Effects of Online Training Aimed at Increasing Participation in Everyday Life During a Pandemic (SCD Online).

Baycrest

Status: Completed

Conditions: Subjective Cognitive Decline

Treatments: Behavioral: Brain Education; Behavioral: Real World Strategy Training

Study type: Interventional

Funder types: Other

Identifiers

NCT04439500

REB1738- sub-study

Details and patient eligibility

About

This study evaluates the efficacy of Real-World Strategy Training (RWST) compared to a psycho-education workshop for improving everyday life performance in older adults with subjective cognitive decline (SCD). Participants will be randomly assigned to receive one of these approaches. Additionally, this study will provide insight into the benefits of the program while people are not able to meet in person during a pandemic.

Full description

Evidence suggests that 25-50% of community-dwelling older adults report SCD and that these individuals have an elevated risk for developing Mild Cognitive Impairment and/or dementia. Many of these individuals report difficulties with complex activities of daily living.

RWST aims to reduce these difficulties in everyday life by providing a meta-cognitive training approach that compensates for age-related executive changes. The approach is provided within the context of individually identified everyday-life difficulties.

The psycho-education approach is a Brain-Health Workshop supplemented by intellectually stimulating activities such as doing Sudoku and/or word searches. This approach provides information people may use to inform health behaviour changes.

Enrollment: 32 patients

Sex: All

Ages: 60 to 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Have access to high speed internet and a computer or mobile device with a webcam
• Have subjective cognitive complaints
• Be fluent in written and spoken English
• Able to self-identify areas of their everyday lives in which they would like to improve.

Exclusion criteria

• Diagnosis of neurological conditions (e.g. dementia, mild cognitive impairment, Parkinson's)
• Presence of severe depression
• Presence of substance abuse
• History of hospitalization for psychiatric reasons

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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32 participants in 2 patient groups

Real World Strategy Training

Experimental group

Description:

Group intervention including education and strategy training to manage everyday functional difficulties.

Treatment:

Behavioral: Real World Strategy Training

Psychosocial Education

Active Comparator group

Description:

Group sessions including education on brain health.

Treatment:

Behavioral: Brain Education