Effectiveness of “Reducing Disability in Alzheimer’s Disease” Among Dyads With Moderate Dementia
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Abstract
Replications of evidence-based dementia care receiver–caregiver dyad interventions in the community are scarce. We aimed to assess the effectiveness of the Kansas City implementation of Reducing Disability in Alzheimer’s Disease (RDAD) among a convenience sample of dyads with moderate dementia, which addressed needs identified by nine participating community agencies. We hypothesized that dyads’ mental health and physical activity outcomes would improve from baseline to end-of-treatment. The final analytic sample included 66 dyads. Outcomes improved ( p < .01) from pre- to post-intervention: behavioral symptom severity (range 0–36) decreased from 11.3 to 8.6, physical activity increased from 125.0 to 190.0 min/week, caregiver unmet needs (range 0–34) decreased from 10.6 to 5.6, caregiver behavioral symptom distress (0–60) decreased from 15.5 to 10.4, and caregiver strain (0–26) decreased from 11.1 to 9.7. This adapted implementation of RDAD leads to clinically meaningful improvements and might inform scaling-up.
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Interventions for dementia caregivers that have demonstrated efficacy in scientific evaluations have been gradually implemented in the community, but are still not widespread or available to all family caregivers.
“Interventions for dementia caregivers that have demonstrated efficacy in scientific evaluations have been gradually implemented in the community, but are still not widespread or available to all family caregivers.[557][558][559]”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [557]
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- Authors
- Perales-Puchalt, J., Barton, K., Ptomey, L., Niedens, M., Yeager, A., Gilman, L., Seymour, P., George, A., Sprague, S., Mirás Neira, A., Van Dyke, R., Teri, L., & Vidoni, E. D.
- Affiliations
- University of Kansas Alzheimer’s Disease Center, Fairway, USA
- University of Missouri–Kansas City (US)
- University of Kansas Medical Center (US)
- University of Kansas (US)
- Jewish Family Services, Kansas City, MO, USA
- Shepherd’s Center of Kansas City Central, Kansas City, USA
- Empowering Individuals Through Advocacy and Support, Kansas City, MO, USA
- Sanwa Shurui Co., Ltd. (Japan) (JP)
- Kansas City Care Health Center, MO, USA
- Wyandotte/Leavenworth Area Agency on Aging, Kansas City, KS, USA
- University of Washington (US)
- Corresponding author
- Barton, Kelli
- Ptomey, Lauren
- Niedens, Michelle
- Yeager, Amy
- Gilman, Laura
- Seymour, Pam
- George, Amanda
- Sprague, Susan
- Teri, Linda
- Vidoni, Eric D.
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2020-07-01
- Volume
- 40
- Issue
- 10
- Pages
- 1163-1171
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- PMC
- PMC7775330
- OpenAlex
- W3039653470
- Cited by
- 21
- References
- 28
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 4
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- Locations
- Journal of Applied Gerontology (publishedVersion)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Administration for Community Living (90KSALGG0009)
- National Institute on Aging (P30AG035982)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- dementia care, caregiver dyads, moderate dementia, behavioral symptoms, caregiver burden, physical activity, community-based intervention, implementation, scale-up, Kansas City
- MeSH terms
- Alzheimer Disease, Dementia, Humans, Mental Health, Exercise, Caregivers
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