Caring for Informal Dementia Caregivers and their Loved Ones via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-blind, Controlled Trial

Lang, Tommy, Daniel, Kenneth, Inskip, Michael, Mavros, Yorgi, and Fiatarone Singh, Maria (2023) Caring for Informal Dementia Caregivers and their Loved Ones via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-blind, Controlled Trial. Gerontology and Geriatric Medicine, 9.

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Abstract

Objective: To investigate the effects of a dyadic intervention of mindfulness-based stress reduction (MBSR) for dementia family caregivers and home-based balance and progressive resistance training(PRT) for their loved ones.

Methods: The study was a two arm, randomized, controlled, singleblinded, parallel-group trial. Dyads were randomized to an intervention group: an 8-week MBSR course (daily) and an 8-week PRT and balance training (3 days/week) for their loved ones or a waiting list control group.

Results: Nine dyads were randomized [caregivers: median age 75 (40 – 81) years, loved ones: 77 (73 – 88) years]. MBSR significantly improved mindfulness [relative effect size (95% confidence interval) 1.35 (–0.10,2.81); P = .009], no significant effects on caregiver burden [relative effect size (95% confidence interval) 0.22 (–1.09, 1.54); P = .622], and PRT and balance training improved functional mobility [mean difference(95% confidence interval) 1.53 (–3.09, 6.14)].

Discussion: The study appeared feasible to the home environment and future trials should test the feasibility of a more abbreviated MBSR intervention to optimize adoption and adherence.

Item ID: 80221
Item Type: Article (Research - C1)
ISSN: 2333-7214
Keywords: Dementia; Exercise; MSBR; frailty; Mind-body practice; caregiver
Date Deposited: 11 Sep 2023 00:20
FoR Codes: 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420702 Exercise physiology @ 50%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320210 Geriatrics and gerontology @ 50%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 50%
20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200502 Health related to ageing @ 50%
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