Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Mixed-methods, Feasibility Randomized Control Trial of Mindfulness-Based Stress Reduction (MBSR) With Older Adults Living With Subjective Cognitive Decline (SCD) and Mild Cognitive Impairment (MCI): a Primary Care Context
Brief Summary: People living with subjective cognitive decline (SCD) or mild cognitive impairment (MCI) experience less efficiency in performing complex everyday tasks, which may result in a general sense of discontentment and decreased satisfaction with their overall functional performance. Additionally, SCD and MCI have been associated with concomitant anxiety, depressive mood, perceived stress, a decrease in emotional well-being and quality-of-life (QoL) among community-dwelling older adults. These concomitant psychosocial issues may result in emotional distress which further exacerbates cognitive decline.

At the present time, there is a lack of evidence that supports pharmacologic interventions to ameliorate concomitant psychosocial issues with this particular population due to medication side-effects, drug-drug interaction and polypharmacy. Consequently, exploring alternative non-pharmacological interventions to assist in ameliorating psychosocial issues is an important consideration. Secondly, evaluating perceived satisfaction on functional performance with those living with SCD and MCI, and assessing interventions that may support this is also worthwhile to pursue. Primary care providers are often the first point of contact when older adults and their families become concerned about memory problems. Health care professionals, on an interdisciplinary Family Health Team (FHT), such as occupational therapists, are well-positioned to holistically address both the psychosocial and functional needs in a client/family centred way with this growing population in primary care. The study proposes to offer a Mindfulness-Based Stress Reduction (MBSR) program, which is an 8-week program that has been shown to be beneficial in alleviating emotional distress among adults living with physical and psychological issues in the general population.


Options:
A: Arm Label: Psychological treatment; Type: EXPERIMENTAL; Interventions: Behavioral: Psychological treatment | Arm Label: Cognitive training; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Cognitive training | Arm Label: Treatment as usual; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Psychological treatment; Assigned to Arm(s): Psychological treatment | Intervention Type: BEHAVIORAL; Name: Cognitive training; Assigned to Arm(s): Cognitive training
B: Arm Label: PATH; Type: EXPERIMENTAL; Interventions: Behavioral: PATH | Arm Label: ST-CI; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: ST-CI | Intervention Type: BEHAVIORAL; Name: PATH; Assigned to Arm(s): PATH | Intervention Type: BEHAVIORAL; Name: ST-CI; Assigned to Arm(s): ST-CI
C: Arm Label: No Cognitive Rehabilitation; Type: EXPERIMENTAL; Interventions: Behavioral: Computer Brain Fitness Training, Behavioral: Support Group (patient and partner), Behavioral: Wellness Education, Behavioral: Physical Exercise | Arm Label: No Computer Brain Fitness Training; Type: EXPERIMENTAL; Interventions: Behavioral: Cognitive Rehabilitation, Behavioral: Support Group (patient and partner), Behavioral: Wellness Education, Behavioral: Physical Exercise | Arm Label: No Support Group; Type: EXPERIMENTAL; Interventions: Behavioral: Cognitive Rehabilitation, Behavioral: Computer Brain Fitness Training, Behavioral: Wellness Education, Behavioral: Physical Exercise | Arm Label: No Wellness Education; Type: EXPERIMENTAL; Interventions: Behavioral: Cognitive Rehabilitation, Behavioral: Computer Brain Fitness Training, Behavioral: Support Group (patient and partner), Behavioral: Physical Exercise | Arm Label: No Physical Exercise; Type: EXPERIMENTAL; Interventions: Behavioral: Cognitive Rehabilitation, Behavioral: Computer Brain Fitness Training, Behavioral: Support Group (patient and partner), Behavioral: Wellness Education | Intervention Type: BEHAVIORAL; Name: Cognitive Rehabilitation; Assigned to Arm(s): No Computer Brain Fitness Training, No Physical Exercise, No Support Group, No Wellness Education | Intervention Type: BEHAVIORAL; Name: Computer Brain Fitness Training; Assigned to Arm(s): No Cognitive Rehabilitation, No Physical Exercise, No Support Group, No Wellness Education | Intervention Type: BEHAVIORAL; Name: Support Group (patient and partner); Assigned to Arm(s): No Cognitive Rehabilitation, No Computer Brain Fitness Training, No Physical Exercise, No Wellness Education | Intervention Type: BEHAVIORAL; Name: Wellness Education; Assigned to Arm(s): No Cognitive Rehabilitation, No Computer Brain Fitness Training, No Physical Exercise, No Support Group | Intervention Type: BEHAVIORAL; Name: Physical Exercise; Assigned to Arm(s): No Cognitive Rehabilitation, No Computer Brain Fitness Training, No Support Group, No Wellness Education
D: Arm Label: Intervention (MBSR); Type: EXPERIMENTAL; Interventions: Behavioral: Mindfulness-Based Stress Reduction (MBSR) | Arm Label: Control - Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Mindfulness-Based Stress Reduction (MBSR); Assigned to Arm(s): Intervention (MBSR)

Answer: D