Dementia Care Reimagined: The Multimodal Preventing Loss of Independence Through Exercise (PLIÉ) Program

Friday, November 4, 2022

8:00 AM – 9:30 AM ET

Location: 204 CC

CE: 1.5

Chair(s)

Francesca Nicosia, PhD, C-IAYT

Assistant Professor
Institute for Health & Aging
University of California, San Francisco
San Francisco, California, United States

Discussant(s)

Theresa Allison, MD, PhD (she/her/hers)

Professor of Medicine and Family & Community Medicine
Division of Geriatrics
University of California, San Francisco
San Francisco, California, United States

Individual Symposium Abstract First Author(s)

Deborah Barnes, PhD, MPH

Professor
Department of Psychiatry and Behavioral Sciences
University of California, San Francisco
San Francisco, California, United States
Jennifer Lee, GCFP

Senior PLIE Instructor and Lead Training Facilitator
Research & Development
San Francisco VA Health Care System / Together Senior Health
San Francisco, California, United States
Francesca Nicosia, PhD, C-IAYT

Assistant Professor
Institute for Health & Aging
University of California, San Francisco
San Francisco, California, United States

Over 6 million people in the United States and 50 million people worldwide are living with some form of dementia. Current pharmacotherapies for people living with dementia (PLWD) can provide some symptomatic relief but do not alter the disease course, have numerous side effects, and do not improve quality of life. Non-pharmacologic and behavioral interventions are increasingly recognized as inexpensive and effective ways to improve a wide range of outcomes for PLWD. Yet few interventions target multiple domains related to dementia quality of life. This symposium overviews the Preventing Loss of Independence through Exercise (PLIÉ) program, an evidence-based, integrative mind-body group movement program that targets key domains associated with better quality of life in PLWD: physical function, cognitive function, well-being, social connection, and self-esteem. This symposium provides an overview of the broad impact of this novel, non-pharmacologic, multimodal intervention on quality-of-life outcomes for PLWD, including expansion to include care partners and people with mild cognitive impairment and implementation in varied settings including adult day programs, nursing homes, and online delivery. It includes a participatory component for attendees to experience PLIÉ in action. Discussion focuses on the need for programs that support dementia quality of life through engagement in mind-body movement and social connection.

Learning Objectives:

After attending this session, participants will be able to describe the benefits associated with Preventing Loss of Independence through Exercise (PLIÉ), a non-pharmacologic, multimodal intervention to improve quality of life for people living with dementia.
After attending this session, participants will be able to describe components of an interprofessional staff training program for PLIÉ in long term care settings.
After attending this session, participants will be able to understand factors shaping online delivery of PLIÉ for people with dementia, cognitive impairment and care partners.

Presentations:

8:00 AM – 9:30 AM ET

Overview and Evidence-Base for Preventing Loss of Independence Through Exercise (PLIÉ)
Individual Symposium Abstract First Author: Deborah E. Barnes, PhD, MPH – University of California, San Francisco
8:00 AM – 9:30 AM ET

Development and Testing an Interprofessional PLIÉ Training Program for VA Nursing Home Staff
Individual Symposium Abstract First Author: Jennifer Lee, GCFP – San Francisco VA Health Care System / Together Senior Health
8:00 AM – 9:30 AM ET

Moving Together Online for People Living with Mild Cognitive Impairment/Dementia and Care Partners
Individual Symposium Abstract First Author: Francesca M. Nicosia, PhD, C-IAYT – University of California, San Francisco