Effects of a Daily Cognition Training in Older Adults Without Cognitive Impairment

University of Salamanca

Status: Not yet enrolling

Conditions: Occupational Therapy; Cognitive Impairment; Functional Status

Treatments: Other: traditional cognitive stimulation; Other: programme based on everyday cognition

Study type: Interventional

Funder types: Other

Identifiers

NCT05688163

University of Salamanca

Details and patient eligibility

About

To evaluate the effectiveness of a daily cognition training programme versus a traditional cognitive stimulation programme in cognitively unimpaired older adults on cognitive function, emotional state, frailty and functionality.

Full description

The present study aims to demonstrate the effectiveness of programmes that use everyday cognition for the assessment and intervention of healthy elderly people with the aim of maintaining or improving autonomy, compared to other programmes based on traditional cognitive stimulation, whose benefits do not generalise to significant improvements in everyday life. In addition, the investigators seek to relate how the presence of depression in older people impacts on everyday cognition, and therefore on the functionality of IADLs.

2. WORKING HYPOTHESIS AND MAIN OBJECTIVES TO BE ACHIEVED

3. WORKING HYPOTHESES

   • Alternative hypothesis (H1): Everyday cognition training programmes are more effective than traditional cognitive stimulation on cognitive function, emotional state, frailty and functionality in older adults without cognitive impairment.
   • Null hypothesis (Ho): Everyday cognition training programmes are not more effective than traditional cognitive stimulation on cognitive function, emotional state, frailty and functionality in older adults without cognitive impairment.

   In order to validate or disprove the main hypothesis, the following objectives have been developed:

4. OBJECTIVES:

i. MAIN OBJECTIVE: To evaluate the effectiveness of a daily cognition training programme versus a traditional cognitive stimulation programme in older adults without cognitive impairment, for cognitive function, emotional state, frailty and functionality.

ii. SPECIFIC OBJECTIVES:

• To compare the differences in the emotional state of older adults without cognitive impairment between the everyday cognition training programme and traditional cognitive stimulation.
• To contrast the differences in the cognitive function of older adults without cognitive impairment between the daily cognition training programme and traditional cognitive stimulation.
• To analyse the differences in the frailty index of older adults without cognitive impairment between the daily cognition training programme and traditional cognitive stimulation.
• To identify the differences in the functionality of older adults without cognitive impairment between the daily cognition training programme and traditional cognitive stimulation.

Enrollment: 99 estimated patients

Sex: All

Ages: 60+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Be aged 60 years or older.
• Voluntarily sign the informed consent form about the project, authorising their participation.
• Carry out the initial assessment.
• Be admitted to the programme from the start of the programme.

Exclusion criteria

• No literacy skills or significant deficits in language comprehension.
• Institutionalised person.
• Have a clinical diagnosis of cognitive impairment.
• Participate in another cognitive stimulation programme during the intervention process.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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99 participants in 2 patient groups

traditional cognitive stimulation

Active Comparator group

Description:

The control group will carry out the programme based on traditional cognitive stimulation. Individual cognitive skills such as attention, memory, executive functions, orientation, praxis, calculation, visual perception and reasoning will be trained. The materials and media used will be a cognitive stimulation notebook created for the study which includes cards in printed paper format to be completed by the participants.

Treatment:

Other: traditional cognitive stimulation

programme based on everyday cognition

Experimental group

Description:

The experimental group, on the other hand, will carry out a programme based on everyday cognition, i.e. the use of cognitive functions to solve real everyday problems that occur in our daily lives and that allow us to be autonomous in our homes, such as preparing food, taking care of the house, using transport, shopping, using the telephone, medication, financial management and access to information and current affairs. As material for use as for the traditional cognitive stimulation sessions, a training booklet on everyday cognition has been created which includes all the sessions mentioned above.

Treatment:

Other: programme based on everyday cognition