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Risk BehaviorNCT04616794

Intervention on Modifiable Lifestyle Risk Factors for Dementia Prevention

A study testing Cognitive Engagement Group, Physical Activity Group and Diet Group in people with Risk Behavior and Cognitive Decline, run by LuciLab at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The overarching aim is to develop and deploy a multidomain intervention delivered on a mobile application to help older adults reduce their risk for dementia by improving a set of modifiable lifestyle risk factors associated with cognitive decline/dementia. Read more about this study

Who is it for?
Ages 50 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Risk Behavior, Cognitive Decline
What is being tested?
Cognitive Engagement Group, Physical Activity Group and Diet Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
1 siteCanada
Study dates
13 Oct 2020to 15 Jan 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Proficient or native speakers in French;
  • Computer literate;
  • Committed not to participate in another program related to any of the three intervention domains for the duration of the trial;
  • At least one of the following:
  • Low cognitive engagement in cognitively stimulating activities, defined as a score ≤ 15 on the CAQ
  • Low level of physical activity defined as less than 600 MET-min/week (~150 minutes/week) of MVPA measured using the IPAQ-SF
  • Low adherence to the Mediterranean-type diet defined as a score of ≤ 8 on the adapted Canadian MDS

Who cannot join

  • Presence of a cognitive impairment as measured by the Cogstate Brief BatteryTM ;
  • General anesthesia within the last 6 months;
  • Participation in any previous validation studies related to the program;
  • Participation, currently or within the last 6 months, in a program where they received any of the three interventions;
  • Unable to commit participation over the period of the study.
  • Participants in the precontemplation stage of change.
Show all 17Show fewer
  • Participants with a high level of perceived stress.
  • Having received a diagnosis of:
  • Dementia or neurodegenerative disease;
  • Past or present neurological disorder;
  • Severe psychiatric disorder;
  • Uncontrolled cardiovascular or metabolic diseases;
  • Alcoholism or drug addiction;
  • Any other conditions expected to limit participation.
  • Domain-Specific exclusion criteria
  • Participants will be excluded from the physical activity intervention, but not the trial, if they have a medical contraindication to physical activity based on the Physical Activity Readiness Questionnaire
  • Individuals with dietary restrictions due to medical reasons, allergies or severe intolerance or an history of eating disorders will be excluded from participation in the healthy diet intervention.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Sylvie Belleville

    Montreal, Quebec, H3W 1W5

Other trials in Canada

About this study

Official title: Tailored, Multidomain, and Coach-assisted Interactive Mobile Application for the Adoption and Maintenance of a Healthy Lifestyle in Middle-aged and Older Adults With Modifiable Risk Factors for Dementia: A Proof-of-concept Study

The overarching aim is to develop and deploy a multidomain intervention delivered on a mobile application to help older adults reduce their risk for dementia by improving a set of modifiable lifestyle risk factors associated with cognitive decline/dementia. The targeted domains are physical activity, diet, and cognitively stimulating activity. This registration concerns the Proof-of-concept study which will examine if individual parts of the intervention program achieve a clinically significant degree of change in the targeted behavioral risk outcomes. It is expected that following the program, at least 50% of participants will show evidence of a clinically significant degree of change in the behavioral risk outcome targeted by the intervention, when compared to baseline.

Read the detailed description

There are encouraging indications from observational and prospective studies that late life multidomain lifestyle interventions can reduce the risk of cognitive decline and dementia, as well as improve cognition. However, these studies raise major issues related to scalability and adherence which can be addressed by relying on technology. These studies mainly used intensive and costly face-to-face interventions that are not easily implemented on a large scale. Furthermore, there are challenges with the adherence to all the components of a multi-domain lifestyle program.

Technology-delivered interventions have the potential to overcome some of the limitations of traditional face-to-face interventions. They confer numerous advantages including scalability of use in a real-world setting while limiting geographical constraints and other logistical challenges such as clinic attendance requirements. Such delivery modes also offer user convenience (e.g., undertaken at home and flexible schedule) and reduced costs associated with large-scale deployment of studies and programs.

In addition to the inclusion of technology, the success of health promotion interventions may also be improved by integrating models of lifestyle habit patterns and behaviour change determinants. The coach-based intervention will integrate behavioural change techniques based on the Behaviour Change Wheel developed by Michie. The coach intervention approach will also be guided by the Transtheoretical model of behaviour change principles proposed by Prochaska and DiClemente, and Motivational Interviewing techniques described by Rollnick and Miller.

The Proof-of-Concept study is a 10-week pre-post within-subject parallel group treatment-only study. There will be three single-domain groups (diet; physical activity or cognitive engagement), and one multidomain group. Participants will receive up to 9 weekly coach-assisted counselling sessions. The goal is to recruit up to 55 participants with at least one of the target risk factors : unhealthy diet, low level of cognitively stimulating activity or physical activity). Participants with a single risk factor will be invited to the single-domain condition for which they have a risk. Participants with multiple risk factors will be invited to the multidomain condition. The risk level for each domain will be examined before and after the intervention to assess whether the intervention has induced a clinically significant change.

Being tested
Cognitive Engagement Group, Physical Activity Group, Diet Group, Multimodal group
Medical subject headings
Risk-Taking, Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cognitive Engagement GroupBehavioural

    Participants in this group will be encouraged to lead a cognitively stimulating lifestyle, as a means for cognitive decline/dementia risk reduction. This will be achieved by providing educational materials, practical tips and strategies, and suggestions about the different options to increase cognitively stimulating activities and by assisting participants outlining goals to progressively adopt a more cognitively active lifestyle.

  • Physical Activity GroupBehavioural

    Participants in this group will be encouraged to lead a physically active lifestyle, as a means for cognitive decline/dementia risk reduction. This will be achieved by providing educational materials, practical tips and strategies, and suggestions about the different options to increase physical activities and by assisting participants outlining goals to progressively adopt a more physically active lifestyle.

  • Diet GroupBehavioural

    Participants in this group will be encouraged to adopt a healthy diet, as a means for cognitive decline/dementia risk reduction. This will be achieved by providing educational materials, practical tips and strategies, and suggestions about the different options to change their diet and by assisting participants outlining goals to progressively adopt a Mediterranean-like diet.

  • Multimodal groupBehavioural

    Participants assigned to this group will select which domain they wish to tackle first. Interventions are as described for the single-domain interventions.

Study groups in NCT04616794
Study groupRoleWhat they receive
Cognitive Engagement GroupExperimentalParticipants eligible to enter this group must show low cognitive engagement in cognitively stimulating activities, defined as a score < 22 on the Cognitive Activity Questionnaire (CAQ)
Receives: Behavioral: Cognitive Engagement Group
Physical Activity GroupExperimentalParticipants eligible to enter this group must have a low level of physical activity defined as less than 600 MET-min/week (~150 minutes/week) of moderate to vigorous physical activity (MVPA), measured using the International Physical Activity Questionnaire - short form (IPAQ-SF)
Receives: Behavioral: Physical Activity Group
Diet GroupExperimentalParticipants eligible to enter this group must have a low adherence to the Mediterranean-type diet defined as a score of ≤ 8 on the adapted Canadian Mediterranean Diet Scale (MDS).
Receives: Behavioral: Diet Group
Multi-modal GroupExperimentalParticipants eligible to enter this group must be eligible for at least two of the three single-arm conditions.
Receives: Behavioral: Multimodal group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in Cognitive Engagement at study end

    Cognitive engagement is measured using the Cognitive Activity Questionnaire (CAQ). Participants are asked to indicate the frequency in which they engage in 10 cognitive leisure activities. Scores range from 0 to 70. A higher score represents a higher cognitive engagement level.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

  2. Change from Baseline in Mediterranean Diet Adherence at study end

    Adherence to the Mediterranean Diet is measured with an adaptation of the Canadian Mediterranean Diet Scale (MDS). The scale consists of 13 questions on food consumption frequency and intake habits. Scores range from 0 to 13, where a higher score represents a higher adherence level.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

  3. Change from Baseline in Physical Activity at study end

    Physical activity level is measured using the International Physical Activity Questionnaire - Short Form (IPAQ-SF). The IPAQ-SF consists of 7 items to assess Moderate to vigorous physical activity (MVPA) as well as walking and sitting time in the last 7 days. An overall total physical activity score is computed in Metabolic equivalent tasks (MET)-minutes/week, where a higher MET value represents a higher level of physical activity.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

Secondary outcomes (10)
  1. Change from Baseline in Luci Cognitive Engagement Score at study end

    Six questions are added to the Cognitive Activity Questionnaire to include stimulating cognitive activities not covered in the original questionnaire. From the whole questionnaire, a total score is computed ranging from 0 to 112, where a higher score represents a higher cognitive engagement level.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

  2. Change from Baseline in Luci Mediterranean Diet Adherence Score at study end

    Eight questions are added to the Canadian Mediterranean Diet questionnaire to include food groups and food intake habits not covered in the original questionnaire. From the whole questionnaire, a total score is computed ranging from 0 to 36, where a higher score represents a higher adherence level.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

  3. Change from Baseline in Luci Physical Activity Score at study end

    Three questions assess frequency and intensity of specific physical activities related to aerobic, resistance and flexibility training over the past 7 days. Three subscores and a total score ranging from 0-30 are computed, where higher scores represent higher physical activity levels.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

  4. Goal Attainment

    For each goal, level of attainment and perceived effort towards goal attainment are rated weekly using a 10-point Likert-like scale, where 10 represents "completed" and "maximal effort", respectively.

    Measured: Weekly (within 1 week after the first coaching session) up to study end (within 1 week after the last coaching session)

  5. Perceived Progress in adopting lifestyle changes

    Perceived Progress in adopting lifestyle changes will be investigated with a single question, "To what extent do you think you changed your (domain specified) lifestyle since the beginning of the program?", using a 10-point Likert-like scale, where 10 represents a major change.

    Measured: Study end (within 1 week after the last coaching session)

  6. Change from Baseline in Readiness to change at study end

    Readiness to change will be determined using a 6-item questionnaire at Baseline and a 3-item questionnaire at study end.

    Measured: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)

  7. Satisfaction with the Program

    Satisfaction with the program is assessed using a 34-item questionnaire. This questionnaire includes questions derived from the end-user version of the Mobile App Rating Scale (uMARS), from the Satisfaction and Continuance Usage Intention Questionnaire, from the the Client Evaluation of Motivational Interviewing (CEMI), from the Behaviour Change Counselling Index (BECCI) as well as study-specific questions. Scores range from 0-5, where a higher score represents a higher satisfaction.

    Measured: Study end (within 1 week after the last coaching session)

  8. Program Usability

    The usability of the program is assessed using the System Usability Scale (SUS). The SUS is a 10-item questionnaire. Scores range from 0-5, where a higher score represents a higher usability.

    Measured: Study end (± 1 week after the last coaching session)

  9. Overall User Experience

    Feedback about the overall user experience with the platform will be collected using a semi-structured interview conducted by phone.

    Measured: Study end (within 1 week after the last coaching session)

  10. Platform usage

    Continuous measures of different parameters linked to platform usage during the study period will be recorded and analyzed, including pattern of use (e.g., time of day), frequency (e.g., number of platform access), duration of use (e.g., duration of the coach sessions) and the functionalities used (e.g., content viewed).

    Measured: Baseline (within 1 week before the first coaching session) to study end (within 1 week after the last coaching session)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Nov 2020
  2. Study start13 Oct 2020
  3. Primary completion24 Dec 2020
  4. Study completion15 Jan 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The Luci intervention is a personalized lifestyle behaviour change program delivered via an interactive mobile platform with the online support of a coach. The system will allow participants to communicate with their coach through video calls and a messaging/chat system. The coaching sessions will focus on providing personalized support to help participants improve their eating habits, cognitive engagement and/or physical activity. The coach will offer assistance, feedback, information where appropriate, and motivational support throughout the trial. The Proof-of-Concept study is a 10-week pre-post within-subject parallel group treatment-only study. There will be three single-domain groups, and one multidomain group. Participants will receive coach-assisted counselling for up to 9 weeks.
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04616794
Sponsor's protocol ID
LUCI-01
Status last verified
Feb 2021
First submitted
13 Oct 2020
Last updated
24 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive Engagement Group, Physical Activity Group and Diet Group in people with Risk Behavior and Cognitive Decline, run by LuciLab at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in Cognitive Engagement at study end (time frame: Baseline (within 1 week before the first coaching session) and study end (within 1 week after the last coaching session)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2026.

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