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 range
18 Years
Sex
ALL
See this in plain English?
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…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.