who received treatment as usual, i.e., no HABIT intervention. Results: Non- HABIT participants carried a diagnosis of MCI longer than HABIT partic- ipants (p<.001) and reported a greater sense of self-efficacy (p¼0.03) at baseline. There were no differences in QOL at baseline. Percent change in scores from baseline to 3 months was calculated to control for baseline dif- ferences. Analysis of variance showed that HABIT MCI participants showed significantly greater percent change in both self-efficacy and QOL than non-HABIT participants. Specifically, HABIT participants re- ported more improvement in quality of life than did non-HABIT partici- pants (7.4% vs. 0.9%, p¼.001). HABIT participants additionally reported improvement in self-efficacy, whereas non-HABIT participants reported a decline (8.9% improvement vs. 3.8% decline, p¼.002). Conclusions: Multicomponent behavioral interventions such as HABIT can help provide individuals with MCI with a greater sense of self-efficacy, which may trans- late into improved quality of life and sense of well-being. The consequences of such an achievement may have a significantly positive impact on care- givers and the health care system. P2-362 AGREEMENT BETWEEN SELF- AND PROXY- RATED PHYSICAL ACTIVITY IN PATIENTS WITH MILD ALZHEIMER’S DISEASE: THE DANISH ALZHEIMER’S DISEASE INTERVENTION STUDY (DAISY) Kristian Steen Frederiksen 1 , Frans Boch Waldorff 2 , Gunhild Waldemar 3 , 1 Danish Dementia Research Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; 2 Research Unit and Department of General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark; 3 Danish Dementia Research Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. Contact e-mail: Kristian.Steen.Frederiksen@regionh.dk Background: Alzheimer’s disease (AD) is the most prevalent neurodegen- erative dementia disease, responsible for 40-50 % of dementia cases. Treat- ment consists of pharmacological therapy, and psychosocial supportive measures. In recent years, physical activity has emerged as a potential ther- apy, which may alleviate symptoms and modify pathology. Many studies, investigating the effects of physical activity in AD patients, rely on patient as well as proxy rated questionnaires to estimate the prevalence of physical activity. However, little is known about agreement between these two methods. Objectives were to assess agreement between patient- and proxy-rated physical activity in mild AD, and to explore factors which may contribute to disagreement. Methods: Baseline data from the Danish Alzheimer’s Intervention StudY (DAISY) were used. The level of physical activity was assessed by an item in a questionnaire answered independently by both patients and primary caregiver (proxy). Patients and proxies rated patients’ level of physical activity as either "no physical activity", "less than 4 hours per week" or "more than 4 hours per week". Fisher’s exact test was used for categorical variables. Agreement between proxy- and pa- tient-rated physical activity was examined using Cohen’s kappa. To examine possible factors contributing to agreement in the assessment, a logistic regression model including gender, age, MMSE and anosognosia was con- ducted. Results: In total, 327 patients (Age (mean, SD): 76.2, 6 7.2; gender f/m: 177/151) with data on proxy- and patient-rated physical activity were included. The prevalence of patient- and proxy-rated physical activity at baseline less than 4 hour/week was 40.1 % and 47.1 %, and more than 4 hour/week was 41.8 % and 29.7 %, respectively (p<0.0001). Prevalence of agreement was 61.3 %. Cohen’s kappa (0.41, SE: 6 0.04) indicated a fair to moderate agreement. There was a significant association between agreement and anosognosia in the direction that higher levels of anosogno- sia (Beta: -0.45, p:0,020) was associated with more interrater disagreement. Conclusions: Discrepancies between patient- and proxy-rated physical ac- tivity may reflect an overestimation by patients of their physical activity level. An association between discrepancy and higher anosognosia may sup- port this conclusion since the lack of insight also affect the ability to assess physical activity level. P2-363 DEVELOPMENT OF COGNITION AND MOOD IN PARTICIPANTS OF THE AKTIVA-MCI INTERVENTION TRAINING Valentina Antonia Tesky 1 , Sandra Sahlender 2 , Theresa Koebe 3 , Veronica Witte 4 , Agnes Fl€ oel 4 , Johannes Pantel 5 , 1 Geriatric Medicine, Institute of General Practice, Goethe University, Frankfurt am Main, Germany; 2 Institut of General Practice, Goethe-University, Frankfurt, Germany; 3 Department of Neurology, Charit e Berlin, Berlin, Germany; 4 Charit e University Berlin, Berlin, Germany; 5 Institut of General Practice, University of Frankfurt, Frankfurt, Germany. Contact e-mail: tesky@ allgemeinmedizin.uni-frankfurt.de Background: The AKTIVA-MCI program is a new interventional training for persons with mild cognitive impairment (MCI). It aims to enhance cognitive functioning through an increasing frequency of cognitively stim- ulating leisure activities like reading, drawing, making music, playing chess or bridge. This program is based on the AKTIVA intervention for cogni- tively healthy elderly people and was modified with respect to the special needs of individuals with MCI. Additional to psycho-educational sessions there are a variety of interactive exercises, self-monitoring parts and individ- ual coaching offered to every participant. This presentation reports on the pre-post intervention effects for AKTIVA-MCI which was implemented 2013 in two German university hospitals. Methods: Altogether 24 patients (13 female; 72.3 years, SD ¼ 6.9 years; MMSE 28, SD ¼ 2.2, range¼ 22-30) are enrolled in the still ongoing AKTIVA-MCI trial. Over a duration of 20 weeks there are 13 group sessions in small groups (5-10 participants per group) and a pre-post-testing of the main outcomes. The interventional ef- fects are measured longitudinally using standardized psychometric tests (i.e. MMSE, ADAS-Cog) and questionnaires (i.e. SDS, MAC-Q). In order to measure the frequency of cognitively stimulating activities during the intervention training program, the participants were required to complete daily activity protocols. These protocols include 30-item questionnaires scoring the frequency of participation in leisure activities on a six point Lik- ert Scale. Results: Preliminary analyses of the pre-post data indicate that cognitive status and mood remained stable over duration of 6 moths. Con- clusions: Detailed results including the analysis of the daily activity proto- cols will be presented at the congress. P2-364 DIFFICULTIES, SATISFACTIONS, AND STRATEGIES OF THE CAREGIVING ROLE: A DELICATE BALANCE Audrey Rieucau 1 , Jean-Philippe David 2 , Isabelle Fromentin 2 , Catherine Bungener 1 , 1 Paris Descartes University, Boulogne Billancourt, France; 2 Henri Mondor University Hospital, Limeil Br evannes, France. Contact e-mail: audrey.rieucau@erx.aphp.fr Background: Studies dealing with the experience of caregivers are full of data concerning the negative consequences of this role. Recently, new liter- ature has been emerging which prones a global conceptualisation of the caregiving role, and which takes into account both the burden felt and the secondary benefits accrued, not to mention the expertise acquired during the course of the disease (Nolan, 2001). It has been shown that both positive and negative repercussions relative to this situation can coexist in the same caregiver (Kinney and Stephens, 1989). However, very little research has been devoted to exploring the link between these different aspects. We can consider these aspects to be different facets of a single experience, the former ones interdependant with the latter, creating a necessary balance for the caregiver so that he or she will be able to fulfill this role. Methods: 113 caregivers of persons with Alzheimer’s disease completed clinical scales to measure their difficulties (CADI), satisfactions experienced (CASI) and strategies used (CAMI) in the caregiving relationship. Results: Statistically significant links appear between the types of difficulties to which some caregivers may be more sensitive and the types of satisfactions obtained or strategies used. For example, caregivers who will suffer the most negative repercussions on their quality of life will, on the other hand, be those who experience the most satisfactions by envisioning their implication Poster Presentations: P2 P612