Using participatory research to co‐create the dementia‐inclusive choices for exercise toolkit. (December 2021)

• Record Type: Journal Article
• Authors: Middleton, Laura E; Koch, Melissa; Freeman, Shannon; Pelletier, Chelsea; Bechard, Lauren Elizabeth; Mohamed, Saara; Heibein, William; Johannesson, Carole; Dupuis, Sherry L; Astell, Arlene J.; Giangregorio, Lora; Regan, Kayla
• Is Part Of: Alzheimer's & dementia. Volume 17(2021)Supplement 7
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-12
• Subjects: Alzheimer's disease -- Periodicals; Alzheimer Disease -- Periodicals; Dementia -- Periodicals; Démence; Maladie d'Alzheimer; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.83
• DOI: 10.1002/alz.053215
• Languages: English
• ISSNs: 1552-5260

Abstract

Abstract: Background: Exercise improves functional abilities of persons living with dementia (PLWD) and provides an opportunity for social engagement, support, and inclusion. Yet, there are few exercise programs available to PLWD, especially in smaller communities. The goal of the Dementia‐Inclusive Choices for Exercise (DICE) project was to use participatory processes to create evidence‐informed knowledge translation (KT) resources to increase the number and quality of exercise opportunities for PLWD. Method: The DICE core team includes PLWD, a family care partner (CP), exercise providers (EPs), dementia service providers (DSPs), health care professionals, and researchers. In the early project stages, we confirmed objectives and conducted 1 survey, 2 interviews, 16 focus groups to better understand barriers to and supports needed for exercise among PLWD. Results led to the prioritizing of primary (EPs) and secondary (PLWD & CP) target audiences for the KT resources. Co‐creation of the KT resources followed several steps: 1) drafting content and possible formats for resources over several core team meetings; 2) conducting a one‐day workshop with additional PLWD, CPs, EPs, and DSPs to develop a comprehensive plan for the content and format for each resource, target audience, and dissemination strategies; 3) using iterative design among the core team, resource developers, and additional PLWD, CPs, EPs, and DSPs to develop resources; and 4) usability testing. Result: Key information to be translated included understanding the diversity of dementia, rights of PLWD to inclusion, physical activity guidelines/benefits, and dementia‐inclusive communication, practices, and design. This information is delivered through the DICE toolkit, which includes a website, on‐line training modules and manual targeted at exercise providers, destigmatizing videos that show the stories of PLWD, and resources for PLWD and their CPs to increase knowledge and confidence regarding exercise. Subsequent usability testing among EPs, PLWD, and CPs (n=7) identified design and content adjustments. Collaborative and inclusive decision making created improved relationships and ongoing learning between all stakeholders. Conclusion: The participatory approach of the DICE project enabled stakeholders to identify and share perspectives and needs throughout the co‐creation process. Working collaboratively and iteratively with a diverse team ensured that the DICE toolkit is relevant and usable to EPs, PLWD, and CPs.