- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03987464
Platform-based Mild Cognitive Impairment (MCI) Trial
February 23, 2022 updated by: Allison Gibson
Platform-Based Mild Cognitive Impairment (MCI) Trial to Address Maladaptive Behaviors
The process of receiving a diagnosis of mild cognitive impairment (MCI) is recognized to induce behavioral responses that can be either adaptive or maladaptive.
Five specific areas of concern have been identified, including: 1) failure to plan for future decline, decreased compliance and interaction with medical care providers, 3) decreased confidence and reduced social engagement, 4) increased physical limitations and 5) decreased medication compliance.
In this pilot study, participants with MCI and their study partners will participate in behavioral interventions (primarily training workshops and classes) targeting each of these five areas of potential maladaptive behaviors.
Study Overview
Status
Completed
Conditions
Detailed Description
Following the approval of an application reviewed by the University's Institutional Review Board, the researcher will evaluate the intervention using a complimentary mixed methods approach.
The study will consist of a single-site platform trial examining the intervention group.
There are many benefits to using a platform trial approach.
First, using a platform trial allows the 18 participants to explore different arms of the intervention.
Second, the platform design will allow us to also determine the effects of the interventions on patient help-seeking and adherence behavior in real-world care is critical to estimates of cost-effectiveness.
As one of the specific aims of this study is to determine user feedback about modifying behaviors from various interventions, as opposed to determining which intervention is most effective, a platform trial will accomplish this.
Study Type
Interventional
Enrollment (Actual)
38
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- current subjects of the University of Kentucky Alzheimer's Disease Center (ADC)
- meet consensus guidelines for mild cognitive impairment (MCI) developed by the Second International Working Group on MCI
- have been diagnosed within the last year
- able to provide informed consent
- have a study partner willing to participate
Exclusion Criteria:
- history of stroke
- significant neurological or psychiatric conditions
- brain injury
- residence in institutional setting
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Patients with MCI
Participants diagnosed with mild cognitive impairment (MCI) and their study partners
|
This intervention will include attending an advance directives meeting, a living arrangements workshop, and a psychosocial education training workshop.
This intervention includes creating a health portfolio, health record access training, and a medical engagement workshop
This intervention includes mindfulness training, a pre-experience training techniques workshop and a memory strategies class.
This intervention includes physical/occupational therapy (PT/OT), a home safety assessment, and an independent exercise program.
This intervention includes using automated pillboxes to ensure medication compliance, optimizing appropriate medication use through review, and engaging with memory medications via class.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Self-Efficacy; general self-efficacy scale (GSES)
Time Frame: 9 months
|
The general self-efficacy scale (GSES) is a ten-item scale.
Scores range from 10-40, with higher scores indicating more self-efficacy.
|
9 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Readiness to complete advance directives (ACPES)
Time Frame: 9 months
|
The readiness to complete advance directives is a 4-item scale.
Scores range from 4-20, with higher scores indicating more readiness to complete advance directives.
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9 months
|
Motivations Around Advance Care Planning (ADS)
Time Frame: 9 months
|
The motivations around advance care planning is a 9-item scale.
Scores range from 9-45, with higher scores indicating motivational influences for advance care planning decisions
|
9 months
|
Long Term Care Planning Behavior Scale (LTCP), planning subscale
Time Frame: 9 months
|
The considered future living arrangement is a 3-item subscale.
Scores range from 3-15, with higher scores indicating higher knowledge about future living arrangement options.
|
9 months
|
Long-Term Supports and Services (LTSS)
Time Frame: 9 months
|
The long-term supports and services is an 11-item scale.
Scores range from 0-11, with higher scores indicating being more open to long-term support and service options.
|
9 months
|
World Health Organization Quality-of-Life (WHOQOL), Brief - Psychological and Social Relationship subscale
Time Frame: 9 months
|
WHOQOL psychological and social relationships is an 9-item subscale.
Scores range from 9-25, with higher scores indicating a higher quality-of-life.
|
9 months
|
MCI Test of Knowledge (MCI-ToK)
Time Frame: 9 months
|
The long-term supports and services is an 5-item scale.
Scores range from 0-5, with higher scores indicating a higher level of knowledge about MCI.
|
9 months
|
Long Term Care Planning Behavior Scale (LTCP), health subscale
Time Frame: 9 months
|
The LTCP health subscale is 3-items.
Scores range from 0-12, with higher scores indicate willingness to follow directions about healthcare supports and services.
|
9 months
|
Technophilia Scale, Technology for health subscale (TTfH)
Time Frame: 9 months
|
The Technophilia Scale-Technology for health subscale is 2-items.
Scores range from 2-10, with higher scores indicate a higher rate of use of technology for one's health.
|
9 months
|
Technophilia Scale, Comfort with technology subscale (TCwT)
Time Frame: 9 months
|
The Technophilia Scale-Comfort with technology is a 4-item scale.
Scores range from 4-20, with higher scores indicate a higher rate of perceived comfort with using technology.
|
9 months
|
Technophilia Scale, Use of technology subscale (TUoT)
Time Frame: 9 months
|
The Technophilia Scale-Use of technology is 3-items.
Scores range from 3-15, with higher scores indicating more frequent use of technology.
|
9 months
|
Patient communication pattern scale (PCPS)
Time Frame: 9 months
|
The PCPS is a 14-item scale.
Scores range from 14-84, with higher scores indicating higher rates of communication with healthcare professionals.
|
9 months
|
Comfort engaging medical professionals (CEMP)
Time Frame: 9 months
|
The CEMP is a 4-item scale.
Scores range from 4-20, with higher scores indicating more more comfort with engagement with medical care.
|
9 months
|
Mindfulness Attention Awareness Scale (MAAS)
Time Frame: 9 months
|
The MAAS is a 6-item scale.
Scores range from 6-90, with higher scores indicating higher awareness of daily thoughts and tasks.
|
9 months
|
Mindfulness Adherence Questionnaire (MAQ)
Time Frame: 9 months
|
The MAAS is a 4-item scale.
Scores range from 0-20, with higher scores indicating higher rates of adherence to the practice of mindfulness.
|
9 months
|
CHAMPS Physical Activity Questionnaire for Older Adults (CHAMPS), Social engagement subscale.
Time Frame: one month
|
The CHAMPS's social engagement is a 5-item subscale.
Scores range from 0-30, with higher scores indicating higher rates of social engagement.
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one month
|
Social Interaction Anxiety Scale (SIAS)
Time Frame: 9 months
|
The SIAS is a 6-item scale.
Scores range from 0-12, with higher scores indicating higher levels of social interaction anxiety.
|
9 months
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Crowne-Marlowe Social Desirability (CMSDS)
Time Frame: 9 months
|
The CMSDS includes 2-items.
Scores range from 0-2, with lower scores indicating higher levels of social desirability.
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9 months
|
Memory Situation Questionnaire (MSQ; adapted)
Time Frame: 9 months
|
The MSQ includes 5-item scale.
Scores range from 0-5, with higher scores indicating higher knowledge of memory strategies.
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9 months
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Sickness Impact Profile (SIP) - subscales including body care and movement, mobility, and home management
Time Frame: 9 months
|
The SIP subscales include 6-items.
Scores range from 0-6, with higher scores indicating higher impact of illness.
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9 months
|
CHAMPS Physical Activity Questionnaire for Older Adults (CHAMPS), Physical activity subscale
Time Frame: 9 months
|
The CHAMPS's social engagement is a 7-item subscale.
Scores range from 0-35, with higher scores indicating higher rates of physical activity.
|
9 months
|
Long Term Care Planning Behavior Scale (LTCP), home modifications item
Time Frame: 9 months
|
This is 1 item on home modifications.
Scores range from 0-1, with "0" representing no home modifications to prepare for the future and "1" indicating changes home modifications made to prepare for the future.
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9 months
|
Short Falls Efficacy Scale (Short FES-I)
Time Frame: 9 months
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The SIP subscale includes 7-items.
Scores range from 0-28, with higher scores indicating higher concern for falls.
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9 months
|
36-Item Short Form Survey (SF-36) - physical functioning, pain, energy/fatigue, subscales
Time Frame: 9 months
|
These subscales include 16-items.
Scores range from 16-61, with lower scores indicating higher limitations to physical functioning.
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9 months
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Activity
Time Frame: 9 months
|
Uniaxial accelerometer (MTI) measured activity counts
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9 months
|
Medication Adherence (MA-MCI)
Time Frame: 9 months
|
The Medication Adherence scale includes 3-items for the MCI subjects.
Scores range from 3-15, with lower scores indicating higher medication adherence.
|
9 months
|
Medication Adherence (MA-SP)
Time Frame: 9 months
|
The Medication Adherence scale includes 3-items and is for the subjects that are study partners to the participant diagnosed with MCI.
Scores range from 3-15, with lower scores indicating higher medication adherence.
|
9 months
|
Concerns about Memory Medications (CaMM)
Time Frame: 9 months
|
This is 1 item.
Scores range from 0-1, with "0" not adhering to medication and "1" is adhering to medication.
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9 months
|
Motivations around Memory Medications (MMM)
Time Frame: 9 months
|
The Motivations around Memory Medications scale includes 4-items.
Scores range from 5-20, which measures attitudes around memory medications.
Higher score indicates more positive attitudes about taking memory medications.
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9 months
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MCI Medication Test of Knowledge (MCI-MToK)
Time Frame: 9 months
|
The MCI Medication Test of Knowledge scale includes 4-items.
Scores range from 0-4 where a higher score indicates a higher level of medication knowledge.
|
9 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Allison Gibson, PhD, MSW, University of Kentucky
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
November 1, 2019
Primary Completion (ACTUAL)
December 14, 2021
Study Completion (ACTUAL)
December 14, 2021
Study Registration Dates
First Submitted
June 12, 2019
First Submitted That Met QC Criteria
June 14, 2019
First Posted (ACTUAL)
June 17, 2019
Study Record Updates
Last Update Posted (ACTUAL)
February 25, 2022
Last Update Submitted That Met QC Criteria
February 23, 2022
Last Verified
February 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 44035
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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