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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

Chu, Charlene H., PhD, RN, GNC(c)1; Puts, Martine, PhD, RN2; Brooks, Dina, PhD, BScPT, MSc3,4; Parry, Monica, PhD, NP2; McGilton, Katherine S., PhD, RN, FAAN2,4

doi: 10.1097/rnj.0000000000000186
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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.

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

Correspondence: Charlene H. Chu, PhD, RN, GNC(c), Department of Occupation Therapy and Occupation Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. E-mail: Charlene.chu@mail.utoronto.ca

Cite this article as: Chu, C. H., Puts, M., Brooks, D., Parry, M., & McGilton, K. S. 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. Rehabilitation Nursing, 00(0), 00–00. doi:10.1097/RNJ.0000000000000186

© 2019 Association of Rehabilitation Nurses.
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