Mild Cognitive Impairment
Conditions
Keywords
cognition, french
Brief summary
The purpose of this study is to develop a linguistically and culturally appropriate adaptation of the Memory Support System (MSS), an evidence-based intervention to train persons with mild cognitive impairment (MCI) to complete personal goals and instrumental activities of daily living independently. The study will involve development of the associated manual, training and patient forms, and outcome measures, and pilot testing of the intervention in a group of French-speaking individuals with MCI and their care partners
Detailed description
At enrollment, participants with MCI and their care partners will complete French measures evaluating cognitive and functional status. Participants and partners will also complete French measures of treatment adherence, instrumental activities of daily living, self-efficacy for memory, quality of life, mood, anxiety, and caregiver burden at baseline, treatment end, and 8-week follow-up. Participants will complete the MSS training consisting of ten 1-hour sessions delivered over two or six weeks, starting 7-10 days after initial assessment.
Interventions
BEHAVIORALMemory Support System
The MSS is a two-page-per-day, pocket-sized calendar/note-taking system with three sections: (a) events; (b) to do's; and (c) journaling for logging important things to be remembered (e.g., news about family/friends). MSS training consists of ten 1-hour sessions delivered over two or six weeks, starting 7-10 days after baseline assessment.
Sponsors
Ottawa Hospital Research Institute
Bruyère Health Research Institute.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diagnosis of single or multi-domain MCI * Clinical Dementia Rating global (CDR) score of ≤ 0.5 * Dementia Rating Scale-Second edition score of ≥ 115 * available contact with a care partner ≥ 2 times weekly * absence or stable intake of nootropic(s) for ≥ 3 months
Exclusion criteria
* visual/hearing impairment and/or history of reading or written inability/disability sufficient to interfere with MSS training * concurrent participation in another related clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to French Memory Support System Intervention | One week after starting the treatment (MSS intervention), treatment end, and at 8 week follow-up after treatment end. | Change from adherence scores from one week after starting treatment (MSS intervention) at treatment end and at 8 weeks after the treatment end. Using an adherence scale from 0 to 10, with 10 being highest and a cut-off score of ≥ 7 points suggesting adherence with the MSS. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Everyday Cognition questionnaire. | Baseline and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Self report measure of performance based instrumental activities of daily living. Total score of 23-92, with higher scores indicating a worse outcome. |
| Functional Assessment Questionnaire | Baseline and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Informant based report of performance of instrumental activities of daily living. Total score of 0-30, with higher scores indicating a worse outcome (higher level of dependence). |
| Quality of Life in Alzheimer Disease | Baseline and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Self report quality of life scale. Total score of 13-52, with higher scores indicating a better outcome (better quality of life). |
| Center for Epidemiologic Studies Depression Scale | Baseline, treatment end and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Depression screening scale using Likert scale. Total score of 0-60 points, with higher scores signifying a worse outcome (higher levels of depression). |
| Chronic Disease Self-efficacy Scale | Baseline and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Selected questions related to memory and cognition from self report scale. Total score of 9-90 with higher scores indicating a better outcomes (higher feeling of self-efficacy). |
| Caregiver Burden Inventory Short-Form | Baseline and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Informant based scale of level of caregiver burden. Total score of 0-48 with higher scores indicating a worse outcome (higher level of burden). |
| State-Trait Anxiety Inventory by the Resources for Enhancing Alzheimer's Caregiver Health project | Baseline and at 8 week follow-up. | Change from baseline scale scores at treatment end and at 8 weeks after treatment end. Self report anxiety scale. Total score of 10-40 with higher scores indicating a worse outcome (higher level of anxiety). |
Countries
Canada
Outcome results
None listed