- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07531589
BrainLive Connect: Non-professional Delivered CST for People Living With Dementia
BrainLive Connect: Non-professional Delivered Cognitive Stimulation Therapy for People Living With Dementia
The goal of this mixed method study is to evaluate whether the volunteer-led Cognitive Stimulation Therapy (CST) under the BrainLive Connect programme is effective for improving cognitive function and quality of life of people living with dementia (PLwD).
The main question it aims to answer are:
• Do PLwD receiving the BrainLive Connect service show better cognitive function and quality of life than those receiving usual care?
Researchers will compare BrainLive Connect service to usual care to see whether the intervention leads to better outcomes.
Participants will:
- Receive either 7 weeks of BrainLive Connect sessions delivered by trained volunteers or continue receiving usual care.
- Be assessed at baseline (T0), post-intervention (7 weeks; T1), and 1 month follow up (11 weeks; T2).
- Take part in semi-strucutred interviews post-intervention to provide feedback on implementation and areas for improvement.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The research design is a non-randomized controlled trial (nRCT), involving 260 PLwD in the experimental group (BrainLive group) who will receive 7 weeks of BrainLive Connect service, and another 260 PLwD in the control group (Care-as-usual group) who will receive usual care for comparison. Participants of the experimental group will be recruited by our partnering NGOs, and those of the control group will be from both the partnering NGOs and network of HKU. Outcomes of PLwD and their carers will be measured at three time points: intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2), to assess the lasting effects of the volunteer-led CST. During the evaluation period, participants in the control group will receive standard care and support.
The BrainLive Connect service aimed at maintaining cognitive functions, and improving quality of life (Primary outcomes); and reducing distressed behaviour, improving social functioning, reduced carer burden, improving daily functioning, and preference for ageing-in-place (Secondary outcomes).
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Shiyu LU, PhD
- Phone Number: +852 39172074
- Email: sylu@hku.hk
Study Contact Backup
- Name: JACKY CP CHOY, PhD
- Phone Number: +852 39170079
- Email: cpchoy@hku.hk
Study Locations
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Hong Kong, Hong Kong
- Recruiting
- The University of Hong Kong
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Principal Investigator:
- Shiyu LU, PhD
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Contact:
- JACKY CP CHOY, Philosophy of Doctor
- Phone Number: 39170079
- Email: cpchoy@hku.hk
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
PLwD: Hong Kong residents, mild to moderate dementia, either having i) a formal diagnosis, or 2) suspected dementia reported by care professionals and screened by Montreal Cognitive Assessment (MoCA).
Family carers: self-identified as the primary carer of the PLwD.
Exclusion Criteria:
Unable to communicate and participate in interviews/training/intervention due to hearing impairment, visual impairment, or other conditions.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Usual social care
Participants will receive usual social care and support provided by elderly care service units operated by non-governmental organisations, including but not limited to care services, psychosocial intervention, and social activites.
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Usual care and support service for people living with dementia in community, including but not limited to, care service, psychosocial intervention (but not CST), and social activities.
|
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Experimental: Non-professional delivered CST
Participants will receive 14-session Cognitive Stimulation Therapy (CST) delivered by trained volunteers, with two sessions per week over a period of 7 weeks
|
CST has been recognized as an effective and cost-effective intervention for individuals with mild to moderate dementia, leading to improvements in cognition and quality of life.
CST is one of the few non-pharmacological interventions recommended by the National Institute for Health and Care Excellence (NICE) in their clinical guideline on dementia, as it has comparable efficacy to anti-dementia drugs.
Exercise-enhanced CST is characterised by adding physical exercise into the original group CST protocol.
Home2Community CST is characterized by a gradual shift of its intervention site from the participant's home to public space in their neighbourhood and then further to centre-based settings.
Living CST is characterised by transferring CST into real life settings to maximise its benefits in daily functioning for independent living.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
Possible range: 0 -70, with higher scores indicate more impairment
|
Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
|
Quality of Life-Alzheimer's Disease (QoL-AD)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
Possible range: 13 - 52, with higher scores indicate better quality of life
|
Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Neuropsychiatric Inventory Questionnaire (NPIQ)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
Possible range: 0 - 60, with higher scores indicate higher carer distress and severity
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Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
|
Social functioning in Dementia Scale (HKSF-DEM: carer rating)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
Possible range: 0 - 51, with higher scores indicate better social functioning
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Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
|
Care burden (Zarit Burden Interview short version, 12-item)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
Possible range: 0 - 48, with higher scores indicate greater burden
|
Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
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The Lawton Instrumental Activities of Daily Living (IADL)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Possible range: 0 - 27, with higher scores indicate higher functional independence
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Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Preference for ageing-in place (self-developed scale)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Possible range: 1 - 5, with higher scores indicate lower preference for ageing-in place
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Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Preparation of ageing in-place (self-developed scale)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Possible range: 5 - 25, with higher scores indicate better preparation of ageing in place
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Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
|
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The Montreal Cognitive Assessment subscale (MoCA subscale)
Time Frame: Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Possible range: 0 - 3, with higher scores indicate better language ability
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Intake (T0), a 7-week follow-up (T1), and a one-month follow-up (T2)
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Shiyu LU, The University of Hong Kong
Publications and helpful links
General Publications
- Knapp M, Thorgrimsen L, Patel A, Spector A, Hallam A, Woods B, Orrell M. Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis. Br J Psychiatry. 2006 Jun;188:574-80. doi: 10.1192/bjp.bp.105.010561.
- Dementia: Assessment, management and support for people living with dementia and their carers. London: National Institute for Health and Care Excellence (NICE); 2018 Jun. Available from http://www.ncbi.nlm.nih.gov/books/NBK513207/
- Groot C, Hooghiemstra AM, Raijmakers PG, van Berckel BN, Scheltens P, Scherder EJ, van der Flier WM, Ossenkoppele R. The effect of physical activity on cognitive function in patients with dementia: A meta-analysis of randomized control trials. Ageing Res Rev. 2016 Jan;25:13-23. doi: 10.1016/j.arr.2015.11.005. Epub 2015 Nov 28.
- Desai R, Leung WG, Fearn C, John A, Stott J, Spector A. Effectiveness of Cognitive Stimulation Therapy (CST) for mild to moderate dementia: A systematic literature review and meta-analysis of randomised control trials using the original CST protocol. Ageing Res Rev. 2024 Jun;97:102312. doi: 10.1016/j.arr.2024.102312. Epub 2024 Apr 16.
- Knapp M, Bauer A, Wittenberg R, Comas-Herrera A, Cyhlarova E, Hu B, Jagger C, Kingston A, Patel A, Spector A, Wessel A, Wong G. What are the current and projected future cost and health-related quality of life implications of scaling up cognitive stimulation therapy? Int J Geriatr Psychiatry. 2022 Jan;37(1). doi: 10.1002/gps.5633. Epub 2021 Oct 15.
- Ryan S, Brady O. Cognitive stimulation and activities of daily living for individuals with mild-to-moderate dementia: A scoping review. Br J Occup Ther. 2023 Aug;86(8):540-559. doi: 10.1177/03080226231156517. Epub 2023 Mar 15.
- Toh HM, Ghazali SE, Subramaniam P. The Acceptability and Usefulness of Cognitive Stimulation Therapy for Older Adults with Dementia: A Narrative Review. Int J Alzheimers Dis. 2016;2016:5131570. doi: 10.1155/2016/5131570. Epub 2016 Jul 11.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- EA250765a
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
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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