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

Not Applicable

Recruiting

• Conditions: Dementia Risk Factors; Prevention; Cognitive Health

• Registration Number: NCT06922071
• Lead Sponsor: University of Coimbra

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2025-03-31
• Status Verified: 2025-04
• Study First Submitted QC: 2025-04-09
• Last Update Submitted: 2025-04-09
• Study First Posted: 2025-04-10
• Last Update Posted: 2025-04-10
• Study Start: 2025-05-01
• Primary Completion: 2025-07-31
• Study Completion: 2026-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Primary Outcome Measures

Name	Time	Method
Screening	Screening	Dementia risk was assessed using the Lifestyle for BRAin health (LIBRA) score, which ranges from -2.1 to 10.6, with higher scores indicating a greater risk of developing dementia.
Cognitive status	Baseline and 1-week and 3-months post-intervention	Verbal Initiative: Measured with the Verbal Fluency Test (letters M, R, and alternate category), scored by the number of correct words produced, with higher scores indicating greater verbal initiative.
Mood status	Screening and 1-week and 3-months post-intervention	Depressive Symptoms: Assessed using the Geriatric Depression Scale (GDS-30), a 30-item scale with scores ranging from 0 to 30, where higher scores indicate greater depressive symptoms.
Perceived social isolation and loneliness	Baseline and 1-week and 3-months post-intervention	Loneliness: Measured with the UCLA Loneliness Scale (UCLA LS-3), the score was 20 to 80, with higher scores reflecting greater perceived loneliness.
Perceived social network	Baseline and 1-week and 3-months post-intervention	Social Networks: Evaluated using Lubben's Brief Social Network Scale (LSNS-6), scored from 0 to 30, where higher scores indicate a stronger social network.
Functionality status	Baseline and 1-week and 3-months post-intervention	Functional abilities: This is measured using the IAFAI (Informant Assessment of Functioning in Aging and Intellectual Disabilities).
Perceived quality of life	Baseline and 1-week and 3-months post-intervention	Psychological Well-Being: Assessed using the EBEP-R is a short version of the Psychological Well-Being Scale. Higher scores on the EBEP-R indicate better psychological well-being.

Trial Locations

Locations (1)

Faculty of Psychology and Education Sciences; 🇵🇹 Coimbra, Portugal