Exploring the impact of attention training experienced by older adults with or without MCIMCI- Mild cognitive impairment
- Conditions
- Mild Cognitive ImpairmentMental Health - Other mental health disorders
- Registration Number
- ACTRN12619000820101
- Lead Sponsor
- Mousumi Singh
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 67
Group 1: Participants will be recruited from the Memory Clinic, Geriatric Adult Rehabilitation and Stroke Services, GARSS, Toowoomba Hospital, from Geriatricians in their private practise as well as General Practitioners (GPs) from the community. All participants will have a confirmed diagnosis of MCI. MCI status need to be recent within 3 months of recruitment to this study. The MCI status in GARSS is determined by the consultant geriatrician after the patient goes through a thorough clinical assessment by the Memory Clinic team formed of the consultant geriatrician, psychologist, pharmacist and the geriatric clinical nurse consultant. Additional to their MCI status, all MCI participants, within 3 months of recruitment to this study, will be screened by the research assistant for their eligibility by using RBANS (Update form A). Their RBANS score should be between 1 and 2 SD below the mean or between 3rd and 16 percentiles for their age and education matched peers on culturally appropriate normative data (American Psychiatric Association, 2013). Cognitive impairment maybe seen in one or more cognitive domains measured by the RBANS. However, participants will be independent with all their activities of daily living as reported by them, significant others or their GP. Participants of this group will be assessed with the RBANS at regular intervals of 3 months during their participation period, to ensure that they continue to hold their eligibility status.
Age of the sample population was determined to be between 60-80 years.
Group 2: Healthy Older Adults (without MCI diagnosis):
Participants will be recruited from the community and should be aged between 60 years and 80 years, do not hold a diagnosis of Mild Cognitive Impairment (MCI) and/or Dementia in the last 3 months prior to recruitment. Their general cognition as measured by the total RBANS score should be at least equal or above the mean, for their age and education matched peers on culturally appropriate normative data (APA, 2013). If they qualify for this study, this RBANS measure obtained will be used as one of the primary outcome measure administered before delivering intervention. No reports of functional or cognitive decline as noted by client, significant other or GP. Participants will be re-assessed of their eligibility status by using RBANS, if they or their significant other or their GP report any rapid cognitive decline, during their participation period.
For both groups 1 and 2 other inclusion criteria include -age of the sample population, which is between 60-80 years and participants must be able to read and write..
Exclusion criteria for participants of Group 1 (participants with a MCI status)- exclusion will be if these participants have a current diagnosis of Dementia or they progress to having Dementia while they are a participant in this study.
Exclusion criteria for Group 2 (healthy older adults)- exclusion criteria will be if they have a diagnosis of MCI or Dementia or they progress to having MCI or Dementia during the course of their participation in this study.
Other exclusion criteria for both MCI and Healthy older adults groups include severe sensory impairment that could potentially impact on their performance, acute medical condition or a severe medical condition needing intensive treatment, and intellectual impairment. These people are excluded as such conditions will hinder their ability to participate in the interventions.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method General cognition as measured by the total index score obtained from the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and interrelation between the following domains of the RBANS)- immediate memory, delayed memory, visuospatial/constructional domain, and language domain.<br>[ 2 time points- At baseline before receiving the interventions and at end point, after completion of the intervention.];Measures of Attention as obtained from the Test of Everyday Attention (TEA) - outcome from the 4 subscales of the TEA namely selective attention, sustained attention, attentional switching, and divided attention.[2 time points- At baseline before receiving the interventions and at end point, after completion of the intervention. .]
- Secondary Outcome Measures
Name Time Method il[Nil]