A home health care approach to exercise for persons with Alzheimer's disease.
Regular exercise is a mainstay of preventive health care for individuals of all ages. Research with older adults has shown that exercise reduces risk of chronic illness, maintains mobility and function, enhances mood, and may even improve cognitive function. For individuals with dementia, exercise programs are particularly likely to improve health, mood, and quality of life; the challenge at this time is to make exercise accessible and enjoyable, demonstrate its benefits, and convince family caregivers of its worth for individuals with dementia. Home health providers are uniquely positioned to assist caregivers in developing and implementing a home exercise program for their care recipient with dementia. Results of a controlled critical trial conducted at the University of Washington have demonstrated the feasibility and efficacy of a home health exercise and problem solving intervention (Reducing Disability in Alzheimer's Disease, or RDAD) for decreasing physical, psychological, and behavioral disabilities associated with dementia. This article describes the RDAD program, discusses the role of home health providers in its delivery, and provides an example of its implementation.
Logsdon
Rebecca G
RG
Department of Psychosocial and Community Health, University of Washington, Seattle, USA. logsdon@u.washington.edu
McCurry
Susan M
SM
Teri
Linda
L
D000368:Aged; D000544:Alzheimer Disease / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D001521:Behavior Therapy; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D005081:Exercise Therapy; D005240:Feasibility Studies; D015577:Geriatric Assessment; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D011340:Problem Solving; D016730:Program Development; D015397:Program Evaluation