- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03495037
Preventing Cognitive and Functional Decline Among Seniors at Risk
Preventing Cognitive and Functional Decline Among Seniors at Risk: A Community-Based Randomized Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Evidence suggests that 25-50% of community-dwelling older adults report SCD and that these individuals have an elevated risk for developing Mild Cognitive Impairment and/or dementia. Many of these individuals report difficulties with complex activities of daily living.
RWST aims to reduce these difficulties in everyday life by providing a meta-cognitive training approach that compensates for age-related executive changes. The approach is provided within the context of individually identified everyday-life difficulties.
The psycho-education approach is a Brain-Health Workshop supplemented by intellectually stimulating activities such as doing Sudoku and/or word searches. This approach provides information people may use to inform health behaviour changes.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Ontario
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Toronto, Ontario, Canada, M6A 2E1
- Baycrest Health Sciences
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Have subjective cognitive complaints
- Be fluent in written and spoken English
- Able to self-identify areas of their everyday lives in which they would like to improve.
Exclusion Criteria:
- Diagnosis of neurological conditions (e.g. dementia, mild cognitive impairment, Parkinson's)
- Presence of severe depression
- Presence of substance abuse
- History of hospitalization for psychiatric reasons
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Real World Strategy Training
Group intervention including education and strategy training to manage everyday functional difficulties.
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The key features of the protocol are: i. Participants are actively engaged in selecting their treatment goals.
The research clinician will work with the participants to identify five specific, measurable real-world goals using a standardized semi-structured interview, the Canadian Occupational Performance Measure.
Three of these will be training goals, two will not be trained but evaluated post-intervention for evidence of generalization and transfer to non-trained tasks; ii.
A global problem solving approach is used (Goal- Plan- Do- Check).
Participants are guided by the trainer to apply this strategy to their goals.
Other Names:
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ACTIVE_COMPARATOR: Psychosocial Education
Group sessions including education on brain health.
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The active comparator uses an information-based format and is designed to engage participants without providing any specific training techniques or strategies.
During weekly sessions, participants will receive factual information on brain structure and function, age-related cognitive changes, and general brain health issues and will spend time doing non-specific cognitive exercises including crossword and Sodoku puzzles.
Homework will consist of reading assignments related to the session topics.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in improved performance (measured as total number of untrained goals improved to criterion) on the Canadian Occupational Performance Measure (COPM) immediately post-intervention.
Time Frame: Changes from baseline to post-intervention at 10 weeks.
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The COPM is a standardized semi-structure interview in which participants identify everyday life difficulties (defined as things they need to or want to do).
These issues are converted to goals with performance rated on a 10-point Likert-type scale.
Goals considered improved to criterion are those that have a 2 or more points increase on ratings.
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Changes from baseline to post-intervention at 10 weeks.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Improved performance on the Canadian Occupational Performance Measure (COPM) measured at three and six months post-intervention.
Time Frame: Three and six months post-intervention.
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See primary outcome.
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Three and six months post-intervention.
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Improved satisfaction with performance on trained and untrained goals identified using the COPM.
Time Frame: 10 weeks after baseline (after intervention), 3 months post-intervention, 6 months post-intervention.
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Satisfaction with performance is measured on a 10-point Likert type scale using the COPM.
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10 weeks after baseline (after intervention), 3 months post-intervention, 6 months post-intervention.
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Improved performance on the Multiple Errands Test (MET).
Time Frame: 10 weeks after baseline (after intervention), 3 months post-intervention, 6 months post-intervention.nths post-intervention.
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The MET is an ecologically valid, performance measure being used to determine if strategies learned in RWST are transferred to novel contexts.
Best performance is achieved through completing all tasks (n=12) without breaking any rules (n=9).
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10 weeks after baseline (after intervention), 3 months post-intervention, 6 months post-intervention.nths post-intervention.
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Change in health-related Quality of Life
Time Frame: Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention.
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Health-related quality of life will be measured using the SF-36.
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Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention.
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Improved performance on neuropsychological measures of executive function.
Time Frame: Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention.
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Changes in executive function are anticipated as meta-cognitive strategy training targets the executive control system.
These will be measured using the Delis-Kaplan Executive Function System.
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Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention.
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- REB1738
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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