The OASIS Walking Study - Older Adults With Cognitive Impairment Performing Sit to Stands and Walking in Transitional Care Programs: A Feasibility Study

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this intervention study is to test the effects of a nurse-led mobility intervention (known as the OASIS Walking Intervention (Older Adults performing Sit to Stands and Walking Intervention)) in older adults with cognitive impairment, such as dementia, in transitional care programs. The main questions this study aims to answer are: * Is the study doable and are older adults satisfied with the intervention? * Does the intervention improve older adults' muscle strength, mobility, functional status and quality of life? Participants will be asked to do the following: 1. Be interviewed once so that a patient-centred communication care plan can be made 2. Do sit to stand activity 3. Walk as part of a walking program.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 65
Healthy Volunteers: f
View:

• aged 65 years and older;

• have cognitive impairment (dementia, delirium, cognitive impairment, or unspecified cognitive impairment) as documented in the medical record or Quick Dementia Rating Scale (QDRS) score of ≥2)

• admitted to a transitional care unit after a hospitalization

• can speak English

• has received clearance from the physiotherapist to participate in the study

• has received clearance from the nurse practitioner to participate in the study

• were community-dwelling (lived in a home or retirement home; not a nursing home) prior to hospitalization

• were able to walk independently or with the assistance of one person (with or without a gait aid) prior to hospital admission

• is currently able to ambulate either independently or with the assistance of one person (with or without a gait aid)

⁃ has a care partner (family member, friend) who is willing participate in an interview about the patient for the study.

Locations
Other Locations
Canada
Abbeylawn Retirement Home Transitional Care Unit (Operated by Bayshore Health Care)
RECRUITING
Pickering
Cedarbrook Lodge Retirement Home Transitional Care Unit (Operated by Bayshore Health Care)
RECRUITING
Scarborough Village
Contact Information
Primary
Katherine S McGilton, PhD
kathy.mcgilton@uhn.ca
416 597 3422
Backup
Tracey JF Colella, PhD
tracey.colella@uhn.ca
416 597 3422
Time Frame
Start Date: 2024-03-01
Estimated Completion Date: 2025-06
Participants
Target number of participants: 26
Treatments
Experimental: Long-term Care Stream or Rehab Stream Intervention Arm
Intervention Dose: Up to 45 minutes per session, 5 sessions per week, for 6 weeks. Approximately up to 30 minutes will be spent walking; up to 15 minutes will be spent performing sit-to-stands.~Intervention Components:~Component 1: Patient-Centered Communication Care Plan. A patient-centered communication care plan will be created, to promote enjoyment and engagement during the sessions. The care plan will be informed by interviews with the participant and their care partner.~Component 2: Sit to Stand Activity. A target number of sit to stands per session will be determined based on a baseline assessment and according to an algorithm; the target will be progressed halfway into the intervention.~Component 3: Walking Program. Based on the findings from the patient-centered assessment interviews as well as the performance of the participants on a walk test at baseline (Time 1), an individualized walking program will be carried out with participants.
Experimental: Reactivation Stream Intervention Arm
Intervention Dose: up to 45 minutes per session, five sessions per week, for 3 weeks. Approximately up to 30 minutes will be spent walking with the participant and up to 15 minutes will be spent performing the sit-to-stands.~Component 1: Patient-Centered Communication Care Plan. A patient-centered communication care plan will be created, to promote enjoyment and engagement during the sessions. The care plan will be informed by interviews with the participant and their care partner.~Component 2: Sit to Stand Activity. A target number of sit to stands per session will be determined based on a baseline assessment and according to an algorithm; the target will be progressed halfway into the intervention.~Component 3: Walking Program. Based on the findings from the patient-centered assessment interviews as well as the performance of the participants on a walk test at baseline (Time 1), an individualized walking program will be carried out with participants.
Related Therapeutic Areas
Sponsors
Collaborators: Canadian Institutes of Health Research (CIHR)
Leads: University Health Network, Toronto

This content was sourced from clinicaltrials.gov