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NCT06972004

Preventing Loss of Independence Through Exercise in Community Living Centers

Enrolling by Invitation
NAAges 18+InterventionalHealth services
VA Office of Research and Development
~288 participants
Updated 2025-10-22 on ClinicalTrials.gov
What's tested:Preventing Loss of Independence through Exercise (PLIE)

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
MDS Section G (Resident Physical Function)
Measured over -6 to 0 months (baseline), 0-6 months, 9 months, 2 months

Conditions

Dementia
Cognitive Dysfunction

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Cognitive DysfunctionDementiaNeurocognitive disorder

Where it's being run

1 sites across 1 states
California1

Study leadership

  • Francesca M Nicosia, PhD MA · PRINCIPAL_INVESTIGATOR · San Francisco VA Medical Center, San Francisco, CA
  • Linda L. Chao, PhD BS · PRINCIPAL_INVESTIGATOR · San Francisco VA Medical Center, San Francisco, CA

Who to contact

This trial hasn't published a contact. View it on ClinicalTrials.gov

Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

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
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
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
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

Exclusion

Comatose
Bedbound
Severe hearing, visual or communication challenges (i.e., unable to hear, see or understand well enough to participate)
Limited life expectancy (e.g., eligible for hospice)
Lack of ability to consent/assent to study procedures

What this trial measures

  • MDS Section G (Resident Physical Function)-6 to 0 months (baseline), 0-6 months, 9 months, 2 months

    The investigators will assess change in resident physical function using the Minimum Data Set (MDS) 3.0. The MDS has nearly 400 data elements, including cognitive function, physical functioning, behavioral symptoms, mood symptoms, pain and falls. Facility MDS coordinators (typically RNs) complete assessments for all Veterans in CLCs on admission, quarterly, and with changes in status. Reliability of the MDS is "very good" to "excellent" on most data items and scales. The investigators are using an 17-item MDS physical function measure that combines items from sections G1 (assistance needed with bed mobility, transferring, walking in room, walking in facility, and locomotion) and G3 (balance in standing, walking, turning around, getting on and off the toilet, and transferring) to create a continuous score that ranges from 0 (fully independent and steady at all times) to 136 (unable to do with or without assistance).