Clinical trial NCT03722316: Nature Video to Improve Older Adult Health: A Feasibility Study.
Official title: Immersive Nature-based Multimedia Videos to Improve Health in Older Adults With and Without Mild Cognitive Complaints: A Feasibility and Pilot Study.
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Mild Dementia
Mild Cognitive Impairment
Lead sponsor: University of Southern California
Sponsor class: OTHER
Collaborators: name: Front Porch Center for Innovation and Wellbeing
First posted: 2018-10-26
Enrollment: 25
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: Background: Exposure to nature has a positive impact on a multitude of health-related outcomes such as stress, attention, recovery after surgery, and overall well-being. There is growing interest in determining the impact of vicarious nature experiences delivered through multimedia platforms on the well-being of persons at high risk for poor psychosocial outcomes, as is the case in older adults diagnosed with mild cognitive impairment (MCI) or mild dementia.

Objectives/Purpose: The primary purpose of this study is to assess the feasibility of providing an immersive nature-based multimedia experience to older adults with MCI or mild dementia. A secondary purpose is to identify the potential health benefits of this intervention.

Methodology: A convenience sample of 40 older adults (65+ years old) with and without mild cognitive complaints will be recruited from a Los Angeles senior service partner. Participation will include three visits. The first visit will include the consent process, cognitive testing, and questionnaire completion. The second and third visits will consist of a video session followed immediately by a group discussion regarding the content in the videos. The two video sessions will be administered in a randomized and counterbalanced manner one week apart. One video involves a 15-minute immersive nature-based experience and the other includes a 15-minute clip that presents emotionally "neutral" educational content. Both sessions will be immediately followed by a group discussion of the content in the videos and how it relates to past experiences.

Outcomes and Analysis: Process evaluation data associated with recruitment, screening eligibility, involvement of personnel, assessment administration, and retention will be collected to determine overall study feasibility. Additionally, selected assessments will be administered at each multimedia experience during key time points to examine potential short-term health benefits.


Eligibility criteria: Inclusion Criteria:

* Speaks and understands English
* Mild cognitive impairment/mild dementia or normal cognition
* Minor complaints with thinking or memory
* Demonstrate the cognitive capacity to understand and consent to research procedures and to communicate his/her decision

Exclusion Criteria:

* Self-reported phobias that could be triggered by nature-based videos

Primary outcomes:
measure: Percent of Participants Retained
timeFrame: Initiation of recruitment, through study completion. Average of 6 months.
measure: Recruitment rate
timeFrame: Initiation of recruitment, through study completion. Average of 6 months.
measure: Frequency and type of implementation barriers
timeFrame: Initiation of recruitment, through study completion. Average of 6 months.
measure: Number of discussion questions used during group discussion
timeFrame: Day 1 and Day 2 - separated by one week
Secondary outcomes:
measure: Momentary affective state
timeFrame: Day 1 and Day 2 - separated by one week
measure: Working memory
timeFrame: Day 1 and Day 2 - separated by one week
measure: Heart rate variability
timeFrame: Day 1 and Day 2 - separated by one week
measure: Skin conductance activity
timeFrame: Day 1 and Day 2 - separated by one week
measure: Quality of social communication
timeFrame: Day 1 and Day 2 - separated by one week
Other outcomes:
Locations:
city: Glendale
country: United States
facility: Front Porch Center for Innovation and Wellbeing
state: California
city: Los Angeles
country: United States
facility: University of Southern California
state: California
Study officials:
References: