Mild Cognitive Impairment
Conditions
Keywords
Mild Cognitive Impairment
Brief summary
This study investigates the effects of an Acceptance and Commitment Therapy (ACT)-based cognitive intervention on Quality of Life (QOL) and cognitive function among elderly residents with Mild Cognitive Impairment (MCI) in long-term care settings. The study assesses immediate and long-term impacts on cognitive function, psychological flexibility, social engagement, and overall well-being through structured ACT-based training.
Detailed description
This clinical trial explores the impact of an Acceptance and Commitment Therapy (ACT)-based cognitive intervention on Quality of Life (QOL) and cognitive function in elderly residents with Mild Cognitive Impairment (MCI) living in long-term care facilities. The intervention aims to promote psychological flexibility, which is a core process in ACT, and enhance the residents' ability to engage in meaningful activities despite cognitive limitations. Participants will engage in structured ACT-based training sessions that include mindfulness exercises, values clarification, and commitment strategies designed to improve cognitive engagement, reduce emotional distress, and foster greater social connection. The study measures both the immediate effects following the intervention and the long-term benefits at follow-up periods to evaluate sustained improvements in cognitive performance, psychological resilience, social involvement, and overall well-being. By focusing on cognitive and emotional strategies, the intervention seeks to empower elderly residents to live more fulfilling and value-driven lives, even in the face of cognitive decline associated with MCI.
Interventions
BEHAVIORALAcceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT); Quality of Life (QOL); Mild Cognitive Impairment (MCI); cognitive function; elderly; psychological flexibility.
BEHAVIORALstandard care
standard care
Sponsors
Instituto de Investigación Marqués de Valdecilla
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Residents aged 65 and older diagnosed with MCI, able to provide informed consent, and residing in participating long-term care facilities.
Exclusion criteria
* Individuals with severe cognitive impairment, unstable medical conditions, or psychiatric diagnoses that would interfere with participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Quality of Life as measured by the QOL-AD scale | Baseline, post-intervention (12 weeks), and 6-month follow-up | Quality of Life will be assessed using the QOL-AD scale, a validated questionnaire for evaluating the quality of life in individuals with cognitive impairment. Changes in mean scores from baseline to each time point will be reported |
| Change in cognitive function as measured by the Mini-Mental State Examination (MMSE) | Baseline, post-intervention (12 weeks), and 6-month follow-up | Cognitive function will be evaluated using the MMSE, a widely used tool for cognitive assessment. Mean changes in scores from baseline to each time point will be analysed and reported |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Psychological flexibility as measured by the Acceptance and Action Questionnaire (AAQ-II) | Baseline, post-intervention (12 weeks), and 6-month follow-up | Psychological flexibility will be measured using the AAQ-II, a validated scale assessing an individual's ability to engage with values-based actions despite cognitive and emotional challenges. Mean score changes over time will be reported |
| Social engagement as measured by a standardised engagement assessment tool | Baseline, post-intervention (12 weeks), and 6-month follow-up | Social engagement will be assessed using a standardised instrument for evaluating participation in meaningful activities and interpersonal connections. Changes in engagement levels will be tracked and reported |
Countries
Spain
Outcome results
None listed