AzTrials
AzTrials

Mild DementiaBUDPANCT04913818

Effects of the Buddy-Up Dyadic Physical Activity Program on Health Outcomes of Care Dyads of Dementia: A Pilot Study

A study testing BUDPA Program in people with Mild Dementia and Moderate Dementia, run by The University of Hong Kong at 1 site in Hong Kong.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This project seeks to develop a novel dyadic intervention (titled as Buddy-Up Dyadic Physical Activity; BUDPA), using exercise as the common treatment component to improve the cognitive outcomes of persons with dementia and manage the stress-related symptoms of their family caregivers. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Mild Dementia, Moderate Dementia
What is being tested?
BUDPA Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteHong Kong
Study dates
5 Jun 2021to 28 Feb 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For PwD,
  • confirmed diagnosed of mild to moderate-intensity dementia
  • cognitive impairment as indicated by a HK-Montreal Cognitive Assessment (Hong Kong version; HK-MoCA) score of 8-19 to indicate mild to early moderate dementia will be recruited
  • For family caregivers
  • live together with the PwD
  • identify as the primary family caregivers of the PwD

Who cannot join

  • engaging in > 60 minutes per week of moderate or more vigorous exercise in the previous six months
  • acute muscular-skeletal problem, stroke or cardio-respiratory disease.

Trial locations and contacts

1 site in 1 country.

Hong Kong1 site
  • School of Nursing, LKS Faculty of Medicine

    Hong Kong

Other trials in Hong Kong

About this study

Official title: The Effects of the Buddy-Up Dyadic Physical Activity (BUDPA) Program on the Health Outcomes of Care Dyads of Dementia: A Pilot Feasibility Study

This project seeks to develop a novel dyadic intervention (titled as Buddy-Up Dyadic Physical Activity; BUDPA), using exercise as the common treatment component to improve the cognitive outcomes of persons with dementia and manage the stress-related symptoms of their family caregivers.

Read the detailed description

This project is a pilot study that seeks to develop a novel dyadic BUDPA intervention, using exercise as the common treatment component to improve the cognitive outcomes of persons with dementia and manage the stress-related symptoms of their family caregivers. BUDPA has integrated the concept of developing social capital for dementia management. By applying partner exercise, the longer-term provider for this therapeutic care will be shifted from service providers to the family caregivers and the persons with dementia. Helping them to translate the practice to a home-care setting further strengthens the notions of family responsibility and ability in dementia management. BUDPA fully engages the care dyads in a mutual helping relationship during the exercise training. The partner exercise also creates a platform to enable more meaningful encounter within the care dyad. The family caregivers are facilitated to find meaning in the caregiving process, which eventually can benefit their role commitment and mental wellness. Also, the use of mixed-method study design can provide high quality findings to inform both the feasibility and preliminary effects of the BUDPA program.

Being tested
BUDPA Program, Control arm (Usual care)
Keywords
mild to early moderate dementia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BUDPA ProgramBehavioural

    The overall program includes 12 weekly 1-hour training class. Each session starts with a 10-minute warm-up period using stretching exercise and stationary mobilizing exercise for trunk and limb joints at both upper and lower bodies (e.g. shoulders, elbows, wrists, hips, knees and ankles), and followed by a session of four to six selected partnering exercise, with duration increase gradually from 20 minutes to 40minutes in four weeks' time. The Borg Rate of Perceived Exertion (Borg RPE) will be used to monitor the exercise intensity. The Research assistant will explain the Borg RPE scale to the subjects and instruct them to speed up or slow down their movements. The training session will end with a 10-minute cool down session with walking exercise and stationary trunk and limb mobilizing exercise involving joints of shoulders, elbows, wrists, hips, knees, and ankles.

  • Control arm (Usual care)Other

    Active Comparator: Usual Care Activities will be provided by the elderly community center such as dementia or caregiver supporting service. They will be allowed to use the regular service provided such services are not related to physical activity or exercise training

Study groups in NCT04913818
Study groupRoleWhat they receive
BUDPA ProgramExperimentalThe overall program includes 12 weekly 1-hour training class. Each session starts with a 10-minute warm-up period using stretching exercise and stationary mobilizing exercise for trunk and limb joints at both upper and lower bodies and followed by a session of four to six selected partnering exercise, with duration increase gradually from 20 minutes to 40 minutes in four weeks' time. The Borg Rate of Perceived Exertion (Borg RPE) will be used to monitor the exercise intensity. The research assistant will explain the Borg RPE scale to the subjects and instruct them to speed up or slow down their movements in order to achieve a feeling of 'somewhat hard' at the Borg RPE rating of 12-14. The training session will end with a 10-minute cool down exercise session.
Receives: Behavioral: BUDPA Program
Usual CareActive comparatorActivities will be provided by the elderly community center such as dementia or caregiver supporting service. They will be allowed to use the regular service provided such services are not related to physical activity or exercise training.
Receives: Other: Control arm (Usual care)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)

    evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD

    Measured: Baseline

  2. Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)

    evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD

    Measured: 6th week

  3. Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)

    evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD

    Measured: 12th week

  4. Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog)

    evaluating various domains (i.e. attention and working memory, episodic memory, complex attention, executive function and task switching) of cognition of the PwD

    Measured: 18th week

  5. Zarit Burden Interview (Chinese version; ZBI-C)

    measuring the caregiving burden of the family caregivers

    Measured: Baseline

  6. Zarit Burden Interview (Chinese version; ZBI-C)

    measuring the caregiving burden of the family caregivers

    Measured: 6th week

  7. Zarit Burden Interview (Chinese version; ZBI-C)

    measuring the caregiving burden of the family caregivers

    Measured: 12th week

  8. Zarit Burden Interview (Chinese version; ZBI-C)

    measuring the caregiving burden of the family caregivers

    Measured: 18th week

Secondary outcomes (20)
  1. Neuro-psychiatric Inventory (CNPI; Chinese version)

    Evaluating neuro-psychiatric symptoms of the PwD

    Measured: Baseline

  2. Neuro-psychiatric Inventory (CNPI; Chinese version)

    Evaluating neuro-psychiatric symptoms of the PwD

    Measured: 6th week

  3. Neuro-psychiatric Inventory (CNPI; Chinese version)

    Evaluating neuro-psychiatric symptoms of the PwD

    Measured: 12th week

  4. Neuro-psychiatric Inventory (CNPI; Chinese version)

    Evaluating neuro-psychiatric symptoms of the PwD

    Measured: 18th week

  5. Lawton Instrumental activities of daily living IADL(IADL) Questionnaire

    Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd

    Measured: Baseline

  6. Lawton Instrumental activities of daily living IADL(IADL) Questionnaire

    Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd

    Measured: 6th week

  7. Lawton Instrumental activities of daily living IADL(IADL) Questionnaire

    Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd

    Measured: 12th week

  8. Lawton Instrumental activities of daily living IADL(IADL) Questionnaire

    Measuring the ability of engaging in instrumental Activities of daily living(ADL) for the Pwd

    Measured: 18th week

  9. Profile of Mood State (Abbreviated)

    Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers

    Measured: Baseline

  10. Profile of Mood State (Abbreviated)

    Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers

    Measured: 6th week

  11. Profile of Mood State (Abbreviated)

    Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers

    Measured: 12th week

  12. Profile of Mood State (Abbreviated)

    Measuring the six identifiable mood status including tension anxiety, depression dejection, anger hostility, vigor activity, fatigue inertia and confusion bewilderment of family caregivers

    Measured: 18th week

  13. Positive Affect Index

    Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.

    Measured: Baseline

  14. Positive Affect Index

    Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.

    Measured: 6th week

  15. Positive Affect Index

    Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.

    Measured: 12th week

  16. Positive Affect Index

    Assessing the current relationship quality of family caregivers with PwD. It covers the feelings of understanding, trust, respect, fairness and affection.

    Measured: 18th week

  17. Positive Aspects of Caregiving Scale

    To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.

    Measured: Baseline

  18. Positive Aspects of Caregiving Scale

    To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.

    Measured: 6th week

  19. Positive Aspects of Caregiving Scale

    To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.

    Measured: 12th week

  20. Positive Aspects of Caregiving Scale

    To measure caregiver gain of the family caregivers. It measures two components, self-affirmation and outlook on life.

    Measured: 18th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jun 2021
  2. Study start5 Jun 2021
  3. Primary completion28 Feb 2022
  4. Study completion28 Feb 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
To examine the feasibility and preliminary effect of a partnering exercise program on the health outcomes of the PwD and their family caregivers
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04913818
Sponsor's protocol ID
BUDPA
Acronym
BUDPA
Status last verified
Nov 2023
First submitted
16 Apr 2021
Last updated
30 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Only study investigators and research assistants involved in the study will have access to the data.

Publications

  • Dassel KB, Carr DC. Does Dementia Caregiving Accelerate Frailty? Findings From the Health and Retirement Study. Gerontologist. 2016 Jun;56(3):444-50. doi: 10.1093/geront/gnu078. Epub 2014 Aug 26.

    PubMed 25161263
  • Van't Leven N, Prick AE, Groenewoud JG, Roelofs PD, de Lange J, Pot AM. Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review. Int Psychogeriatr. 2013 Oct;25(10):1581-603. doi: 10.1017/S1041610213000860. Epub 2013 Jul 24.

    PubMed 23883489
  • Yu DSF, Cheng ST, Wang J. Unravelling positive aspects of caregiving in dementia: An integrative review of research literature. Int J Nurs Stud. 2018 Mar;79:1-26. doi: 10.1016/j.ijnurstu.2017.10.008. Epub 2017 Oct 16.

    PubMed 29128685
  • Hernandez SS, Sandreschi PF, da Silva FC, Arancibia BA, da Silva R, Gutierres PJ, Andrade A. What are the Benefits of Exercise for Alzheimer's Disease? A Systematic Review of the Past 10 Years. J Aging Phys Act. 2015 Oct;23(4):659-68. doi: 10.1123/japa.2014-0180. Epub 2014 Nov 21.

    PubMed 25414947
  • Puterman E, Weiss J, Lin J, Schilf S, Slusher AL, Johansen KL, Epel ES. Aerobic exercise lengthens telomeres and reduces stress in family caregivers: A randomized controlled trial - Curt Richter Award Paper 2018. Psychoneuroendocrinology. 2018 Dec;98:245-252. doi: 10.1016/j.psyneuen.2018.08.002. Epub 2018 Aug 2.

    PubMed 30266522
  • Prick AE, de Lange J, Scherder E, Twisk J, Pot AM. The effects of a multicomponent dyadic intervention on the mood, behavior, and physical health of people with dementia: a randomized controlled trial. Clin Interv Aging. 2016 Mar 31;11:383-95. doi: 10.2147/CIA.S95789. eCollection 2016.

    PubMed 27099480
  • Gellert P, Ziegelmann JP, Warner LM, Schwarzer R. Physical activity intervention in older adults: does a participating partner make a difference? Eur J Ageing. 2011 Jul 7;8(3):211. doi: 10.1007/s10433-011-0193-5. eCollection 2011 Sep.

    PubMed 28798651
  • Yeung PY, Wong LL, Chan CC, Leung JL, Yung CY. A validation study of the Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) in Chinese older adults in Hong Kong. Hong Kong Med J. 2014 Dec;20(6):504-10. doi: 10.12809/hkmj144219. Epub 2014 Aug 15.

    PubMed 25125421
  • American College of Sports Medicine; Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009 Jul;41(7):1510-30. doi: 10.1249/MSS.0b013e3181a0c95c.

    PubMed 19516148
  • Chu LW, Chiu KC, Hui SL, Yu GK, Tsui WJ, Lee PW. The reliability and validity of the Alzheimer's Disease Assessment Scale Cognitive Subscale (ADAS-Cog) among the elderly Chinese in Hong Kong. Ann Acad Med Singap. 2000 Jul;29(4):474-85.

    PubMed 11056778
  • Leung VP, Lam LC, Chiu HF, Cummings JL, Chen QL. Validation study of the Chinese version of the neuropsychiatric inventory (CNPI). Int J Geriatr Psychiatry. 2001 Aug;16(8):789-93. doi: 10.1002/gps.427.

    PubMed 11536346
  • Ko KT, Yip PK, Liu SI, Huang CR. Chinese version of the Zarit caregiver Burden Interview: a validation study. Am J Geriatr Psychiatry. 2008 Jun;16(6):513-8. doi: 10.1097/JGP.0b013e318167ae5b.

    PubMed 18515696
  • Chen KM, Snyder M, Krichbaum K. Translation and equivalence: the Profile of Mood States Short Form in English and Chinese. Int J Nurs Stud. 2002 Aug;39(6):619-24. doi: 10.1016/s0020-7489(01)00068-2.

    PubMed 12100873
  • Lou VW, Lau BH, Cheung KS. Positive aspects of caregiving (PAC): scale validation among Chinese dementia caregivers (CG). Arch Gerontol Geriatr. 2015 Mar-Apr;60(2):299-306. doi: 10.1016/j.archger.2014.10.019. Epub 2014 Nov 7.

    PubMed 25488014

Questions about this trial

What is this clinical trial studying?

A study testing BUDPA Program in people with Mild Dementia and Moderate Dementia, run by The University of Hong Kong at 1 site in Hong Kong.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog) (time frame: Baseline). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04913818, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Nov 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in