Clinical trial NCT06922071: The REMINDER4Care Program for Older Adults Supported by Residential and Daycare Facilities
Official title: The REMINDER4Care Program for Older Adults Supported by Residential and Daycare Facilities
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Dementia Risk Factors
Prevention
Cognitive Health
Keywords: Dementia Risk Factors
Prevention
Health
Aging
Residential and Daycare Facilities
Lifestyle
Lead sponsor: University of Coimbra
Sponsor class: OTHER
Collaborators: name: Fundação para a Ciência e a Tecnologia
First posted: 2025-04-10
Enrollment: 100
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Primary purpose: PREVENTION

Brief summary: Dementia incidence is rising, posing a public health challenge, but 45% of cases can be prevented by addressing modifiable risk factors. Multidomain trials show that lifestyle changes can improve cognitive function and reduce dementia risk (like the FINGER trial). The REMINDER program, a Portuguese-based dementia risk reduction protocol, was developed for community-dwelling older adults aged 55 and above. However, older adults in Residential and Daycare Facilities (RDF) have distinct needs that demand program adaptation to ensure its relevance and effectiveness. In addition, more studies are needed to evaluate the impact of multidomain interventions with older adults in RDF.

To address these challenges, the REMINDER4Care program was developed as a tailored, multidomain intervention to reduce dementia risk. It emphasizes social and cognitive engagement and advances its adaptation and evaluation in Residential and Daycare Facilities (RDF). To assess efficacy, the investigators will perform a Randomized Controlled Trial.


Eligibility criteria: Inclusion Criteria:

* Aged 65 years and older
* RDF users
* Elementary reading and writing skills

Exclusion Criteria:

* Have a clinical diagnosis of dementia and/or Mini-Mental State Examination (MMSE) scores below the cutoff for the presence of dementia (MMSE \< 22-27, depending on education level)
* Have a psychiatric or neurological condition that impairs cognition in the long term
* Have sensory and functional deficits that compromise their participation in the neuropsychological assessment and throughout the intervention sessions

Primary outcomes:
measure: Screening
timeFrame: Screening
measure: Screening
timeFrame: Screening
measure: Cognitive status
timeFrame: Screening and 1-week and 3-months post-intervention
measure: Mood status
timeFrame: Screening and 1-week and 3-months post-intervention
measure: Cognitive status
timeFrame: Baseline and 1-week and 3-months post-intervention
measure: Cognitive status
timeFrame: Baseline and 1-week and 3-months post-intervention
measure: Perceived social isolation and loneliness
timeFrame: Baseline and 1-week and 3-months post-intervention
measure: Perceived social network
timeFrame: Baseline and 1-week and 3-months post-intervention
measure: Functionality status
timeFrame: Baseline and 1-week and 3-months post-intervention
measure: Perceived quality of life
timeFrame: Baseline and 1-week and 3-months post-intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Coimbra
country: Portugal
facility: Faculty of Psychology and Education Sciences
Study officials:
affiliation: University of Coimbra
name: Catarina L. B. Baptista, PhD Student
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Coimbra
name: Ana Rita E. S. Silva, Doctorate
role: STUDY_CHAIR
affiliation: University of Coimbra
name: Margarida P. Lima, Doctorate
role: STUDY_CHAIR
affiliation: University of Beira Interior
name: Rosa M. Afonso, Doctorate
role: STUDY_CHAIR
References: