Cognitive Training to Promote Brain Health: Implementation and Engagement
试验速览
- 阶段
- 2 期
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Engagement
研究概览
简要总结
Cognition encompasses memory, attention, language and other brain capacities that are necessary for good quality of life and independence. Age-related cognitive decline starts at the third decade of life and in some cases can start to impact daily functioning in the late forties. Dementia is the most devastating consequence associated with age-related cognitive decline. Recent studies indicate that improving cognition by means of intensive computerized brain training can mitigate some aspects of agerelated cognitive decline, and may even have a role in preventing or delaying dementia onset. Critically, the capacity of a given individual to improve their cognitive performance after training is fundamentally related to engagement with the exercises. Currently, little is known about how to apply intensive computerized cognitive training effectively in the health system, ensuring engagement and best progress. This project aims to tackle this challenge by developing, applying and testing personalized approaches to implement cognitive training in daily life of older adults that were recently evaluated at Memory Clinics and their care partners. The community readiness approach will be implemented using semi-structured interviews, conducted with subjects that may be interested in cognitive training, key informant, and key stakeholders. Using this information, the investigators will design an individualized training program and follow up its application in a feasibility trial. Twenty participants, recently evaluated at different Memory Clinics in Ireland, will be recruited, interviewed and invited to engage, over the ensuing 2 to 3 months, in computerized cognitive training. Subjects will be assessed after completion of the intervention for training adherence and individual gains on the computerized exercises. In order to gain insight about regional specificities of the approach the investigators will perform a parallel project using the same methodology in Brazil. This project is expected to inform the future implementation of cognitive training in public health policies for older adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being evaluated at a memory clinic in the last year, or be the care partner of a person evaluated at a memory clinic
- •Adequate visual and auditory acuity to allow practice on the computerized training exercises
- •Physical ability sufficient to allow performance of the computerized training exercises
- •Provide signed and dated informed consent form.
- •Willing to comply with all study procedures and be available for the duration of the study.
排除标准
- •Any medical condition that precludes performing the computerized training exercises
- •Advanced dementia.
结局指标
主要结局
Engagement
时间窗: 3 months
will be defined as a continuous variable (number of hours of training completed by the participant).
次要结局
- Qualitative motivation with the computerized training exercise(3 months)
- Training adherence (dichotomic variable)(3 months)
- Quantitative measure of motivation with the computerized training exercise(3 months)
- Individual gains on the computerized exercises(3 months)
研究者
Rogerio Panizzutti
Associate Professor
Universidade Federal do Rio de Janeiro
