Paper Summary:

In this article, the writer analyzes the study by Teri, Gibbons, McCurry, Logsdon, Buchner, Barlow, Kukull, LaCroix, McCormick, and Larson, entitled "Exercise plus behavioral management in patients with Alzheimer Disease: A Randomized Controlled Trial," that was published in JAMA, 290(15): 2015-2022. The writer explains that the purpose of the study was to develop a home-based exercise program combined with caregiver training in behavioral management techniques. The writer notes that this home-based exercise program was designed to reduce functional dependence and delay institutionalization among patients with Alzheimer disease. Older adults can benefit from exercise through the improvement of cardiovascular function, flexibility, balance, and strength. Exercise has also been demonstrated by several studies to reduce depression among elderly patients, as well as alleviate depression of patients with dementia. The writer concludes that this study has promising potential in the management of Alzheimer disease.

From the Paper:

"A total of 153 patients and their corresponding caregivers were randomly selected from an ongoing, community-based Alzheimer disease patient registry and through referrals from physician practices. The study, from enrollment to the end of follow-up, occurred from June 1994 to April 1999. Written consent was obtained from both caregiver and patient. All patients underwent comprehensive evaluation by a geriatrician, neurologist, psychologist, and epidemiologist, nurse, and research staff. The caregivers were spouses or adults who lived with or spend at least 4 hours with these patients. Their ages ranged from 24 to 91 years old, and 70% were female. Eighty percent of the caregivers were spouses.
"Patient-caregiver groups were randomly assigned to the RDAD program or routine medical care. At first, patient and caregiver were seen in their own homes by experienced health professionals for 12 hour-long sessions at 2 sessions per week for the first three weeks, then weekly sessions for 4 weeks, and then twice a month. This was to ensure proper training of caregivers at home. Follow-up was done three times over the next 3 months. "

Sample of Sources Used:

• Teri, L., Gibbons, L. E., McCurry, S. M., Logsdon, R. G., Buchner, D. M., Barlow, W. A., Kukull, W. A., LaCroix, A. Z., McCormick, W., and Larson, E. B. "Exercise plus behavioral management in patients with Alzheimer Disease: A Randomized Controlled Trial." JAMA, 290(15): 2015-2022.

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