Minds Navigating the Diagnosis of Mild Cognitive Impairment

Not Applicable

Recruiting

Interventions: Behavioral: Group psychotherapy delivered via video telehealth

Brief Summary: The goal of this clinical trial is to find out if a 9 week group therapy using video from home will help veterans with Mild Cognitive Impairment (MCI). The main questions it aims to answer are:

* is the video therapy user-friendly for veterans?

* does it improve veterans well-being and quality-of-life?

Veterans will be asked to attend nine 1 hour small group video sessions and will complete questionnaires before and after the sessions.

Researchers will compare the group of veterans that starts the video sessions right away with a group that waits before starting the video sessions.

Detailed Description: The study will be achieved by conducting a two-arm, single-blind, pilot randomized controlled trial at two VA medical centers. Eighty participants at each site will be randomized in a 1:1 ratio to either the MiND-MCI group or waitlist control group. Participants will be Veterans ages 60 and older with a diagnosis of MCI, at least one cardiovascular risk factor, self-reported cognitive complaint, and self-reported difficulty adjusting to MCI diagnosis or symptoms. MiND-MCI will be delivered in nine weekly 60-minute sessions via telehealth in groups of 5 to 7 Veterans. Feasibility and acceptability process data will be tracked throughout the study. Acceptability measures pertaining to participants' perceptions of MiND-MCI will be collected at post-treatment using quantitative and qualitative assessment methods. Outcome measures collected at baseline, post-treatment, and 12-week follow-up will assess global QoL, MCI-related QoL, MCI-related self-efficacy, depression, anxiety, loneliness, coping, and cognitive functioning.

Recruitment & Eligibility

Inclusion Criteria

Veteran
age 60 or older
diagnosis of MCI, diagnosed at least a month or longer prior to screening
diagnosis of at least one cardiovascular risk factor (i.e., hypertension, diabetes mellitus II, hyperlipidemia/hypercholesterolemia, or obesity)
self-reported cognitive complaint (i.e., "Do you have problems with your memory or thinking abilities?")
self-reported difficulty adjusting to declines in cognitive functioning (i.e., "Have these problems with memory or thinking impacted you, your life, or others in your life?")
English speaking, and (h) ability to provide written informed consent

Exclusion Criteria

diagnosis of dementia or a neurodegenerative disorder
diagnosis of serious mental illness likely to impact cognition (i.e., schizophrenia or bipolar I disorder)
acutely suicidal or homicidal
actively psychotic
active substance use disorder
limited life expectancy due to a terminal medical condition
receiving ongoing chemotherapy or radiation treatment at time of screening
residing in an assisted living or residential care facility
currently participating in another psychotherapy, health promotion intervention, or cognitive training program, and
any significant changes to psychotropic medications or medications for memory and cognition in the past month. Participants prescribed psychotropic medications and medications for memory and cognition will be asked to stay on their current dosages for the duration of the study.

Arm && Interventions

Group	Intervention	Description
Group therapy delivered via video telehealth	Group psychotherapy delivered via video telehealth	Nine sessions of 60 min each group therapy delivered via telehealth
Group therapy delivered via video telehealth - wait list control	Group psychotherapy delivered via video telehealth	Nine sessions of 60 min each group therapy delivered via telehealth after a waiting period.

Primary Outcome Measures

Name	Time	Method
Feasibility of a group video-telehealth intervention for veterans with MCI	At Week 0 (randomization)	percentage of screened, eligible subjects that enroll in intervention
Acceptability of a group video-telehealth intervention for veterans with MCI	At Week 10 (one week after completion of the 9 video-telehealth sessions)	percentage of subjects that attend 70% or more of scheduled sessions

Secondary Outcome Measures

Name	Time	Method
Change in the Quality of Life in Alzheimers Disease (QOL-AD, range of 13-52) scale in Veterans with Mild Cognitive Impairment following participation in a 9-week video-telehealth intervention.	baseline to 12 week post-treatment follow-up visit	change in the Quality of Life in Alzheimers Disease (QOL-AD) Scale

Locations (2): Salem VA Medical Center
🇺🇸
Salem, Virginia, United States
Tuscaloosa VA Medical Center
🇺🇸
Tuscaloosa, Alabama, United States