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

Background Despite the high prevalence of physical disabilities among older adults with cognitive impairment, physical function is rarely addressed. Objective This 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. Methods Thirteen 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. Results Participants 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.