Constructing A Model of Health Promotion and Active Aging for Community-Dwelling Older Adults

National Cheng Kung University

Status: Suspended

Conditions: Subjective Cognitive Complaints

Treatments: Behavioral: nutritional group; Behavioral: cognitive intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT03612167

102-2717B

Details and patient eligibility

About

Cognitive intervention for people with subjective cognitive complaints can be categorized into cognitive training, cognitive rehabilitation, psychoeducation, lifestyle intervention, etc. Literature have suggested multicomponent cognitive interventions can have better outcomes. However, studies to support this proposition are still limited. Few studies have also examined the influences of cognitive intervention on functional performance. This study was to examine the effectiveness of a multicomponent cognitive intervention for community-dwelling elderly with subjective cognitive complaints.

Enrollment: 150 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Subjective cognition complaint by the client or caregiver: In our study, participants reported more than one complaint in Everyday Memory Questionnaire and Cognitive Function Questionnaire will be included.
2. Objective cognition deficits: participants with scores under 1.5 Standard Deviation in Trail making test, Contextual memory test and Rivermead Behavior Memory Test-3rd edition were included.
3. Preserved most daily living function: participants have reported no Activity of Daily Living (ADL) difficulties.

Exclusion criteria

1. A confirmed diagnosis of dementia
2. With visual and auditory impairments, and other neurocognitive disease that can potential influence participation in group activities, including stroke, Parkinson's disease and traumatic brain injury, major depression, and substance abuse.
3. With Mini Mental Status Exam <=24 (education status beyond primary school); or <=16 (No education)
4. With less than 10-session participation rate out of 12.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 2 patient groups

multi-modal cognitive intervention

Experimental group

Description:

a 12 consecutive 90-minute weekly cognitive groups that included cognitive training and rehabilitation, with activity-based cognitive exercises and discussions with a focus on applications of cognitive strategies in daily lives.

Treatment:

Behavioral: cognitive intervention

nutritional group

Active Comparator group

Description:

A quasi-experimental design with nonequivalent control was adopted in a senior center. The intervention for control group was a 12 consecutive 90-minute weekly nutritional groups that included nutrition classes (lecture and discussion).

Treatment:

Behavioral: nutritional group