Clinical trial NCT05906654: Sharing History Through Active Reminiscence and Photo-imagery (SHARP) Pilot Program
Official title: Oregon Healthy Brain Research Network Collaborative Center (OrHBRN): Sharing History Through Active Reminiscence and Photo-imagery (SHARP) Pilot Program
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: EARLY_PHASE1
Conditions: Cognitive Change
Lead sponsor: Oregon Health and Science University
Sponsor class: OTHER
First posted: 2023-06-18
Enrollment: 21
Sex: ALL
Minimum age (years): 55
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: 21 individuals without cognitive impairment engage in the study intervention over 24 weeks
Primary purpose: PREVENTION

Brief summary: SHARP is a neighborhood-based and technology-supported approach to brain health for older Black adults that integrates walking and image-prompted social reminiscence to maintain or improve brain health.

Detailed description: The SHARP study tests the feasibility, usability, and cultural relevance of an android application-supported walking study for brain health among older Black adults. The SHARP walking application enables the seamless integration of the brain-healthy behaviors of walking, social engagement, and reminiscence. Methods: Over the course of 24 weeks in the rapidly gentrifying historically Black neighborhoods of Portland, Oregon, triads aim to complete three 1-mile walks per week. The SHARP application is preprogrammed with 72 themed, 1-mile routes, accessible via a group tablet device. At three points along each route, GPS-triggered "Memory Markers" (historical images of local Black culture) appear on the walking application, serving as prompts for conversational reminiscence as triads walk. Walking reminiscence sessions are recorded for inclusion into a digital oral history archive.

Eligibility criteria: Inclusion Criteria:

* Self-identified African American
* \> 55 years old
* A long-time resident (\>10 cumulative years) of Portland's historically black neighborhoods (currently or in within the last 10 years)
* Without symptoms of and without a diagnosis of Alzheimer's Disease (they must be preclinical subjects),
* Without serious cognitive impairment and must score \> 24 on the age-education adjusted Mini-Mental State Exam
* Has internet access in the home.
* Able to ambulate independently, without walking aids
* Able to sustain walking at a moderate pace for 45 minutes.

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.

Primary outcomes:
measure: Feasibility
timeFrame: 24 weeks
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References:
citation: Carder, P., Croff, R., Tuttle, A., Towns, J. (2022) Walking and Talking: Recommendations for Doing Mobile Interviews with Older Adults. Journal of Aging and Environment, DOI: 10.1080/26892618.2022.2030844
citation: Croff RL, Witter Iv P, Walker ML, Francois E, Quinn C, Riley TC, Sharma NF, Kaye JA. Things Are Changing so Fast: Integrative Technology for Preserving Cognitive Health and Community History. Gerontologist. 2019 Jan 9;59(1):147-157. doi: 10.1093/geront/gny069.