Inputs | Activities | Outputs | Impacts | Outcomes |
---|---|---|---|---|
Human resources: • Tai Chi instructors to deliver the intervention • Research team to make telephone calls to remind dyads to attend classes Products: • Booklet to support practice of home-based Tai Chi • Homework sheets to support practice of home-based Tai Chi • Alarm clocks to help remind dyads to practise Tai Chi at home Estates: • Venues in the NHS / community accessible by public transport and that have free car parking for hire of the Tai Chi classes | Intervention contact: • Weekly 90 min Tai Chi class for 20 weeks (45mins Tai Chi, 45mins socialising/Q&A with instructor) • A home visit by Tai Chi instructor in weeks 3–4 to support Tai Chi practice at home through behaviour change techniques (joint action & coping planning with carer) • Telephone contact by research team in weeks 2–18 to remind to attend classes if consecutively fail to attend 2 classes for unknown reason Intervention led by carer: • PWD to practise Tai Chi 20 mins per day • Daily self-monitoring & weekly instructor feedback: PWD to complete a daily diary of Tai Chi practised at home and hand to instructor at Tai Chi class weekly | • Joint action plan for practising Tai Chi at home • Joint coping plan for practising Tai Chi at home • Diaries of Tai Chi practised at home | • Increased participation in Tai Chi; physical activity designed to improve balance and prevent falls • Increased support to do Tai Chi via weekly instructor-led classes • Increased social support to practise Tai Chi through weekly contact with instructor and peers at the classes, and telephone reminders • Increased support to do Tai Chi at home via home booklet, homework sheets, action and coping planning, self-monitoring, instructor feedback, and alarm clock reminder | Direct: • Reduction in risk of falls via increased dynamic balance (postural stability) • Further reduction in risk of falls via: (a) increased functional balance (postural stability) (b) increased static balance (postural stability) (c) reduced fear of falls (d) delayed deterioration in global cognitive functioning (e) delayed deterioration in visual-spatial cognitive functioning • Reduction in risk of falls in the carer via: (a) increased dynamic balance (postural stability) (b) increased static balance (postural stability) Indirect (via the above): • Reduction in rate of falls • Increased quality of life • Increased quality of life in the carer • Reduced carer burden |