Status:
ENROLLING_BY_INVITATION
Preventing Loss of Independence Through Exercise in Community Living Centers
Lead Sponsor:
VA Office of Research and Development
Conditions:
Dementia
Cognitive Dysfunction
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Approximately 40,000 older Veterans who have complex care needs (for example, a combination of severe cognitive, physical, and mental health conditions) receive long-term care in VA Community Living C...
Detailed Description
Background: Preventing Loss of Independence through Exercise (PLIÉ) is a unique, mind-body, group movement program for people living with cognitive impairment and dementia that has been found to have ...
Eligibility Criteria
Inclusion
- CLC internal facilitators/champions Inclusion criteria:
- Full-time CLC clinical staff member (including registered nurses, certified nursing assistants, nurse aids, recreation therapists, occupational therapists, physical therapists, mental health professionals or others)
- Willingness to facilitate PLIÉ-CLC implementation at their site
- Willingness to participate in initial and debrief site visit
- PLIÉ-CLC staff instructors Inclusion criteria:
- CLC clinical staff member or volunteer interested in learning to lead PLIÉ-CLC classes
- Willingness to participate in remote training process
- Willingness to lead PLIÉ classes locally, including tracking attendance and other process measures
- Willingness to participate in initial and debrief site visits and biweekly check-ins
- Veteran residents of Community Living Centers (CLCs) Inclusion criteria:
- Long-stay resident (have resided at the facility for at least 45 days and are not expected to be discharged during the study period)
- Not planning to be discharged within the next 12 months
- Not receiving hospice care.
- Cognitive impairment
- Ability to sit in a standard chair or wheelchair unaided for a 1-hour class
- English language fluency
- CLC directors Inclusion criteria:
- Recommended by VHA leader as likely to be 'early adopter' based on successful implementation of program such as STAR-VA OR
- g based on patient population (primarily palliative care or long stay maintenance/custodial care
Exclusion
- CLC internal facilitators/champions exclusion Criteria:
- \- Planning to leave the facility in next 12 months
- PLIÉ-CLC staff instructors exclusion criteria:
- \- Planning to leave the facility in next 12 months
- Veteran residents of Community Living Centers (CLCs) exclusion Criteria:
- Comatose
- Bedbound
- Severe hearing, visual or communication challenges (i.e., unable to hear, see or understand well enough to participate)
- Limited life expectancy (e.g., eligible for hospice)
- Lack of ability to consent/assent to study procedures
- CLC Directors exclusion criteria:
- \- Lack of willingness or interest in participating
Key Trial Info
Start Date :
October 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 30 2029
Estimated Enrollment :
288 Patients enrolled
Trial Details
Trial ID
NCT06972004
Start Date
October 1 2025
End Date
June 30 2029
Last Update
October 22 2025
Active Locations (1)
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1
San Francisco VA Medical Center, San Francisco, CA
San Francisco, California, United States, 94121-1563