Sharing History Through Active Reminiscence and Photo-imagery (SHARP) Pilot Program (SHARP)

Oregon Healthy Brain Research Network Collaborative Center (OrHBRN): Sharing History Through Active Reminiscence and Photo-imagery (SHARP) Pilot Program

SHARP is a neighborhood-based and technology-supported approach to brain health for older Black adults that integrates walking and image-prompted social reminiscence to maintain or improve brain health.

Study Overview

• Status: Completed
• Conditions: Cognitive Change
• Intervention / Treatment: Behavioral: Sharing History through Active Reminiscence and Photo-imagery (SHARP)

Detailed Description

The SHARP study tests the feasibility, usability, and cultural relevance of an android application-supported walking study for brain health among older Black adults. The SHARP walking application enables the seamless integration of the brain-healthy behaviors of walking, social engagement, and reminiscence. Methods: Over the course of 24 weeks in the rapidly gentrifying historically Black neighborhoods of Portland, Oregon, triads aim to complete three 1-mile walks per week. The SHARP application is preprogrammed with 72 themed, 1-mile routes, accessible via a group tablet device. At three points along each route, GPS-triggered "Memory Markers" (historical images of local Black culture) appear on the walking application, serving as prompts for conversational reminiscence as triads walk. Walking reminiscence sessions are recorded for inclusion into a digital oral history archive.

• Study Type: Interventional
• Enrollment (Actual): 21
• Phase: Early Phase 1

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Self-identified African American
• > 55 years old
• A long-time resident (>10 cumulative years) of Portland's historically black neighborhoods (currently or in within the last 10 years)
• Without symptoms of and without a diagnosis of Alzheimer's Disease (they must be preclinical subjects),
• Without serious cognitive impairment and must score > 24 on the age-education adjusted Mini-Mental State Exam
• Has internet access in the home.
• Able to ambulate independently, without walking aids
• Able to sustain walking at a moderate pace for 45 minutes.

Exclusion Criteria

• Serious or unstable medical condition (such as, but not limited to, cardiovascular disease, pulmonary disease, or severe arthritis) where participation in the trial would, in the opinion of the investigator, pose a significant health risk to the subject.
• Diagnosis of Alzheimer's disease, vascular dementia, Parkinson's disease, or other dementing illness.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; Participants engage in walking and conversational reminiscence three times per week	Behavioral: Sharing History through Active Reminiscence and Photo-imagery (SHARP); Behavioral intervention to increase physical and social activity. In triads, participants walk 1-mile neighborhood routes three times per week and engage in image-based conversational reminiscence.; Other Names: SHARP

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility	Program readiness scale - how close is the program to being ready to deploy to other older Black Americans?	24 weeks

Collaborators and Investigators

• Sponsor: Oregon Health and Science University

Publications and helpful links

General Publications

• Carder, P., Croff, R., Tuttle, A., Towns, J. (2022) Walking and Talking: Recommendations for Doing Mobile Interviews with Older Adults. Journal of Aging and Environment, DOI: 10.1080/26892618.2022.2030844
• Croff RL, Witter Iv P, Walker ML, Francois E, Quinn C, Riley TC, Sharma NF, Kaye JA. Things Are Changing so Fast: Integrative Technology for Preserving Cognitive Health and Community History. Gerontologist. 2019 Jan 9;59(1):147-157. doi: 10.1093/geront/gny069.

Study record dates

Study Major Dates

• Study Start (Actual): February 5, 2016
• Primary Completion (Actual): April 25, 2017
• Study Completion (Actual): July 30, 2018

Study Registration Dates

• First Submitted: June 7, 2023
• First Submitted That Met QC Criteria: June 7, 2023
• First Posted (Estimated): June 16, 2023

Study Record Updates

• Last Update Posted (Estimated): June 16, 2023
• Last Update Submitted That Met QC Criteria: June 7, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: 00011936

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