Functional Impact of a Memory Intervention Program
12. januar 2016 oppdatert av: Susan Vandermorris, Ph.D., C.Psych., Baycrest
Normal aging is associated with decline in some aspects of memory, and this can be a risk factor for reductions in everyday functioning. The Baycrest Memory and Aging Program teaches positive adaptation to age-related memory changes, including strategies for minimizing the everyday impact of normal memory change and positive lifestyle change to maximize brain health. Prior research has shown that the Memory and Aging program is effective in increasing participants' knowledge about memory, use of memory strategies, and confidence in memory function, as well as adoption of healthier lifestyle practices and reduction in intention to use unneeded health care resources.
Although not one of the stated goals of the program, informal feedback from participants suggests that the educational content and skills training in the Memory and Aging Program has led some participants to change behaviours in ways that lead to significant improvements in their everyday functioning. For example, graduating participants often volunteer examples of how they have applied what they have learned to succeed in everyday memory tasks such as learning a new name or keeping track of future plans. Based on this participant feedback, it is hypothesized that the knowledge, skills, and confidence gained by Memory and Aging Program participants may lead to positive behaviour changes that, in turn, lead to improved everyday functioning. The present study will test this hypothesis using a randomized controlled pretest-posttest design.
Studieoversikt
Studietype
Intervensjonell
Registrering (Faktiske)
69
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Ontario
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Toronto, Ontario, Canada, M6A 2E1
- Baycrest
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
50 år til 90 år (Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Age 50-90
- Available to participate in all testing and intervention sessions (located in Toronto, Canada)
Exclusion Criteria:
- health conditions with major effects on cognition, including a current or previous history of stroke, brain surgery, or diagnosed neurological disorder
- dependence in instrumental activities of daily living
- cognitive impairment, defined as performance below cutoff for cognitive impairment on a standardized cognitive test, the Telephone Interview for Cognitive Status (Brandt, Spencer, & Folstein, 1988).
- affective impairment, defined as performance below cutoff for depression on standardized depression screen, the Geriatric Depression Scale (Yesavage et al., 1983)
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Aktiv komparator: Memory and Aging Program
The Memory and Aging Program intervention consists of five 2-hour sessions conducted over five consecutive weeks.
The content of the program includes: (a) the provision of factual information (i.e., about memory, age-related memory changes, lifestyle factors affecting memory, and memory strategies) in an informal lecture format; and (b) memory intervention (i.e., practice and application of several evidence-based memory strategies) in a hands-on interactive format.
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Ingen inngripen: Wait-list Control
Participants randomized to the wait-list control group will receive no intervention following randomization.
They will be offered the intervention immediately following completion of the week 14 outcome testing session.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
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Change from baseline in healthy lifestyle behaviours as measured by Health Promoting Lifestyle Profile II (Walker, Sechrist, & Pender, 1987)
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Change from baseline in memory strategy use as measured by the Memory Strategy Toolbox (modified from Troyer, 2001)
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Attainment of individualized goals for (a) lifestyle change, (b) memory strategy use, and (c) functional outcomes of memory strategy use as measured by Goal Attainment Scaling (Gordon, Powell, & Rockwood, 2000; Kiresuk, Smith, & Cardillo, 1994)
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Sekundære resultatmål
Resultatmål |
Tidsramme |
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Change in positive and negative affect as measured by Positive and Negative Affect Schedule (Watson, Clark, & Tellegen, 1988)
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Change in general health status as measured by the RAND 36-Item Short-Form Health Survey (Ware & Sherbourne, 1992).
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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General Self-Efficacy Scale (Schwarzer & Jerusalem, 1995)
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Prospective and Retrospective Memory Questionnaire (Smith, Della Sala, Logie, & Maylor, 2000)
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Self-report health status, lifestyle changes, attitudes about aging
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Andre resultatmål
Resultatmål |
Tidsramme |
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Change in memory knowledge as measured by Memory knowledge quiz (modified from Troyer, 2001).
Tidsramme: Baseline, Week 8, week 14
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Baseline, Week 8, week 14
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Change in self-perceived memory as measured by Multifactorial Metamemory Questionnaire (Troyer & Rich, 2002)
Tidsramme: Baseline, 8 weeks, 14 weeks
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Baseline, 8 weeks, 14 weeks
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Change in prospective memory function (Prospective telephone-call task, Troyer, 2001; actual week, Rendell & Craik, 2001)
Tidsramme: Baseline, 8 weeks, 14 weeks
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Baseline, 8 weeks, 14 weeks
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Change in name learning (Name-learning task, based on Troyer, Häfliger, Cadieux, & Craik, 2006)
Tidsramme: Baseline, 8 weeks, 14 weeks
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Baseline, 8 weeks, 14 weeks
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Susan Vandermorris, PhD, Baycrest
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988 Jun;54(6):1063-70. doi: 10.1037//0022-3514.54.6.1063.
- Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.
- Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17(1):37-49. doi: 10.1016/0022-3956(82)90033-4.
- Troyer AK, Rich JB. Psychometric properties of a new metamemory questionnaire for older adults. J Gerontol B Psychol Sci Soc Sci. 2002 Jan;57(1):P19-27. doi: 10.1093/geronb/57.1.p19.
- Brandt, J., Spencer, M., & Folstein, M. (1988). The Telephone Interview for Cognitive Status. Neuropsychiatry, Neuropsychology, & Behavioral Neurology, 1(2), 111-117.
- Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987 Mar-Apr;36(2):76-81.
- Troyer AK, Hafliger A, Cadieux MJ, Craik FI. Name and face learning in older adults: effects of level of processing, self-generation, and intention to learn. J Gerontol B Psychol Sci Soc Sci. 2006 Mar;61(2):P67-74. doi: 10.1093/geronb/61.2.p67.
- Gordon J, Rockwood K, Powell C. Assessing patients' views of clinical changes. JAMA. 2000 Apr 12;283(14):1824-5. No abstract available.
- Kiresuk, T. J., Smith, A., & Cardillo, J. E. (1994). Goal attainment scaling: Applications, theory, and measurement. Hillsdale, NJ: Lawrence Erlbaum Associates.
- Troyer, A. K. (2001). Improving memory knowledge, satisfaction, and functioning via an education and intervention program for older adults. Aging, Neuropsychology, and Cognition, 8(4), 256-268.
- Vandermorris S, Au A, Gardner S, Troyer AK. Initiation and maintenance of behaviour change to support memory and brain health in older adults: A randomized controlled trial. Neuropsychol Rehabil. 2022 May;32(4):611-628. doi: 10.1080/09602011.2020.1841656. Epub 2020 Nov 17.
- Herdman KA, Vandermorris S, Davidson S, Au A, Troyer AK. Comparable achievement of client-identified, self-rated goals in intervention and no-intervention groups: reevaluating the use of Goal Attainment Scaling as an outcome measure. Neuropsychol Rehabil. 2019 Dec;29(10):1600-1610. doi: 10.1080/09602011.2018.1432490. Epub 2018 Feb 12.
Hjelpsomme linker
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. mai 2014
Primær fullføring (Faktiske)
1. oktober 2015
Studiet fullført (Faktiske)
1. oktober 2015
Datoer for studieregistrering
Først innsendt
12. mars 2014
Først innsendt som oppfylte QC-kriteriene
12. mars 2014
Først lagt ut (Anslag)
14. mars 2014
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
13. januar 2016
Siste oppdatering sendt inn som oppfylte QC-kriteriene
12. januar 2016
Sist bekreftet
1. januar 2016
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Andre studie-ID-numre
- 14-21
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