Maintaining Autonomy as we Age. Strategy Training for Age-related Executive Dysfunction.

Not Applicable

Completed

Conditions: Aging

Interventions: Behavioral: Real world strategy approach
Behavioral: Psychosocial Education

Registration Number: NCT01163279

Lead Sponsor: Baycrest

Brief Summary: Healthy older adults with self-reported cognitive difficulties who receive strategy training will demonstrate greater performance benefits on measures of real-world activities, relative to those receiving a control intervention, immediately post treatment and at follow-up.

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 19

Inclusion Criteria

All participants must score within 1.5 standard deviation (SD) of age and education-corrected normative data for the Montreal Cognitive Assessment and on a battery of neuropsychological tests of attention, memory and executive function (which will insure that participants are unlikely to meet the criteria for Mild Cognitive Impairment (MCI)).
No clinically relevant depression (scores ≤22) on the Center for Epidemiologic Studies Depression Scale (CES-D)
Fluent in written and spoken English
Self-reported complains about cognitive function

Exclusion Criteria

Recent bereavement (within last 6 months)
History of neurological disease
Psychiatric illness requiring hospitalization and/or history or current substance abuse

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Cognitive Training	Real world strategy approach	-
Psychosocial Education	Psychosocial Education	-

Primary Outcome Measures

Name	Time	Method
Total Number of Goals Improved to Criterion on the Canadian Occupational Performance Measure (COPM)	Immediately post intervention (2 months) and 3 months later	COPM is a standardized semi-structure interview in which participants identify goals related to everyday life activities. Goals considered improved to criterion are those that had 2 or more points increase on COPM ratings.

Secondary Outcome Measures

Name	Time	Method
General Self Efficacy Scale (GSE)	Baseline, Immediately post intervention (2 months) and 3 months later	GSE is a self efficacy scale with a minimum score of 10 and a maximum score of 40. Higher scores indicate higher self efficacy
Stanford Patient Education Research Center- General Health Subscale	Baseline, Immediately post intervention (2 months) and 3 months later	Stanford Patient Education Research Center has different measures of health related behaviors. General Health is one of the subscales. scores range 1-5 and higher score indicate better general health
Stanford Patient Education Research Center- Health Distress Subscale	Baseline, Immediately post intervention (2 months) and 3 months later	Stanford Patient Education Research Center has different measures of health related behaviors. Health distress is one of the subscales. Scores range 0-20 and higher score indicates more distress.
Stanford Patient Education Research Center- Physical Activity Subscale	Baseline, Immediately post intervention (2 months) and 3 months later	Stanford Patient Education Research Center has different measures of health related behaviors. Physical activity is one of the subscales. Scores indicate number of hours of physical activity per week
Stanford Patient Education Research Center- Communication With Physicians Subscale	Baseline, Immediately post intervention (2 months) and 3 months later	Stanford Patient Education Research Center has different measures of health related behaviors. communication with physicians is one of the subscales. Scores range 1-15 and higher score indicates more preparation for visits and greater ability to ask questions
Stanford Patient Education Research Center- Visits to Physician and Emergency Department in the Past Six Months Subscale	Baseline, Immediately post intervention (2 months) and 3 months later	Stanford Patient Education Research Center has different measures of health related behaviors. Visits to physician and emergency department in the past six months subscale is one of the subscales.
Delis Kaplan Executive Function System (DKEFS) Tower Test- Mean First-Move Time	Baseline, Immediately post intervention (2 months) and 3 months later	This is a measure of executive function. The score reflects the average of the participant's first-move times, i.e. the time a participant took to make the first move
DKEFS Tower Test- Achievement Score	Baseline, Immediately post intervention (2 months) and 3 months later	This is a measure of executive function. Total achievement scores indicate the highest score participants scored on the test. The lowest score possible is 0 and the highest score possible is 30. Higher scores indicate better performance.
DKEFS Word Fluency	Baseline, Immediately post intervention (2 months) and 3 months later	This is a measure of executive function where participants are given a letter and asked to generate as many words as they can think of within 60 seconds
DKEFS Trail Making- Condition 4: Number-letter Switching	Baseline, Immediately post intervention (2 months) and 3 months later	DKEFS trail making condition 4 is a measure of executive function that requires the participant to switch back and forth between connecting numbers and letters in a sequence