Adaptation Outcomes of a CAPABLE-Family Open-Label Pilot Study for Community-Dwelling Older Adults With Mild Cognitive Impairment/Early Dementia and Disability

BackgroundDespite the high prevalence of physical disabilities among older adults with cognitive impairment, physical function is rarely addressed.ObjectiveThis study evaluates acceptability and feasibility of CAPABLE-Family, a home-based intervention adapted from CAPABLE to support older adults with mild cognitive impairment (MCI)/early dementia.MethodsThirteen participants (six older adults with care partners (dyads) and one older adult without a care partner) received the intervention and provided feedback on necessary adaptations.ResultsParticipants were 86 ± 4.7 years old, 71% female, and 43% White. All but one (lost to follow-up due to medical decline) remained in the study, demonstrating feasibility. At endpoint, 100% of those completing the satisfaction survey found the program useful and would apply strategies to future goals. Key adaptations included an optional fifth RN visit, a care partner resources folder, and a care partner conversation to ensure the intervention remained focused on the older adult with MCI/early dementia.