Cognitive Intervention For Delirium in Dementia
Status and phase
Conditions
Treatments
Details and patient eligibility
About
The purpose of this study is to test the effectiveness of cognitively stimulating activities for resolving delirium in people with dementia.
Full description
The primary aim in this RCT is to test the efficacy of Recreational Stimulation for Elders as a Vehicle to resolve DSD (RESERVE- DSD). The investigators will randomize 256 subjects, newly admitted to post acute care, to intervention (RESERVE-DSD) or control (usual care). Intervention subjects will receive 30-minute sessions of tailored cognitively stimulating recreational activities for up to 30 days. The investigators hypothesize that subjects who receive RESERVE-DSD will have: decreased severity and duration of delirium; greater gains in attention, orientation, memory, abstract thinking, and executive functioning; and greater gains in physical function compared to subjects with DSD who receive usual care. The investigators will also evaluate potential moderators of intervention efficacy (lifetime of complex mental activities and APOE status). The secondary aim is to describe the costs associated with RESERVE-DSD.
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
- presence of delirium
- mild to moderate cognitive impairments
- 65 years of age or older
- English speaking
- community-dwelling
- legally authorized representative available
Exclusion criteria
-
severe vision or hearing problems
-
diagnosis of
- major depression
- Parkinson's with Lewy Body disease
- Huntington's disease
- normal pressure hydrocephalus
- seizure disorder
- subdural hematoma
- head trauma
- known structural brain abnormalities
- acute CVA/stroke
- acute psychiatric condition
-
life expectancy < 6 months
Trial design
Primary purpose
Allocation
Interventional model
Masking
283 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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