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P1‐583: KEY STAKEHOLDERS’ EXPERIENCES OF RESPITE SERVICES FOR DEMENTIA AND THEIR PERSPECTIVES ON SERVICE DEVELOPMENT: A SYSTEMATIC REVIEW AND META‐ETHNOGRAPHY
Author(s) -
Shea Emma O',
Timmons Suzanne,
Fox Siobhan O.,
O'Shea Eamon,
Irving Kate
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.06.595
Subject(s) - respite care , dyad , stakeholder , nursing , dementia , public relations , service (business) , general partnership , psychology , argument (complex analysis) , sociology , knowledge management , medicine , business , political science , social psychology , computer science , marketing , disease , finance , pathology
Background:Since the dementia is a prevalent disabling condition, it is essential to maintain their independence as long as possible to maintain a sound quality of life in individuals with dementia. Several studies have suggested beneficial effect of physical activity on physical functions and activities of daily living for people with dementia. For exercise programs to be beneficial, having more help to deliver the exercise intervention longer periods and have the strategies to improve adherence. However, there is a lack of data of long-term adherence effect of exercise training, detraining, and retraining. Therefore, this study aims to investigate the effect of the eighteen months of periodical exercise training and retraining after detraining on the physical function in older patients with dementia in South Korea. Methods: Seventeen older adults with dementia(mean age 72, MMSE 17.8) performed multi-component exercise twice a week for a total of 18 months. The assessment was made six times: 1) at the baseline, 2) 24 weeks of training, 3) 12 weeks of first detraining, 4) 12 weeks of retraining, and 5) 12 weeks of second retraining after second 12 weeks of detraining. Sit to stand, arm curl, 8 feet Time to up and go, 4-meter walk test, Short Physical Performance Battery were assessed. Nonparametric Friedman’s test and Wilcoxon matched pairs signed rank test was conducted with an alpha-level of 0.05. Results: Significantly training-related improvements for the sit to stand, arm curl, 8-foot TUG, 4-meter walk, and SPPB. Following two times of 12 week-detraining and retraining, significantly enhanced performance (compared to baseline) was still presented in sit to stand and insignificantly maintained performance (compared to baseline) was presented in arm curl, 8-foot TUG, 4-meter walk and SPPB. Conclusions:The present study tested and confirm that the effect of periodical multicomponent exercise training and detraining improved or maintained physical function in older adults with dementia.