Adherence to a Lifestyle Physical Activity Program for Caregivers of Persons with Alzheimer's Disease

Researchers have found that strained caregivers of persons with Alzheimer's Disease are at increased risk for depression, anxiety and negative health behaviors. Engaging in regular physical activity is important for optimal health and the prevention of chronic diseases. Researchers hypothesize that the strenuous role of caregiving and related factors could affect caregiver physical activity. This clinical trial randomly assigned 106 strained, sedentary caregivers to an Enhanced Physical Activity Intervention (EPAI: treatment) group. EPAI is a home- and phone-based intervention providing the caregiver with 20 contacts from a trained Telephone Counselor over 12 months. The goal of EPAI was to increase lifestyle physical activity while addressing caregiving-related concerns that often create barriers to physical activity. EPAI sought to help caregivers find a combination of activities to fit their needs, interests and abilities in order to gradually increase their activity levels. Strategies for increasing physical activity relied on working with caregivers to set short and long-term goals and to self-monitor activity patterns. Consistent with the Surgeon General recommendations, caregivers were encouraged to engage in moderate physical activity 30 minutes/day for most days/week. Additional support from the Telephone Counselor focused on overcoming obstacles and barriers to physical activity brought on by caregiving responsibilities, discussions of practical solutions to overcome them and mechanisms to prevent relapse. We will report preliminary baseline, three- and six-month outcomes and issues faced during EPAI implementation. The process of intervention goal setting and attainment; and challenges faced in assisting caregivers to increase physical activity will also be addressed.