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Semin Speech Lang 2013; 34(03): 170-184
DOI: 10.1055/s-0033-1358370
DOI: 10.1055/s-0033-1358370
Language-Enriched Exercise plus Socialization for Older Adults with Dementia: Translation to Rural Communities
Further Information
Publication History
Publication Date:
28 October 2013 (online)
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Abstract
Interventions that stimulate and engage individuals with dementia physically, cognitively, and socially offer promise for improving health and well-being and for potentially slowing functional losses with disease progression. We describe a volunteer-based intervention that combines physical exercise, cognitive-linguistic stimulation, and social outings for older persons living with dementia in rural communities. One-year follow-up data, although clearly preliminary (n = 8), suggest stability in global cognition, mood, and aspects of physical fitness. Challenges to implementing dementia interventions in rural areas are discussed.
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References
- 1 Arkin SM. Alzheimer rehabilitation by students: interventions and outcomes. Neuropsychol Rehabil 2001; 11: 273-317
- 2 World Health Organization and Alzheimer's Disease International. Dementia: a public health priority. Geneva, Switzerland: World Health Organization; 2012. . Available at: http://www.who.int/mental_health/publications/dementia_report_2012 . Accessed July 14, 2013
- 3 Hebert LE, Weuve J, Scherr PA, Evans DA. Alzheimer disease in the United States (2010-2050) estimated using the 2010 census. Neurology 2013; 80 (19) 1778-1783
- 4 Alzheimer's Association. 2013 Alzheimer's disease facts and figures. Chicago, IL: Alzheimer's Association; 2013. . Available at: http://www.alz.org/alzheimers_disease_facts_and_figures.asp . Accessed July 14, 2013
- 5 Bayles KA, Tomoeda CK, Trosset MW. Relation of linguistic communication abilities of Alzheimer's patients to stage of disease. Brain Lang 1992; 42 (4) 454-472
- 6 Canning SJ, Leach L, Stuss D, Ngo L, Black SE. Diagnostic utility of abbreviated fluency measures in Alzheimer disease and vascular dementia. Neurology 2004; 62 (4) 556-562
- 7 Bayles KA, Kim ES. Improving the functioning of individuals with Alzheimer's disease: emergence of behavioral interventions. J Commun Disord 2003; 36 (5) 327-343
- 8 Di Santo SG, Prinelli F, Adorni F, Caltagirone C, Musicco M. A meta-analysis of the efficacy of donepezil, rivastigmine, galantamine, and memantine in relation to severity of Alzheimer's disease. J Alzheimers Dis 2013; 35 (2) 349-361
- 9 Howard R, McShane R, Lindesay J , et al. Donepezil and memantine for moderate-to-severe Alzheimer's disease. N Engl J Med 2012; 366 (10) 893-903
- 10 Burback D, Molnar FJ, St John P, Man-Son-Hing M. Key methodological features of randomized controlled trials of Alzheimer's disease therapy. Minimal clinically important difference, sample size and trial duration. Dement Geriatr Cogn Disord 1999; 10 (6) 534-540
- 11 Gill SS, Anderson GM, Fischer HD , et al. Syncope and its consequences in patients with dementia receiving cholinesterase inhibitors: a population-based cohort study. Arch Intern Med 2009; 169 (9) 867-873
- 12 Hernandez RK, Farwell W, Cantor MD, Lawler EV. Cholinesterase inhibitors and incidence of bradycardia in patients with dementia in the Veterans Affairs New England healthcare system. J Am Geriatr Soc 2009; 57 (11) 1997-2003
- 13 Boise L, Neal MB, Kaye J. Dementia assessment in primary care: results from a study in three managed care systems. J Gerontol A Biol Sci Med Sci 2004; 59 (6) M621-M626
- 14 Valcour VG, Masaki KH, Curb JD, Blanchette PL. The detection of dementia in the primary care setting. Arch Intern Med 2000; 160 (19) 2964-2968
- 15 Belleville S, Gilbert B, Fontaine F, Gagnon L, Ménard E, Gauthier S. Improvement of episodic memory in persons with mild cognitive impairment and healthy older adults: evidence from a cognitive intervention program. Dement Geriatr Cogn Disord 2006; 22 (5-6) 486-499
- 16 Unverzagt FW, Kasten L, Johnson KE , et al. Effect of memory impairment on training outcomes in ACTIVE. J Int Neuropsychol Soc 2007; 13 (6) 953-960
- 17 Camp CC, Bird MJ, Cherry KE. Retrieval strategies as a rehabilitation aid for cognitive loss in pathological aging. In: Hill RD, Backman L, Neely AS, , eds. Cognitive Rehabilitation in Old Age. New York, NY: Oxford University Press; 2000: 224-248
- 18 Hopper TL. “They're just going to get worse anyway”: perspectives on rehabilitation for nursing home residents with dementia. J Commun Disord 2003; 36 (5) 345-359
- 19 Quayhagen MP, Quayhagen M, Corbeil RR, Roth PA, Rodgers JA. A dyadic remediation program for care recipients with dementia. Nurs Res 1995; 44 (3) 153-159
- 20 Quayhagen MP, Quayhagen M, Corbeil RR , et al. Coping with dementia: evaluation of four nonpharmacologic interventions. Int Psychogeriatr 2000; 12 (2) 249-265
- 21 Teri L, Gibbons LE, McCurry SM , et al. Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial. JAMA 2003; 290 (15) 2015-2022
- 22 Teri L, Logsdon RG, McCurry SM. Exercise interventions for dementia and cognitive impairment: the Seattle Protocols. J Nutr Health Aging 2008; 12 (6) 391-394
- 23 Lautenschlager NT, Cox KL, Flicker L , et al. Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a randomized trial. JAMA 2008; 300 (9) 1027-1037
- 24 Karp A, Paillard-Borg S, Wang HX, Silverstein M, Winblad B, Fratiglioni L. Mental, physical and social components in leisure activities equally contribute to decrease dementia risk. Dement Geriatr Cogn Disord 2006; 21 (2) 65-73
- 25 Carlson MC, Erickson KI, Kramer AF , et al. Evidence for neurocognitive plasticity in at-risk older adults: the experience corps program. J Gerontol A Biol Sci Med Sci 2009; 64 (12) 1275-1282
- 26 Fritsch T, Smyth KA, Wallendal MS, Einberger K, Geldmacher DS. Early memory loss clubs: a novel approach for stimulating and sustaining cognitive function. In: Hartman-Stein PE, La Rue A, , eds. Enhancing Cognitive Fitness in Adults: A Guide to the Use and Development of Community-Based Programs. New York, NY: Springer Science + Business Media; 2011: 381-400
- 27 Olazarán J, Muñiz R, Reisberg B , et al. Benefits of cognitive-motor intervention in MCI and mild to moderate Alzheimer disease. Neurology 2004; 63 (12) 2348-2353
- 28 Arkin SM. Student-led exercise sessions yield significant fitness gains for Alzheimer's patients. Am J Alzheimers Dis Other Demen 2003; 18 (3) 159-170
- 29 Arkin S. Language-enriched exercise plus socialization slows cognitive decline in Alzheimer's disease. Am J Alzheimers Dis Other Demen 2007; 22 (1) 62-77
- 30 Mahendra N, Arkin SM. Effects of four years of exercise, language, and social interventions on Alzheimer discourse. J Commun Disord 2003; 36 (5) 395-422
- 31 Mahendra N, Arkin SM. Exercise and volunteer work: contexts for AD language and memory interventions. Semin Speech Lang 2004; 25 (2) 151-167
- 32 Arkin SM. Volunteers in partnership: an Alzheimer's rehabilitation program delivered by students. Am J Alzheimer Dis Other Demen 1996; 11: 12-22
- 33 Folstein MF, Folstein SE, McHugh PR. “Mini-mental state.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12 (3) 189-198
- 34 Welsh KA, Butters N, Hughes JP, Mohs RC, Heyman A. Detection and staging of dementia in Alzheimer's disease. Use of the neuropsychological measures developed for the Consortium to Establish a Registry for Alzheimer's Disease. Arch Neurol 1992; 49 (5) 448-452
- 35 Bayles KA, Tomoeda C. Arizona Battery for Communication Disorders of Dementia (ABCD). Tucson, AZ: Canyonlands; 1991
- 36 Wechsler D. Wechsler Adult Intelligence Scale–Revised. New York, NY: Psychological Corporation; 1987
- 37 Yesavage JA, Brink TL, Rose TL , et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982– 1983; 17 (1) 37-49
- 38 Morris JC, Edland S, Clark CM , et al. The consortium to establish a registry for Alzheimer's disease (CERAD). Part IV. Rates of cognitive change in the longitudinal assessment of probable Alzheimer's disease. Neurology 1993; 43 (12) 2457-2465
- 39 Haley WE, Bergman EJ, Roth DL, McVie T, Gaugler JE, Mittelman MS. Long-term effects of bereavement and caregiver intervention on dementia caregiver depressive symptoms. Gerontologist 2008; 48 (6) 732-740
- 40 U.S. Census Bureau. State and county quickfacts. U.S. Census Bureau. 2013. Available at: http://quickfacts.census.gov/qfd/states/55000.html . Accessed August 14, 2013
- 41 Potter GG, Plassman BL, Burke JR , et al. Cognitive performance and informant reports in the diagnosis of cognitive impairment and dementia in African Americans and whites. Alzheimers Dement 2009; 5 (6) 445-453
- 42 Shulman MD, Mandel E. Communication training of relatives and friends of institutionalized elderly persons. Gerontologist 1988; 28 (6) 797-799
- 43 Tappen RM, Williams-Burgess C, Edelstein J, Touhy T, Fishman S. Communicating with individuals with Alzheimer's disease: examination of recommended strategies. Arch Psychiatr Nurs 1997; 11 (5) 249-256
- 44 Salin S, Kaunonen M, Astedt-Kurki P. Informal carers of older family members: how they manage and what support they receive from respite care. J Clin Nurs 2009; 18 (4) 492-501
- 45 Hill K, Smith R, Fearn M, Rydberg M, Oliphant R. Physical and psychological outcomes of a supported physical activity program for older carers. J Aging Phys Act 2007; 15 (3) 257-271
- 46 King AC, Baumann K, O'Sullivan P, Wilcox S, Castro C. Effects of moderate-intensity exercise on physiological, behavioral, and emotional responses to family caregiving: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 2002; 57 (1) M26-M36
- 47 U.S. Census Bureau. Wisconsin: 2010. Population and housing unit counts. Washington, DC: U.S. Department of Commerce; 2012. : Available at: http://www.census.gov/prod/cen2010/cph-2-51.pdf . Accessed August 14, 2013
- 48 Silverman JM, Breitner JC, Mohs RC, Davis KL. Reliability of the family history method in genetic studies of Alzheimer's disease and related dementias. Am J Psychiatry 1986; 143 (10) 1279-1282
- 49 Li G, Aryan M, Silverman JM , et al. The validity of the family history method for identifying Alzheimer disease. Arch Neurol 1997; 54 (5) 634-640
- 50 Reisberg B, Ferris SH, de Leon MJ, Crook T. The Global Deterioration Scale for assessment of primary degenerative dementia. Am J Psychiatry 1982; 139 (9) 1136-1139
- 51 Reisberg B. Functional assessment staging (FAST). Psychopharmacol Bull 1988; 24 (4) 653-659
- 52 Arkin S. Language Enriched Exercises for Clients with Alzheimer's Disease: Resource Manual. Tucson, AZ: DSW Fitness; 2005
- 53 Logsdon RG, Gibbons LE, McCurry SM, Teri L. Assessing quality of life in older adults with cognitive impairment. Psychosom Med 2002; 64 (3) 510-519
- 54 Rikli R, Jones J. Senior Fitness Test kit. Champaign, IL: Human Kinetics; 2001
- 55 Zarit SH, Orr NK, Zarit JM. Families Under Stress: Caring for the Patient with Alzheimer's Disease and Related Disorders. New York, NY: New York University Press; 1985