The Combined Multicomponent Intervention Specifically in Rural Community Older Adults at High Risk for Mild Cognition Impairment (CMintervention)
Elderly Disability (Dementia) Prevention and Intervention Project in Jinjiang Community, China
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Health education sessions: One 30-minute lecture every 4 weeks, covering topics such as diet, sleep, chronic disease management, and brain health.
Cognitive training: Weekly 45-minute sessions using fun mini-games to train memory, attention, arithmetic, and logical thinking.
Physical exercise: Weekly 45-minute sessions of traditional Chinese exercises (Baduanjin and Shiqiaoshou) to improve balance, flexibility, and fitness.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Fujian
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Quanzhou, Fujian, China
- Yuxi, Gucuo, Su'an, Qianhong village
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 60;
- Suffering from chronic diseases, such as hypertension, diabetes mellitus, hyperlipidemia, cardiovascular and cerebrovascular diseases, or osteoarthritis;
- Mild cognitive impairment (defined as Mini-Mental State Examination (MMSE) score of 21-26 combined with either an AD8 self-rated cognitive impairment score ≥ 2 or a digit span (backward) test (DST) score < 4);
- Mild physical impairment (defined as an Activities of Daily Living (ADL) score < 26 and a Short Physical Performance Battery (SPPB) score of 7-10).
Exclusion Criteria:
- Age <60;
- Unable to move physically;
- Already suffering from Alzheimer's disease.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CM intervention group
The CM intervention was a 24-week comprehensive program integrating health education, cognitive training, and physical exercise.
The health education sessions were delivered once every four weeks, with each session lasting 30 minutes.
In contrast, cognitive training and physical exercise sessions were conducted weekly, each with a duration of 45 minutes.
|
The CM intervention was a 24-week comprehensive program integrating health education, cognitive training, and physical exercise.
The health education sessions were delivered once every four weeks, with each session lasting 30 minutes.
In contrast, cognitive training and physical exercise sessions were conducted weekly, each with a duration of 45 minutes.
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|
No Intervention: Control group
the group that does not receive the intervention
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cognitive Function
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Cognitive function was assessed using the Minimum Mental State Examination (MMSE) scale (Folstein, Folstein, & McHugh, 1975).The MMSE evaluates five domains: orientation, registration, attention and calculation, recall, and language abilities.
Total scores range from 0 to 30, with higher scores indicating better cognitive performance.
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From enrollment to the end of intervention at 48 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Body Mass Index
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Height (cm) was measured using a wall-mounted height board, with the participant standing upright without shoes.
Weight (kg) was measured using a electronic load cell scale, with light indoor clothing and after voiding.
Body Mass Index (BMI) was calculated by dividing a person's weight in kilograms by the square of their height in meters (kg/m²).
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From enrollment to the end of intervention at 48 weeks
|
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Waist circumference
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Waist circumference (cm) was measured using a flexible, non-elastic tape measure at the midpoint between the lowest rib and the iliac crest, with the participant standing and breathing normally.
The measurement is taken to the nearest 0.1 cm at the end of normal expiration.
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From enrollment to the end of intervention at 48 weeks
|
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Blood pressure
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Blood pressure was assessed by measuring systolic and diastolic pressures (mmHg).
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From enrollment to the end of intervention at 48 weeks
|
|
Activities of daily living
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Activities of daily living were assessed via the Activities of daily living (ADL) scale (Ferrucci et al., 1996).
It employs a scoring range of 14 to 56, with higher scores indicating poorer functional ability.
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From enrollment to the end of intervention at 48 weeks
|
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Physical performance
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Physical performance was assessed via the Short Physical Performance Battery (SPPB) scale (Cruz-Jentoft et al., 2010).
It has a scoring range of 0 to 12, with higher scores reflecting better physical performance.
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From enrollment to the end of intervention at 48 weeks
|
|
Participant adherence
Time Frame: From enrollment to the end of intervention at 48 weeks
|
Participant adherence was summarized as the proportion of total participants who attended at least 50% of the intervention sessions, and separately for those who attended at least 75% of the sessions.
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From enrollment to the end of intervention at 48 weeks
|
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Participant satisfaction
Time Frame: From intervention at 36 weeks to the end of intervention at 48 weeks
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Participant satisfaction was assessed using a self-developed scale, with a total score of 30 points; higher scores indicated greater satisfaction with the program.
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From intervention at 36 weeks to the end of intervention at 48 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- No. XDYX202411K77
- 2022YFC3603000 (Other Grant/Funding Number: the National Key Research and Development Program of China)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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