Mild Cognitive Impairment
Conditions
Keywords
falls prevention, older adults, mild cognitive impairment
Brief summary
This randomised controlled trial aims to determine the effectiveness of combined physical and cognitive training in preventing falls and decreasing risks of falls among community-dwelling older persons with mild cognitive impairment (MCI).
Detailed description
This is a single-blind, multicentre, randomised controlled trial. Community-dwelling older adults with MCI aged 60 or above will be recruited. They will be randomly allocated into four groups: Physical Training alone (PT), Cognitive Training alone (CT), combined Physical And Cognitive Training (PACT) and wait-list group (WG). Assessors blinded to participant allocation will conduct pre-test, posttest, and 6-month follow-up assessments.
Interventions
Physical Exercise and Cognitive Training
Physical training alone
Cognitive training alone
Sponsors
Study design
Eligibility
Inclusion criteria
* 60 years or above * community-dwelling in Manila, Philippines * diagnosed with MCI
Exclusion criteria
* diagnosis of dementia or Alzheimer's disease * history of major medical conditions such as cerebrovascular disease, cardiopulmonary condition, serious musculoskeletal disease, cancer, major psychiatric condition * have severe visual and/or hearing impairment * taking medications such sedatives, antidepressants, diuretics, anti-epilepsy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Falls Rate | 9 months | Number of Falls over a period of time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Physiologic Profile Assessment (PPA) score | Baseline, 3 months, 9 months | Physiologic risk for falls |
| Change in Falls Risks for Older People in the Community (FROP-Com) Screen score | Baseline, 3 months, 9 months | Overall fall risk |
| Change in Global Cognitive Function | Baseline, 3 months, 9 months | Montreal Cognitive Assessment (MoCA) |
| Change in Memory Function | Baseline, 3 months, 9 months | Memory Index Score of the Montreal Cognitive Assessment (MoCA-MIS) |
| Change in Gait Speed | Baseline, 3 months, 9 months | 10-Meter Walk Test (10MWT) |
| Change in Muscle Strength | Baseline, 3 months, 9 months | 30s-Chair-Stand Test (CST) |
| Change in Executive Function | Baseline, 3 months, 9 months | Executive Function Performance Test (EFPT) |
| Change in Balance | Baseline, 3 months, 9 months | Time Up and Go Test (TUGT) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Fear of Falling | Baseline, 3 months, 9 months | Falls Efficacy Scale - International |
| Change in Quality of Life | Baseline, 3 months, 9 months | European Quality of life - five dimensions - five levels (EQ-5D-5L) questionnaire |
Countries
Philippines