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Table 3 Adherence and retention plan

From: Effects of aerobic exercise on cognition and hippocampal volume in Alzheimer’s disease: study protocol of a randomized controlled trial (The FIT-AD trial)

Program-level strategies:

1

Individualize exercise program to improve enjoyment and comfort

2

Monitor subject reactions during exercises to ensure safety

3

Exercise at sites convenient for subjects

4

Provide transportation to all study activities

5

Keep individual exercise diaries that subjects can share with families

6

Reimburse gym membership fees (will be prorated)

7

Collect data on separate days during each data-collection week (<2 hours/day)

8

Allow make-ups for vacations and illness

9

Compensate subjects (will be prorated)

Staff-level strategies:

1

Know the person (for example, routine, personality, likes, dislikes, and communication patterns)

2

Guide subjects with sensitivity

3

Frequent communications with family caregivers and health care providers (for example, provide progress summary letters for upcoming doctor appointments)

4

Address unmet needs to reduce BPSD

5

Focus on achievement and progress

6

Establish rapport from day 1

  1. Abbreviation: BPSD behavioral and psychological symptoms of dementia.