Clinical trial NCT04439500: Effects of Online Training Aimed at Increasing Participation in Everyday Life During a Pandemic (SCD Online).
Official title: Preventing Cognitive and Functional Decline Among Seniors at Risk-Effects of Online Training Aimed at Increasing Participation in Everyday Life During a Pandemic.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Subjective Cognitive Decline
Keywords: Age-related cognitive changes
Lead sponsor: Baycrest
Sponsor class: OTHER
First posted: 2020-06-19
Enrollment: 32
Sex: ALL
Minimum age (years): 60
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study evaluates the efficacy of Real-World Strategy Training (RWST) compared to a psycho-education workshop for improving everyday life performance in older adults with subjective cognitive decline (SCD). Participants will be randomly assigned to receive one of these approaches. Additionally, this study will provide insight into the benefits of the program while people are not able to meet in person during a pandemic.

Detailed description: Evidence suggests that 25-50% of community-dwelling older adults report SCD and that these individuals have an elevated risk for developing Mild Cognitive Impairment and/or dementia. Many of these individuals report difficulties with complex activities of daily living.

RWST aims to reduce these difficulties in everyday life by providing a meta-cognitive training approach that compensates for age-related executive changes. The approach is provided within the context of individually identified everyday-life difficulties.

The psycho-education approach is a Brain-Health Workshop supplemented by intellectually stimulating activities such as doing Sudoku and/or word searches. This approach provides information people may use to inform health behaviour changes.

Eligibility criteria: Inclusion Criteria:

* Have access to high speed internet and a computer or mobile device with a webcam
* Have subjective cognitive complaints
* Be fluent in written and spoken English
* Able to self-identify areas of their everyday lives in which they would like to improve.

Exclusion Criteria:

* Diagnosis of neurological conditions (e.g. dementia, mild cognitive impairment, Parkinson's)
* Presence of severe depression
* Presence of substance abuse
* History of hospitalization for psychiatric reasons

Primary outcomes:
measure: Changes in improved performance (measured as total number of untrained goals improved to criterion) on the Canadian Occupational Performance Measure (COPM) immediately post-intervention.
timeFrame: Changes from baseline to post-intervention at 10 weeks
Secondary outcomes:
measure: Improved performance on the Canadian Occupational Performance Measure (COPM) measured at three and six months post-intervention.
timeFrame: Three and six months post-intervention
measure: Improved satisfaction with performance on trained and untrained goals identified using the COPM.
timeFrame: 10 weeks after baseline (after intervention), 3 months post-intervention, 6 months post-intervention
measure: Changes on Social Support Survey Instrument (MOS-SSS)
timeFrame: Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention
measure: Changes on DeJong Gierveld Loneliness Scale
timeFrame: Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention
measure: Changes on Lubben Social Network Scale
timeFrame: Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention
measure: Change in health-related Quality of Life
timeFrame: Baseline, 10 weeks, 3 months post-intervention, 6 months post-intervention
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: Baycrest Health Sciences
state: Ontario
Study officials:
affiliation: Rotman Research Institute, Baycrest Health Sciences
name: Deirdre Dawson, PhD
role: PRINCIPAL_INVESTIGATOR
References: