Tags

Type your tag names separated by a space and hit enter

The (cost-) effectiveness of exergaming in people living with dementia and their informal caregivers: protocol for a randomized controlled trial.
BMC Geriatr. 2019 02 19; 19(1):50.BG

Abstract

BACKGROUND

Physical activity is linked to benefits such as increased physical fitness, cognition, emotional and social functioning, general health and well-being in older people. Some evidence suggests that this also applies to people living with dementia. However, it can be harder for them to perform physical activities, due to several barriers, such as issues with orientation and balance problems. A relatively new type of physical activity called exergaming may help them overcome these barriers. Exergaming is "physical exercise interactively combined with cognitive stimulation in a gaming environment". The aim of our study is to evaluate the effectiveness and cost-effectiveness of exergaming compared to regular activities in people living with dementia, who attend day-care centres. Additionally, we want to investigate whether the exergaming activity for the person living with dementia, also (indirectly) affects the informal caregiver, as well as which facilitators and barriers to implementation of exergames for this target group exist.

METHODS

A cluster Randomized Controlled Trial (RCT), with economic and process evaluations alongside will be carried out. In the Netherlands, 24 day-care centres are randomized in the experimental or control group. The study group will consist of 224 dyads (community-dwelling participants with dementia and their informal caregivers), who are interviewed at baseline, and at 3 and 6 months of follow-up. The participant with dementia has to visit the day-care centre for at least two days per week, have a diagnosis of mild to moderate dementia and have an informal caregiver present, who is willing to participate. Societal cost data will be collected during interviews, using healthcare utilization diaries, and from day-care centres. The process evaluation will only involve the experimental group, and will include an online survey, qualitative interviews and focus groups.

DISCUSSION

This study will contribute to the evidence base that more effective exercise among people with dementia will result in positive effects on their wellbeing and quality of life. This will motivate people with dementia to be physically active. We also envision that there might be a positive effect on the burden of care experienced by their informal caregivers.

TRIAL REGISTRATION

This trial was registered at the Netherlands Trial Register (NTR) on December 10, 2015 (number: NTR5537), this publication is based on protocol amendment number 01, issue date 28 December 2018. This includes all items from the World Health Organization Trial Registration Data Set [see Additional file 1].

Authors+Show Affiliations

Department of Psychiatry, Amsterdam UMC, location VUmc, Oldenaller 1, 1081 HJ, Amsterdam, the Netherlands. Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands.Department of Psychiatry, Amsterdam UMC, location VUmc, Oldenaller 1, 1081 HJ, Amsterdam, the Netherlands. Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands.Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, De Boelelaan 1081, 1081 HV, Amsterdam, the Netherlands.Child Health, TNO, Schipholweg 77, 2316 ZL, Leiden, the Netherlands.Sjef van Bommel Management & Support, Stadionweg 53HS, 1077 RZ, Amsterdam, the Netherlands.Scientific Committee Evean, Waterlandplein 5, 1441 RP, Purmerend, the Netherlands.HilverZorg - Day-care centre Zonnehoeve, Loosdrechtse Bos 9, 1213 RH, Hilversum, the Netherlands.Embedded Fitness B.V., Kapelweg 11, 5756 AJ, Vlierden, the Netherlands.SilverFit B.V., Edisonweg 7, 3442 AC, Woerden, the Netherlands.Department of Clinical- neuro- and developmental Psychology, Faculty of Behaviour and Movement Sciences, VU University Amsterdam, Van der Boechorststraat 7, Amsterdam, the Netherlands.Department of Psychiatry, Amsterdam UMC, location VUmc, Oldenaller 1, 1081 HJ, Amsterdam, the Netherlands. fj.meiland@vumc.nl. Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands. fj.meiland@vumc.nl. GGZ inGeest Dienst Onderzoek en Innovatie, Oldenaller 1 (room H3.08) Postbus 74077, 1070 BB, Amsterdam, The Netherlands. fj.meiland@vumc.nl.

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30782127

Citation

van Santen, Joeke, et al. "The (cost-) Effectiveness of Exergaming in People Living With Dementia and Their Informal Caregivers: Protocol for a Randomized Controlled Trial." BMC Geriatrics, vol. 19, no. 1, 2019, p. 50.
van Santen J, Dröes RM, Bosmans JE, et al. The (cost-) effectiveness of exergaming in people living with dementia and their informal caregivers: protocol for a randomized controlled trial. BMC Geriatr. 2019;19(1):50.
van Santen, J., Dröes, R. M., Bosmans, J. E., Blanson Henkemans, O. A., van Bommel, S., Hakvoort, E., Valk, R., Scholten, C., Wiersinga, J., van Straten, A., & Meiland, F. (2019). The (cost-) effectiveness of exergaming in people living with dementia and their informal caregivers: protocol for a randomized controlled trial. BMC Geriatrics, 19(1), 50. https://doi.org/10.1186/s12877-019-1062-x
van Santen J, et al. The (cost-) Effectiveness of Exergaming in People Living With Dementia and Their Informal Caregivers: Protocol for a Randomized Controlled Trial. BMC Geriatr. 2019 02 19;19(1):50. PubMed PMID: 30782127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The (cost-) effectiveness of exergaming in people living with dementia and their informal caregivers: protocol for a randomized controlled trial. AU - van Santen,Joeke, AU - Dröes,Rose-Marie, AU - Bosmans,Judith E, AU - Blanson Henkemans,Olivier A, AU - van Bommel,Sjef, AU - Hakvoort,Esther, AU - Valk,Ronald, AU - Scholten,Carla, AU - Wiersinga,Joris, AU - van Straten,Annemieke, AU - Meiland,Franka, Y1 - 2019/02/19/ PY - 2019/01/03/received PY - 2019/02/12/accepted PY - 2019/2/21/entrez PY - 2019/2/21/pubmed PY - 2019/11/19/medline KW - Cost effectiveness KW - Dementia KW - Exergaming KW - Physical activity KW - Physical functioning KW - Quality of life KW - Randomized controlled trial SP - 50 EP - 50 JF - BMC geriatrics JO - BMC Geriatr VL - 19 IS - 1 N2 - BACKGROUND: Physical activity is linked to benefits such as increased physical fitness, cognition, emotional and social functioning, general health and well-being in older people. Some evidence suggests that this also applies to people living with dementia. However, it can be harder for them to perform physical activities, due to several barriers, such as issues with orientation and balance problems. A relatively new type of physical activity called exergaming may help them overcome these barriers. Exergaming is "physical exercise interactively combined with cognitive stimulation in a gaming environment". The aim of our study is to evaluate the effectiveness and cost-effectiveness of exergaming compared to regular activities in people living with dementia, who attend day-care centres. Additionally, we want to investigate whether the exergaming activity for the person living with dementia, also (indirectly) affects the informal caregiver, as well as which facilitators and barriers to implementation of exergames for this target group exist. METHODS: A cluster Randomized Controlled Trial (RCT), with economic and process evaluations alongside will be carried out. In the Netherlands, 24 day-care centres are randomized in the experimental or control group. The study group will consist of 224 dyads (community-dwelling participants with dementia and their informal caregivers), who are interviewed at baseline, and at 3 and 6 months of follow-up. The participant with dementia has to visit the day-care centre for at least two days per week, have a diagnosis of mild to moderate dementia and have an informal caregiver present, who is willing to participate. Societal cost data will be collected during interviews, using healthcare utilization diaries, and from day-care centres. The process evaluation will only involve the experimental group, and will include an online survey, qualitative interviews and focus groups. DISCUSSION: This study will contribute to the evidence base that more effective exercise among people with dementia will result in positive effects on their wellbeing and quality of life. This will motivate people with dementia to be physically active. We also envision that there might be a positive effect on the burden of care experienced by their informal caregivers. TRIAL REGISTRATION: This trial was registered at the Netherlands Trial Register (NTR) on December 10, 2015 (number: NTR5537), this publication is based on protocol amendment number 01, issue date 28 December 2018. This includes all items from the World Health Organization Trial Registration Data Set [see Additional file 1]. SN - 1471-2318 UR - https://www.unboundmedicine.com/medline/citation/30782127/The__cost___effectiveness_of_exergaming_in_people_living_with_dementia_and_their_informal_caregivers:_protocol_for_a_randomized_controlled_trial_ L2 - https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-019-1062-x DB - PRIME DP - Unbound Medicine ER -