The REMINDER4Care Program for Older Adults Supported by Residential and Daycare Facilities

University of Coimbra

Status: Enrolling

Conditions: Dementia Risk Factors; Prevention; Cognitive Health

Treatments: Other: REMINDER4Care

Study type: Interventional

Funder types: Other

Identifiers

NCT06922071

RCTREMINDER4Care

Details and patient eligibility

About

Dementia incidence is rising, posing a public health challenge, but 45% of cases can be prevented by addressing modifiable risk factors. Multidomain trials show that lifestyle changes can improve cognitive function and reduce dementia risk (like the FINGER trial). The REMINDER program, a Portuguese-based dementia risk reduction protocol, was developed for community-dwelling older adults aged 55 and above. However, older adults in Residential and Daycare Facilities (RDF) have distinct needs that demand program adaptation to ensure its relevance and effectiveness. In addition, more studies are needed to evaluate the impact of multidomain interventions with older adults in RDF.

To address these challenges, the REMINDER4Care program was developed as a tailored, multidomain intervention to reduce dementia risk. It emphasizes social and cognitive engagement and advances its adaptation and evaluation in Residential and Daycare Facilities (RDF). To assess efficacy, the investigators will perform a Randomized Controlled Trial.

Enrollment: 100 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged 65 years and older
• RDF users
• Elementary reading and writing skills

Exclusion criteria

• Have a clinical diagnosis of dementia and/or Mini-Mental State Examination (MMSE) scores below the cutoff for the presence of dementia (MMSE < 22-27, depending on education level)
• Have a psychiatric or neurological condition that impairs cognition in the long term
• Have sensory and functional deficits that compromise their participation in the neuropsychological assessment and throughout the intervention sessions

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

---

100 participants in 2 patient groups

REMINDER4Care intervention

Experimental group

Description:

In this arm, participants will receive the intervention - REMINDER4Care. REMINDER4Care is a 20-session group program that includes psychoeducation about the brain, social skills training, using cognitive aids, setting personal goals, and practicing mindfulness.

Treatment:

Other: REMINDER4Care

Waiting-list group

No Intervention group

Description:

In this arm, participants will be a waiting-list group and receive the REMINDER4Care interventions after the study ends (after the post-interventions).