($11,830). Hospice services offered to Medicare beneficiaries who are 85 years and older, duals, or have a diagnosis of dementia may require more oversight and coordination of resources to ensure that they receive appropriate hospice services in non-traditional homes.

scholarly journals Symptom Cluster-Matching Antidepressant Treatment: A Case Series Pilot Study

2021 ◽  
Vol 14 (6) ◽  
pp. 526
Author(s):  
Sławomir Murawiec ◽  
Marek Krzystanek
Keyword(s):  
Depressive Symptoms ◽  
Pilot Study ◽  
Antidepressant Treatment ◽  
Case Series ◽  
Symptom Cluster ◽  
Study Results ◽  
Cluster Matching ◽  
The Individual ◽  
Meta Analyses ◽  
Effectiveness Studies

Despite treating depression with antidepressants, their effectiveness is often insufficient. Comparative effectiveness studies and meta-analyses show the effectiveness of antidepressants; however, they do not provide clear indications as to the choice of a specific antidepressant. The rational choice of antidepressants may be based on matching their mechanisms of action to the symptomatic profiles of depression, reflecting the heterogeneity of symptoms in different patients. The authors presented a series of cases of patients diagnosed with depression in whom at least one previous antidepressant treatment was shown to be ineffective before drug targeted symptom cluster-matching treatment (SCMT). The presented pilot study shows for the first time the effectiveness of SCMT in the different clusters of depressive symptoms. All the described patients obtained recovery from depressive symptoms after introducing drug-targeted SCMT. Once validated in clinical trials, SCMT might become an effective and rational method of selecting an antidepressant according to the individual profile of depressive symptoms, the mechanism of their formation, and the mechanism of drug action. Although the study results are preliminary, SCMT can be a way to personalize treatment, increasing the likelihood of improvement even in patients who meet criteria for treatment-resistant depression.

Falls and fear of falling among older adults in an assisted-living facility: A qualitative and foundational study for intervention development in a developing country

2021 ◽  
Vol 94 ◽  
pp. 104375
Author(s):  
Emmanuel Chiebuka Okoye ◽  
Christopher Olusanjo Akosile ◽  
Fatai Adesina Maruf ◽  
Ifeoma Uchenna Onwuakagba ◽  
Ukamaka Gloria Mgbeojedo
Keyword(s):  
Older Adults ◽  
Developing Country ◽  
Assisted Living ◽  
Fear Of Falling ◽  
Intervention Development ◽  
Assisted Living Facility

scholarly journals Improving Depressive Symptoms through Personalised Exercise and Activation (IDEA): Study Protocol for a Randomised Controlled Trial

2021 ◽  
Vol 18 (12) ◽  
pp. 6306
Author(s):  
Aitana García-Estela ◽  
Natalia Angarita-Osorio ◽  
Sandra Alonso ◽  
Maria Polo ◽  
Maria Roldán-Berengué ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Randomised Controlled Trial ◽  
Physical Health ◽  
Controlled Trial ◽  
Exercise Group ◽  
Global Functioning ◽  
Motivational Messages ◽  
Randomised Controlled ◽  
Group Programme

Individuals who suffer from depressive symptoms experience a substantial impact on psychosocial functioning, physical health, mortality, and quality of life. In the search for therapeutic strategies, exercise has been found to play a relevant part in its treatment. However, the promotion of exercise entails adherence difficulties that arose out of the tendency towards sedentarism led by symptomatology. Personalised exercise plans on top of usual care have the potential to enhance behavioural changes and mental health. The present study aims at evaluating the changes in functioning deriving from a blended intervention merging a psychological intervention with a personalised exercise programme based on medical assessment. We will conduct a three-arm randomised controlled trial in which 172 participants suffering from mild–moderate depressive symptoms will be allocated to Intervention A (personalised exercise group programme + app with motivational messages), B (personalised exercise group programme + app with no motivational messages) or control group (app with no motivational messages). Data regarding global functioning, well-being, symptoms, physical activity, and exercise capacity will be collected at baseline, 4, 12, and 36 weeks. The results of this trial will provide information about whether this physical activity support programme may be efficient for improving mental and physical health outcomes. Trial registration: ClinicalTrials.gov NCT04857944 (accessed on 15 April 2021). Registered April 2021.

Health conditions, physical disabilities, perceived burdensomeness, and depressive symptoms influence suicidal ideation

Death Studies ◽  
2016 ◽  
Vol 41 (4) ◽  
pp. 220-225 ◽  
Author(s):  
Lauren R. Khazem ◽  
Danielle R. Jahn ◽  
Kelly C. Cukrowicz ◽  
Michael D. Anestis
Keyword(s):  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Physical Disabilities ◽  
Health Conditions ◽  
Perceived Burdensomeness
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