Preventing Loss of Independence Through Exercise in Community Living Centers (NCT06972004) | Clinical Trial Compass
By InvitationNot Applicable
Preventing Loss of Independence Through Exercise in Community Living Centers
United States288 participantsStarted 2025-10-01
Plain-language 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 Centers (CLCs). However, CLC staff members rarely receive specialized training in how to best engage and interact with these Veterans, which can lead to poor care quality, worsening of symptoms, staff burnout, and low morale throughout a facility. The investigators have developed a unique, mind-body, group movement program for Veterans with cognitive impairment called Preventing Loss of Independence through Exercise (PLIÉ) and found that it has physical, cognitive, social and emotional benefits in CLC residents. The investigators recently taught 50 staff members from a variety of professions in 5 CLCs to lead PLIÉ classes. The study will enable us to test whether the PLIÉ,LC staff training program improves outcomes for residents and to learn about the success and sustainment of the training.
Who can participate
Age range18 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
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
Exclus…