Falls Prevention Through Physical And Cognitive Training in Mild Cognitive Impairment (FallsPACT)

The Hong Kong Polytechnic University

Status: Unknown

Conditions: Mild Cognitive Impairment

Treatments: Behavioral: Cognitive training; Behavioral: Physical Training; Behavioral: Physical and Cognitive Training

Study type: Interventional

Funder types: Other

Identifiers

NCT03167840

HSEARS20170402001

Details and patient eligibility

About

This randomised controlled trial aims to determine the effectiveness of combined physical and cognitive training in preventing falls and decreasing risks of falls among community-dwelling older persons with mild cognitive impairment (MCI).

Full description

This is a single-blind, multicentre, randomised controlled trial. Community-dwelling older adults with MCI aged 60 or above will be recruited. They will be randomly allocated into four groups: Physical Training alone (PT), Cognitive Training alone (CT), combined Physical And Cognitive Training (PACT) and wait-list group (WG). Assessors blinded to participant allocation will conduct pre-test, posttest, and 6-month follow-up assessments.

Enrollment: 95 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 60 years or above
• community-dwelling in Manila, Philippines
• diagnosed with MCI

Exclusion criteria

• diagnosis of dementia or Alzheimer's disease
• history of major medical conditions such as cerebrovascular disease, cardiopulmonary condition, serious musculoskeletal disease, cancer, major psychiatric condition
• have severe visual and/or hearing impairment
• taking medications such sedatives, antidepressants, diuretics, anti-epilepsy.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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95 participants in 4 patient groups

Physical training alone (PT)

Experimental group

Description:

Physical Training (flexibility, endurance, strengthening, and balance training) for 60-90 minutes 3x/week over 12 weeks of moderate intensity.

Treatment:

Behavioral: Physical Training

Cognitive training alone (CT)

Experimental group

Description:

Cognitive training with a focus on orientation, memory, attention and executive functioning for 60-90 minutes per session, once per week for 12 weeks.

Treatment:

Behavioral: Cognitive training

Physical and cognitive training (PACT)

Experimental group

Description:

Integrated cognitive training in physical exercise for 60-90 minutes per session, 3x/week over 12 weeks.

Treatment:

Behavioral: Physical and Cognitive Training

Wait-list group (WG)

No Intervention group

Description:

The control group on wait-list. They will be instructed to go on with their usual activities and will receive the intervention, combined physical and cognitive training, at a later date.