Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia

Introduction Physical exercise and cognitive training have the potential to enhance cognitive function and mobility in older adults at risk of Alzheimer’s disease and related dementia (ADRD), but little is known about the feasibility of delivering multidomain interventions in home settings of older...

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Main Authors: Teresa Liu-Ambrose, Eric Smith, Karen Messer, Pam Jarrett, Jennifer Walker, Louis Bherer, Andrew Lim, Nicole Anderson, Quincy J Almeida, Howard Feldman, Howard Chertkow, Nellie Kamkar, Manuel Montero-Odasso, Mark Speechley, Chris McGibbon, Grant Handrigan, Danielle Bouchard, Andrew M Sexton, Linda Yetman, Bryn Robinson, Stephanie Crapoulet, Ludivine Chamard-Witkowski, Laura Elizabeth Middleton, Manuel Montero Odasso, Sylvie Belleville, Haakon Nygaard, Danielle Alcock, Sarah Banks, Paul Brewster, Senny Chan, Marc Cuesta, Samir Das, Carol Evans, Guylaine Ferland, Tati Herold, Scott Hofer, Inbal Itzhak, Diane Jacobs, Jody-Lynn Lupo, Lisa Madlensky, Zia Mohades, Carolyn Revta, Julie Robillard, Penny Slack, Jingjing Zou, Carole C Tranchant
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/3/e059988.full
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author Teresa Liu-Ambrose
Eric Smith
Karen Messer
Pam Jarrett
Jennifer Walker
Louis Bherer
Andrew Lim
Nicole Anderson
Quincy J Almeida
Howard Feldman
Howard Chertkow
Nellie Kamkar
Manuel Montero-Odasso
Mark Speechley
Chris McGibbon
Grant Handrigan
Danielle Bouchard
Andrew M Sexton
Linda Yetman
Bryn Robinson
Stephanie Crapoulet
Ludivine Chamard-Witkowski
Laura Elizabeth Middleton
Manuel Montero Odasso
Sylvie Belleville
Haakon Nygaard
Danielle Alcock
Sarah Banks
Paul Brewster
Senny Chan
Marc Cuesta
Samir Das
Carol Evans
Guylaine Ferland
Tati Herold
Scott Hofer
Inbal Itzhak
Diane Jacobs
Jody-Lynn Lupo
Lisa Madlensky
Zia Mohades
Carolyn Revta
Julie Robillard
Penny Slack
Jingjing Zou
Carole C Tranchant
author_facet Teresa Liu-Ambrose
Eric Smith
Karen Messer
Pam Jarrett
Jennifer Walker
Louis Bherer
Andrew Lim
Nicole Anderson
Quincy J Almeida
Howard Feldman
Howard Chertkow
Nellie Kamkar
Manuel Montero-Odasso
Mark Speechley
Chris McGibbon
Grant Handrigan
Danielle Bouchard
Andrew M Sexton
Linda Yetman
Bryn Robinson
Stephanie Crapoulet
Ludivine Chamard-Witkowski
Laura Elizabeth Middleton
Manuel Montero Odasso
Sylvie Belleville
Haakon Nygaard
Danielle Alcock
Sarah Banks
Paul Brewster
Senny Chan
Marc Cuesta
Samir Das
Carol Evans
Guylaine Ferland
Tati Herold
Scott Hofer
Inbal Itzhak
Diane Jacobs
Jody-Lynn Lupo
Lisa Madlensky
Zia Mohades
Carolyn Revta
Julie Robillard
Penny Slack
Jingjing Zou
Carole C Tranchant
author_sort Teresa Liu-Ambrose
collection DOAJ
description Introduction Physical exercise and cognitive training have the potential to enhance cognitive function and mobility in older adults at risk of Alzheimer’s disease and related dementia (ADRD), but little is known about the feasibility of delivering multidomain interventions in home settings of older adults at risk of ADRD. This study aims to assess the feasibility of home-based delivery of exercise and cognitive interventions, and to evaluate the relationship between participants’ intervention preferences and their subsequent adherence. Secondary objectives include the effect of the interventions on ADRD risk factors, including frailty, mobility, sleep, diet and psychological health.Methods and analysis The SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home) feasibility trial is a randomised control trial that follows a 2×2 factorial design, with a 16-week home-based intervention programme (3 sessions per week) of physical exercises and cognitive training. Participants will be randomised in blocks of four to one of the following four arms: (1) combined exercise (aerobic and resistance)+cognitive training (NEUROPEAK); (2) combined exercise+control cognitive training (web searching); (3) control exercise (balance and toning)+cognitive training; and (4) control exercise+control cognitive training. SYNERGIC@Home will be implemented through video conferencing. Baseline and post-intervention assessments at 4-month and 10-month follow-up will include measures of cognition, frailty, mobility, sleep, diet and psychological health. Primary feasibility outcome is adherence to the interventions. Primary analytic outcome is the relationship between pre-allocation preference for a given intervention and subsequent adherence to the allocated intervention. A series of secondary analytic outcomes examining the potential effect of the individual and combined interventions on cognitive, mobility and general well-being will be measured at baseline and follow-up.Ethics and dissemination Ethics approval was granted by the relevant research ethics boards. Findings of the study will be presented to stakeholders and published in peer-reviewed journals and at provincial, national and international conferences.Trial registration number NCT04997681, Pre-results.
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spelling doaj-art-294f34eb9cdd47f5a2697f2546548ae22025-08-20T02:17:40ZengBMJ Publishing GroupBMJ Open2044-60552022-03-0112310.1136/bmjopen-2021-059988Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementiaTeresa Liu-Ambrose0Eric SmithKaren Messer1Pam Jarrett2Jennifer WalkerLouis Bherer3Andrew Lim4Nicole Anderson5Quincy J Almeida6Howard FeldmanHoward Chertkow7Nellie Kamkar8Manuel Montero-OdassoMark Speechley9Chris McGibbon10Grant Handrigan11Danielle Bouchard12Andrew M Sexton13Linda Yetman14Bryn Robinson15Stephanie Crapoulet16Ludivine Chamard-Witkowski17Laura Elizabeth Middleton18Manuel Montero Odasso19Sylvie Belleville20Haakon NygaardDanielle AlcockSarah BanksPaul BrewsterSenny ChanMarc CuestaSamir DasCarol EvansGuylaine FerlandTati HeroldScott HoferInbal Itzhak21Diane JacobsJody-Lynn LupoLisa MadlenskyZia MohadesCarolyn RevtaJulie RobillardPenny SlackJingjing ZouCarole C Tranchant22Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, CanadaMoores Cancer Center, Univeristy of California, San Diego, California, USADepartment of Geriatric Medicine, Horizon Health Network, Saint John, New Brunswick, CanadaUniversité de Montréal, Montreal, Québec, Canada3Radiation Therapy Services, Division of Radiation OncologyPeter MacCallum Cancer Centre, Melbourne, Australia2Centre for Prognosis Studies in the Rheumatic Diseases, Rheumatology, Toronto, CanadaFaculty of Science, Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, CanadaDepartment of Medicine (Neurology), University of Toronto, Toronto, Ontario, CanadaGait and Brain Laboratory, Lawson Research Health Institute, Parkwood Hospital, London, Ontario, CanadaDepartments of Epidemiology and Biostatistics, Western University, London, Ontario, CanadaFaculty of Kinesiology, University of New Brunswick Fredericton, Fredericton, New Brunswick, CanadaFaculty of Health Sciences and Community Services, School of Kinesiology and Recreation, Universite de Moncton, Moncton, New Brunswick, CanadaFaculty of Kinesiology, University of New Brunswick Fredericton, Fredericton, New Brunswick, CanadaInstitute of Biomedical Engineering, University of New Brunswick, Fredericton, New Brunswick, CanadaResearch Services, Horizon Health Network, Saint John, New Brunswick, CanadaResearch Services, Horizon Health Network, Saint John, New Brunswick, CanadaResearch Services, Vitalite Health Network, Moncton, New Brunswick, CanadaDepartment of Neuroscience, Dr Georges-L-Dumont University Hospital Centre, Moncton, New Brunswick, CanadaDepartment of Kinesiology, University of Waterloo, Waterloo, Ontario, CanadaGait and Brain Laboratory, Lawson Health Research Institute, London, Ontario, CanadaDepartment of Psychology, Universite de Montreal, Montreal, Québec, CanadaLady Davis Institute, Centre intégré universitaire de santé et de services sociaux du Centre-Ouest-de-l’Île-de-Montréal, Montreal, Québec, CanadaFaculty of Health Sciences and Community Services, School of Food Science, Nutrition and Family Studies, Universite de Moncton, Moncton, New Brunswick, CanadaIntroduction Physical exercise and cognitive training have the potential to enhance cognitive function and mobility in older adults at risk of Alzheimer’s disease and related dementia (ADRD), but little is known about the feasibility of delivering multidomain interventions in home settings of older adults at risk of ADRD. This study aims to assess the feasibility of home-based delivery of exercise and cognitive interventions, and to evaluate the relationship between participants’ intervention preferences and their subsequent adherence. Secondary objectives include the effect of the interventions on ADRD risk factors, including frailty, mobility, sleep, diet and psychological health.Methods and analysis The SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home) feasibility trial is a randomised control trial that follows a 2×2 factorial design, with a 16-week home-based intervention programme (3 sessions per week) of physical exercises and cognitive training. Participants will be randomised in blocks of four to one of the following four arms: (1) combined exercise (aerobic and resistance)+cognitive training (NEUROPEAK); (2) combined exercise+control cognitive training (web searching); (3) control exercise (balance and toning)+cognitive training; and (4) control exercise+control cognitive training. SYNERGIC@Home will be implemented through video conferencing. Baseline and post-intervention assessments at 4-month and 10-month follow-up will include measures of cognition, frailty, mobility, sleep, diet and psychological health. Primary feasibility outcome is adherence to the interventions. Primary analytic outcome is the relationship between pre-allocation preference for a given intervention and subsequent adherence to the allocated intervention. A series of secondary analytic outcomes examining the potential effect of the individual and combined interventions on cognitive, mobility and general well-being will be measured at baseline and follow-up.Ethics and dissemination Ethics approval was granted by the relevant research ethics boards. Findings of the study will be presented to stakeholders and published in peer-reviewed journals and at provincial, national and international conferences.Trial registration number NCT04997681, Pre-results.https://bmjopen.bmj.com/content/12/3/e059988.full
spellingShingle Teresa Liu-Ambrose
Eric Smith
Karen Messer
Pam Jarrett
Jennifer Walker
Louis Bherer
Andrew Lim
Nicole Anderson
Quincy J Almeida
Howard Feldman
Howard Chertkow
Nellie Kamkar
Manuel Montero-Odasso
Mark Speechley
Chris McGibbon
Grant Handrigan
Danielle Bouchard
Andrew M Sexton
Linda Yetman
Bryn Robinson
Stephanie Crapoulet
Ludivine Chamard-Witkowski
Laura Elizabeth Middleton
Manuel Montero Odasso
Sylvie Belleville
Haakon Nygaard
Danielle Alcock
Sarah Banks
Paul Brewster
Senny Chan
Marc Cuesta
Samir Das
Carol Evans
Guylaine Ferland
Tati Herold
Scott Hofer
Inbal Itzhak
Diane Jacobs
Jody-Lynn Lupo
Lisa Madlensky
Zia Mohades
Carolyn Revta
Julie Robillard
Penny Slack
Jingjing Zou
Carole C Tranchant
Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
BMJ Open
title Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
title_full Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
title_fullStr Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
title_full_unstemmed Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
title_short Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
title_sort protocol for synchronising exercises remedies in gait and cognition at home synergic home feasibility of a home based double blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia
url https://bmjopen.bmj.com/content/12/3/e059988.full
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