Sharing History Through Active Reminiscence and Photo-imagery - With MCI

Study Overview
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Brief Summary
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The SHARP-MCI study tests impact of walking and social reminiscence on cognitive function, blood pressure, and weight among healthy Black Americans and those experiencing mild cognitive impairment (MCI).

Detailed Description
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For 6 months (24 weeks), triads of healthy and MCI Black adults aged 55 and over walk 3x/week (1 mile) in Portland's historically Black neighborhoods. Triads follow GPS-mapped routes accessible via the SHARP walking application on a group tablet device. At three points along each route, GPS-triggered Memory Markers (historical images of local Black culture and life from1940-2010) appear on the tablet screen serving as a conversational reminisce prompt as the triad walks. At baseline and 24 weeks, cognitive function is measured via the Montreal Cognitive Assessment (MoCA), and weight and blood pressure are measured. Pre-post health surveys rate activity levels, days feeling downhearted/blue, energy level, and health status. Program evaluation surveys at month 1, 3, 6 assess mood, pace and dose of walking, prompt effectiveness, program readiness, and liklihood to recommend program to others. Focus groups at month 1, 3, 6 evaluate participants' program experience and needed changes.

Official Title
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Sharing History Through Active Reminiscence and Photo-imagery: A Neighborhood Approach to Increase Physical Activity and Social Engagement

Conditions
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Cognitive Change

Intervention / Treatment
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* Behavioral: Sharing History through Active Reminiscence and Photo-imagery (SHARP)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Self-identified African American > 55 years old Reside or resided for >10 years in Portland's historically Black neighborhoods (to be familiar with Memory Markers about this area) Able to ambulate independently. Participants (n=7) with MCI will meet criteria consistent with those defined by Jak et al. 2009 and with criteria outlined by the NIA-Alzheimer's Association workgroup (2011) Participants without cognitive impairment (n=14) will have an MMSE score > 24 (and not meet MCI criteria). Participants' cognitive function should allow them to get to/ from walk locations independently or with minimal assistance Exclusion Criteria: Serious or unstable medical condition (such as, but not limited to, cardiovascular disease, pulmonary disease, or severe arthritis) where participation in the trial would, in the opinion of the investigator, pose a significant health risk to the subject. Diagnosis of Alzheimer's disease, vascular dementia, Parkinson's disease, or other dementing illness.

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 95 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: single-arm study; all participants are assigned to the experiment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>All participants assigned to the experimental group (walking) | Behavioral: Sharing History through Active Reminiscence and Photo-imagery (SHARP)<br>* Participants engage in neighborhood walks and conversational reminisce three times per week over 24 weeks<br>* Other names: SHARP;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cognitive function | Pre/post Montreal Cognitive Assessment | 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood pressure | pre/post blood pressure reading | 24 weeks | 
| Weight | pre/post weight measurement | 24 weeks |