An Evaluation of the Feuerstein Instrumental Enrichment Program for the Cognitive Enhancement of Older People With Mild Cognitive Impairment (MCI) Living in the Community
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 8
- 主要终点
- Change from baseline cognitive function
研究概览
简要总结
Background: The Feuerstein Instrumental Enrichment Program was designed to prevent mental deterioration and preserve cognitive abilities among people aged 60 and above. The program is an applied practicable program based on the theories of Structural Cognitive Modifiability as well as on a Mediated Learning Experience. The program takes into consideration the unique characteristics and requirements of the older population. The program is composed of a variety of cognitive tasks that offer systematic activities intended to stimulate mental and cognitive development.
Objective: To examine the influence of the Feuerstein Program on the cognitive function and well-being of participants suffering from Mild Cognitive Impairment (MCI).
Hypothesis: The Feuerstein Program will improve cognitive abilities and functional well-being of the participants.
Methods: Residents of retirement homes will be offered to participate in the research. Participants will undergo cognitive and functional assessments that will be carried out on four specific dates. The participants of the Intervention Group will participate in the Feuerstein program using a method of mediated learning while the Control Group will participate in a program of the Adler Institute involving activities aimed at social and emotional development without specific cognitive skill training.
详细描述
Introduction
In recent decades, with the increase in life expectancy, the number of older people and their relative rate within the population have risen dramatically. This trend led to increased rates of people suffering from a mild cognitive disorder and dementia in developed countries. Mild Neurocognitive Disorder or Mild Cognitive Impairment (MCI) is defined as a transition state between successful aging and a state of dementia. This state is characterized by cognitive impairment and a decline in memory skills while daily functioning is maintained.
Older people diagnosed with MCI are at increased risk of developing dementia, particularly Alzheimer's disease. This risk is ranked at about 12% every year.
Since this is a pre-dementia stage, great importance lies in finding methods that could have prevented or at least decelerated the progress of MCI to dementia. Among the few effective programs are physical and cognitive activity.
The Feuerstein Program
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 60 and above.
- •Hebrew/English speakers.
- •Expressing willingness to participate in the research and deliberately signing a consent form.
- •A diagnosis of MCI exists according to accepted clinical criteria - the examinee's score in the MoCA Test is within the range of 18-26 (inclusive).
排除标准
- •A medical or functional condition that will not allow the patient to participate in the intervention program within the research period.
- •Diagnosed patients suffering from depression, bipolar disorder or schizophrenia.
- •Patients who suffer from a diagnosed cognitive impairment other than MCI (delirium dementia or mental retardation).
- •Visual impairment that hasn't been amended by glasses.
- •Hearing impairment that hasn't been amended by a hearing aid.
- •Examinees whose MoCA Test's score is 17 and below or 27 and above.
- •Examinees who will receive the maximal score in one or more sections of the Lawton Test.
- •Examinees who will respond positively to a filter question regarding the topic of depression.
结局指标
主要结局
Change from baseline cognitive function
时间窗: Through study completion, an average of 6 months
Based on Neurotrax computerized neuropsychological assessment battery
次要结局
未报告次要终点
研究者
Tzvi Dwolatzky
Prof. Tzvi Dwolatzky
Rambam Health Care Campus