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Nonrandomized Evaluation of a Multidimensional Behavioral Intervention

Not Applicable
Completed
Conditions
Subjective Cognitive Concerns (SCC)
Interventions
Behavioral: Intervention
Registration Number
NCT03717597
Lead Sponsor
University of California, Davis
Brief Summary

This intervention is designed to promote enhanced use of compensation strategies including calendar and task list use, and organization systems, as well as increased engagement with brain health activities including physical exercise, cognitive activities, and stress reduction.

Detailed Description

The purpose of this study is to test the feasibility and efficacy of a 10-week multi-dimensional intervention for older adults with subjective cognitive concerns (SCC). The goal of this intervention is to enhance compensation skills related to everyday executive and everyday memory functions through training in the systematic use of a calendar system, goal setting and task list system, and organizational strategies within the context of the individual's daily life. This multidimensional intervention program also targets engagement in healthy lifestyle activities (physical exercise, intellectual stimulation, positive emotional functioning) to further promote brain health and functional resilience. Importantly, both treatment components work synergistically as the use of compensation strategies assists in building healthy activities into daily routines (e.g., scheduling exercise into one's calendar and putting it on a task list).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • a diagnosis of subjective cognitive complaints (SCC)
  • Age 65+
  • English speaking
  • Available informant to complete surveys
  • Ambulatory
Exclusion Criteria
  • Known neurological condition
  • Severe psychiatric illness (e.g., current depression)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
InterventionInterventionParticipants will complete an initial assessment within 2 weeks prior to starting the course or during the first class. The course will include 10 sessions conducted on a weekly basis. Following completion of the course, participants will again complete another assessment during the last class or within 2 weeks of course completion. Participants may be invited to complete assessments at 3- and 6-months following course completion.
Primary Outcome Measures
NameTimeMethod
Change in compensation usebaseline and 6 months follow up

Measured using the Everyday Compensation Questionnaire, a 54-item self-report questionnaire that asks participants how often they engage in a variety of activities that help them stay cognitively and physically active.

Change in cognitionbaseline and 6 months follow up

Measured using the Everyday Cognition (ECog) scale, a self-rated questionnaire of cognitively-based everyday abilities. The ECog comprises of 39 items on which the participant's current level of everyday functioning is compared to 10 years earlier. Items are rated on a four-point scale: 1= better or no change compared to 10 years earlier; 4= consistently much worse. Higher scores indicate greater functional limitations.

Secondary Outcome Measures
NameTimeMethod
Psychomotor Speed Taskbaseline, immediately after intervention, and 3 and 6 month follow-up visits

measures psychomotor function

Beck Depression Inventorybaseline, immediately after intervention, and 3 and 6 month follow-up visits

Measures depressive symptomatology

List learning taskbaseline, immediately after intervention, and 3 and 6 month follow-up visits

measures learning and memory

GRITbaseline, immediately after intervention, and 3 and 6 month follow-up visits

8-item questionnaire assessing consistency of interest and perseverance of effort on a five-point scale: 1 = not at all like me, 5 = very much like me.

Beck Anxiety Inventorybaseline, immediately after intervention, and 3 and 6 month follow-up visits

measures anxiety symptomatology

Executive function taskbaseline, immediately after intervention, and 3 and 6 month follow-up visits

measures executive function

Trial Locations

Locations (1)

University of California Davis

🇺🇸

Sacramento, California, United States

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