title: Program Components and Outcomes of Individuals With Dementia: Results From the Replication of an Evidence-Based Program.
abstract: This study examines whether the delivery of three components, (a) exercise training, (b) behavior management skill building, and (c) dementia-related education, in an evidence-based program are differentially associated with changes in outcomes for individuals with dementia (IWDs) after 3 months. Data come from 508 IWDs participating in the community replication of the evidence-based "Reducing Disability in Alzheimer's Disease" program. Regression results indicate that after 3 months, more exercise sessions are associated with improvements in physical functioning, mobility, minutes exercising, and symptoms of depression; more dementia education sessions are related to fewer restricted activity days; and more behavior management sessions are related to more symptoms of depression. As resource-strapped agencies look to best serve participants, further analysis and consideration is needed to determine the ideal balance of program efficacy, feasibility, and resources, as well as program benefits for IWDs and caregivers.
authors.affiliation: 1 Benjamin Rose Institute on Aging, Cleveland, OH, USA.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Menne
authors.affiliation: 1 Benjamin Rose Institute on Aging, Cleveland, OH, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Bass
authors.affiliation: 1 Benjamin Rose Institute on Aging, Cleveland, OH, USA.
authors.forename: Justin D
authors.initials: JD
authors.lastname: Johnson
authors.affiliation: 1 Benjamin Rose Institute on Aging, Cleveland, OH, USA.
authors.forename: Keith R
authors.initials: KR
authors.lastname: Kearney
authors.affiliation: 2 Alzheimer's Association, Northwest Ohio Chapter, Toledo, USA.
authors.forename: Salli
authors.initials: S
authors.lastname: Bollin
authors.affiliation: 3 University of Washington, School of Nursing, Seattle, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Teri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000534:rehabilitation*; D001521:Behavior Therapy / Q000379:methods; D017028:Caregivers / Q000193:education*; D003863:Depression / Q000628:therapy*; D055317:Evidence-Based Practice; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D009820:Ohio; D015397:Program Evaluation; D011788:Quality of Life
keywords: behavior; evidence-based practice; exercise; function; well-being