Mobility intervention for older adults with cognitive impairment

The OASIS Walking Study - Older Adults With Cognitive Impairment Performing Sit to Stands and Walking in Transitional Care Programs: A Feasibility Study

This study tests a walking program for older adults with cognitive impairment to see if it helps them feel stronger, move better, and improve their quality of life.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 26 (estimated)
• Ages: 65 Years and up
• Sex: All
• Sponsor: University Health Network, Toronto (other)
• Locations: 2 sites (Pickering, Ontario and 1 other locations)
• Trial ID: NCT06150339 on ClinicalTrials.gov

What this trial studies

This intervention focuses on the OASIS Walking Intervention, which is designed for older adults with cognitive impairment, such as dementia, in transitional care programs. The study aims to assess the feasibility and satisfaction of participants with this nurse-led mobility intervention, which includes a patient-centered communication care plan, sit-to-stand activities, and a walking program. The effectiveness of the intervention will be evaluated based on improvements in muscle strength, mobility, functional status, and quality of life. A quasi-experimental design will be used, involving 26 participants aged 65 and older who are admitted to transitional care units in Ontario.

Who should consider this trial

Good fit: Ideal candidates are older adults aged 65 and older with documented cognitive impairment who are admitted to a transitional care unit after hospitalization.

Not a fit: Patients who are not able to ambulate independently or with assistance, or those who do not have a care partner willing to participate, may not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could enhance mobility and quality of life for older adults with cognitive impairment.

How similar studies have performed: Other studies have shown promising results with similar mobility interventions for older adults, suggesting potential for success in this approach.

Eligibility criteria

Inclusion Criteria:

1. aged 65 years and older;
2. have cognitive impairment (dementia, delirium, cognitive impairment, or unspecified cognitive impairment) as documented in the medical record or Quick Dementia Rating Scale (QDRS) score of ≥2)
3. admitted to a transitional care unit after a hospitalization
4. can speak English
5. has received clearance from the physiotherapist to participate in the study
6. has received clearance from the nurse practitioner to participate in the study
7. were community-dwelling (lived in a home or retirement home; not a nursing home) prior to hospitalization
8. were able to walk independently or with the assistance of one person (with or without a gait aid) prior to hospital admission
9. is currently able to ambulate either independently or with the assistance of one person (with or without a gait aid)
10. has a care partner (family member, friend) who is willing participate in an interview about the patient for the study.

Exclusion Criteria:

1) Palliative (having \<six months prognosis as documented in the medical chart)

Where this trial is running

Pickering, Ontario and 1 other locations

• Abbeylawn Retirement Home Transitional Care Unit (Operated by Bayshore Health Care) — Pickering, Ontario, Canada (RECRUITING)
• Cedarbrook Lodge Retirement Home Transitional Care Unit (Operated by Bayshore Health Care) — Scarborough, Ontario, Canada (RECRUITING)

Study contacts

• Principal investigator: Katherine S McGilton, PhD — University Health Network, Toronto
• Study coordinator: Katherine S McGilton, PhD

Conditions: Cognitive Impairment, Dementia, Delirium, Functional Decline, Walking, Walking Program, Activity, Sit to Stand