Memory Training Versus Yogic Meditation Training in Older Adults With Mild Cognitive Impairment
研究概览
详细说明
The purpose of this pilot study intervention is to investigate brain mechanisms of response to memory enhancement training (MET) compared to Kundalini yoga and "Kirtan Kriya" meditation using functional magnetic resonance imaging (fMRI) that will be acquired from each subject at baseline and at 12 weeks (post-randomization).
Overall, the investigators anticipate recruiting 66 adults with memory complaints and diagnosed with MCI for adults 55 years old and older. Subjects will either receive: (1) MET class for 60 minutes per week; or (2) Kundalini yoga and "Kirtan Kriya" meditation class for 60 minutes per week. All assessments will be completed immediately after the interventions for a total of 10 visits in 12 weeks and a follow-up visit at 6 months (24 weeks)to monitor the overall benefit of the intervention.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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California
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Los Angeles、California、美国、90095
- UCLA Semel Institute
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
描述
Inclusion Criteria:
- Mild cognitive impairment amnestic type
- Clinical Dementia Rating scale score of 0.5
- SufficientEnglish proficiency and 8th grade or higher reading level as determined by the word reading subtest of the Wide Range Achievement Test-IV
- Capacity to provide informed consent.
Exclusion criteria:
- Any current or past psychiatric disorders, or recent unstable medical or neurological disorders
- Any disabilities preventing their participation in the memory enhancement training (MET) (e.g. severe visual or hearing impairment)
- Insufficient English proficiency
- Diagnosis of dementia
- Mini Mental Health Examination score of 24 and below
- Psychoactive medications
- Participation in a psychotherapy that involves cognitive training
- Do not meet criteria for Mild cognitive impairment subtype
- Prior or current training in yoga.
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器:记忆训练
将针对遗忘性轻度认知障碍 (MCI) 进行团体记忆训练
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参与者将参加为期 12 周的每周记忆训练课程,并在 12 周内接受每日记忆作业(持续时间为 12 分钟)。
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实验性的:Kundalini yoga and meditation
Participants will engage in weekly yoga classes and daily 20 minute meditation
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参与者将每周参加 60 分钟的瑜伽和冥想课程,持续 12 周,并将每天分配 Kirtan Kriya 冥想(持续 12 分钟),持续 12 周。
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Cognitive Measures - Hopkins Verbal Learning Test (HVLT) Total Recall Score
大体时间:At baseline and at 6 months
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Primary outcome measures were administered by a cognitive battery of neuropsychological and included memory and executive functioning.
Verbal memory was measured with the Hopkins Verbal Learning Test (HVLT) total recall scores.
The HVLT form contains 12 nouns, four words each from one of three semantic categories (e.g., precious gems, articles of clothing, vegetables, etc.), to be learned over the course of three learning trials.
When scoring the HVLT, the three learning trials are combined to calculate a total recall score.
Total scores range from 0-36 with higher scores indicating better outcome.
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At baseline and at 6 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Clinical Global Impression Scale
大体时间:Baseline, weeks 2, 4, 6, 8, 10, 12, 24
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The CGI measures severity of illness and global improvement.
The CGI is rated on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal) through to 7 (amongst the most severely ill patients).
CGI global improvement scores range from 1 (very much improved) through to 7 (very much worse).
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Baseline, weeks 2, 4, 6, 8, 10, 12, 24
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Geriatric Depression Scale (GDS)
大体时间:Baseline and Week 24
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Secondary outcomes measures included mood assessments with the GDS, a self-assessment scale often used in geriatric depression trials.
The GDS is a 30-item screening tool used to identify depression in older adults.
In scoring the Geriatric Depression Scale, each item is scored 0 or 1.
The total score on the scale ranges from 0 to 30 with higher scores indicating worse outcome.
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Baseline and Week 24
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Change in Functional Magnetic Resonance Imaging (fMRI) Connectivity
大体时间:Baseline and week 12
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FMRI scans will be obtained at baseline and after 12 weeks follow up.
Default mode network findings were analyzed and significant effects were identified for yoga and memory enhancement training groups.
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Baseline and week 12
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合作者和调查者
调查人员
- 首席研究员:Helen Lavretsky, MD, MS、UCLA Semel Institute
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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