People with memory problems can struggle with everyday activities and may stop doing things
they want to do. They are more prone to accidents and have a higher risk of falling.
Occupational therapists can advise how to do daily activities more easily and safely.
Physiotherapists can teach exercises which increase activity and improve balance, and may
help maintain memory.
There is little research on how to make these interventions work for people with memory
problems. The investigators have developed two activity and exercise programmes suitable for
people with memory problems. The investigators will study them in a feasibility trial. One
programme involves high-intensity supervision (50 visits over one year), the other
moderate-intensity supervision (11 visits over three months). The investigators will compare
these with standard falls prevention assessment and advice (1-3 therapist visits). The
investigators will encourage participants to exercise by themselves or with family members
over the year, and once the programme ends.
People with early dementia or memory problems will be eligible for this study. If possible,
the investigators will also recruit a family member. Participants will be recruited from
memory clinics or the 'Join Dementia Research' register. The intervention will be delivered
over a maximum of 1 year in their own homes. Researchers will visit to collect information at
baseline and at 12 months. The investigators will measure ability in activities of daily
living, activity, quality of life, memory and health service use. Participants will complete
weekly falls diaries. Intervention persistence will be measured for 24 months.
The investigators will conduct interviews and discussion groups to help develop the
programmes, and understand how they work in practice ('process evaluation'). The
investigators will also do initial work on health economic modelling, dissemination and
Study findings will be used to refine the intervention, and inform a planned definitive
randomised controlled trial.