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Cognitive DysfunctionNCT05383443

MIND-Matosinhos: Multiple Interventions to Prevent Cognitive Decline

A study testing Cognitive training, Physical exercise and Nutrition education in people with Cognitive Dysfunction and Cognition Disorder, run by Instituto de Saude Publica da Universidade do Porto at 1 site in Portugal.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The present study aims to quantify the impact of a multidomain approach to prevent cognitive decline in individuals from the general population at-high risk of dementia. It will be based on five distinct components: 1) cognitive training; 2) physical exercise; 3) nutrition education; 4) capacitation to deal with… Read more about this study

Who is it for?
Ages 18 to 85 years
What is being tested?
Cognitive training, Physical exercise and Nutrition education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 sitePortugal
Study dates
15 Dec 2020to Dec 2022
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 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-85 years;
  • Score equal or higher than the validated cutoff points defined as 2 standard deviations below the mean for age and education in the Montreal Cognitive Assessment (MoCA);
  • ≥6 points on the Cardiovascular Risk Factors, Aging and Dementia Dementia Risk Score (CAIDE);
  • ≥4 years of schooling.

Who cannot join

  • Medical disability that contraindicates physical activity;
  • Lack of autonomy in daily activities;
  • Previous diagnosis of dementia or severe incapacity.

Trial locations and contacts

1 site in 1 country.

Ana Rute Costa, PhD contact

+351 22 206 1820

arcosta@ispup.up.pt

Portugal1 site, 1 recruiting
  • Instituto de Saúde Pública da Universidade do Porto

    Porto

    Ana Rute Costa, PhD, 22 206 1820, arcosta@ispup.up.pt

    Vítor Tedim Cruz, PhD

    Recruiting

Other trials in Portugal

About this study

Official title: Multiple Interventions to Prevent Cognitive Decline (MIND-Matosinhos) - a Randomized Controlled Trial

The present study aims to quantify the impact of a multidomain approach to prevent cognitive decline in individuals from the general population at-high risk of dementia. It will be based on five distinct components: 1) cognitive training; 2) physical exercise; 3) nutrition education; 4) capacitation to deal with cognitive decline; 5) assessment and correction of hearing loss.

Read the detailed description

This is a community-based randomized controlled trial (RCT), which will be implemented in Matosinhos municipality (Portugal) and will be conducted over three months, possibly extensible up to 12 months.

Eligible individuals (n=300) will be randomized (1:1) into two arms: intervention and control groups. The intervention plan will be composed by five non-pharmacological strategies, namely: 1) cognitive training; 2) physical exercise; 3) nutrition education; 4) capacitation to deal with cognitive decline; 5) assessment and correction of hearing loss. This plan will be applied to both groups, but with lower intensity among the control group.

Participants' characteristics will be assessed at baseline and at three months; for those who complete one year of intervention, additional follow-ups at six and 12 months after the beginning of the intervention will be conducted. These evaluations will cover the following domains: sociodemographic, lifestyle, health and anthropometric characteristics; cognitive function; subjective memory complains; symptoms of anxiety and depression; quality of life; physical performance; levels of glycated hemoglobin and 24-hour urinary sodium, potassium, creatinine excretion as well as pH.

The results of the present study may guide future clinical practices and health policies aiming to prevent cognitive decline and reduce the overall burden of dementia.

Being tested
Cognitive training, Physical exercise, Nutrition education, Capacitation to deal with cognitive decline, Diagnosis and correction of hearing impairment
Keywords
Aging, Cognitive Dysfunction, Cognition Disorders, Dementia, Diet, Healthy, Exercise Therapy, Hearing Loss, Memory Disorders, Multidomain intervention, Randomized Controlled Trial
Medical subject headings
Cognitive Dysfunction, Cognition Disorders, Memory Disorders, Neurocognitive Disorders, Dementia, Hearing Loss

What participants receive

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

  • Cognitive trainingBehavioural

    This component will comprise the following activities:

    1. In-person group training (monthly): 60-minute sessions, supervised by a psychologist; ii. Home individual training (≥5 times per week): unsupervised 30-minutes remote sessions, using the COGWEB® online platform or paper/pencil exercises (for those participants without computer/internet or who do not use one autonomously).
  • Physical exerciseBehavioural

    This component will be based on 60-minute sessions including aerobic, resistance, agility/balance and flexibility exercises, supervised by a physical education teacher:

    1. In-person group training (monthly); ii. In-person group training or remote synchronous training (group) or provision of education booklets with photos and exercise instructions to be performed individually (twice weekly), depending on the evolution of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic.
  • Nutrition educationBehavioural

    This component will be based on the following activities:

    1. In-person group 120-minute sessions (monthly), guided by a nutritionist, comprising: presentation and discussion of healthy and easy to cook recipes by the nutritionist and preparation of healthy meals by the participants; ii. In-person individual appointment with a nutritionist (monthly).
  • Capacitation to deal with cognitive declineBehavioural

    This component will be based on in-person 60-minute group sessions (monthly), guided by a psychologist, allowing participants to share experiences and learn strategies to cope with cognitive decline in their daily life.

  • Diagnosis and correction of hearing impairmentOther

    This component will be based on an evaluation session conducted by otolaryngologists and audiologists, who will evaluate previous hearing problems and use of hearing aids, and will include an otoscopy and an audiogram.

  • Cognitive trainingBehavioural

    This component will comprise the following activities:

    1. In-person group training (monthly): 60-minute sessions, supervised by a psychologist; ii. Home individual training (once a week): unsupervised 30-minutes remote sessions, using the COGWEB® online platform or paper/pencil exercises (for those participants without computer/internet or who do not use one autonomously).
  • Physical exerciseBehavioural

    In-person group training (monthly): 60-minute sessions including aerobic, resistance, agility/balance and flexibility exercises, supervised by a physical education teacher.

  • Nutrition educationBehavioural

    In-person group 120-minute sessions (monthly), guided by a nutritionist, comprising: presentation and discussion of healthy and easy to cook recipes by the nutritionist and preparation of healthy meals by the participants. The participants will have the opportunity to consume the prepared meals at home.

  • Capacitation to deal with cognitive declineBehavioural

    In-person group 60-minute sessions (monthly), guided by a psychologist, allowing participants to share experiences and learn strategies to cope with cognitive decline in their daily life.

  • Diagnosis and correction of hearing impairmentBehavioural

    This component will be based on an evaluation session conducted by otolaryngologists and audiologists, who will evaluate previous hearing problems and use of hearing aids, and will include an otoscopy and an audiogram.

Study groups in NCT05383443
Study groupRoleWhat they receive
InterventionExperimentalMultidomain non-pharmacological intervention, including cognitive training, physical exercise, nutrition education, capacitation to deal with cognitive decline, and diagnosis and correction of hearing impairment. The intervention plan includes home training activities of identical intensity for participants with and without access or autonomy to use computer/internet. It will comprise individual and group sessions over three months, possibly extensible up to 12 months. Caregivers or partners of all participants will be invited to participate in the activities of nutrition education and capacitation to deal with cognitive decline.
Receives: Behavioral: Cognitive training; Behavioral: Physical exercise; Behavioral: Nutrition education; Behavioral: Capacitation to deal with cognitive decline; Other: Diagnosis and correction of hearing impairment
Control groupActive comparatorMultidomain non-pharmacological intervention, including cognitive training, physical exercise, nutrition education, capacitation to deal with cognitive decline, and diagnosis and correction of hearing impairment. It will comprise individual and group sessions, over three months (possibly extensible up to 12 months), conducted with a lower frequency in comparison with the intervention group. Caregivers or partners of all participants will be invited to participate in the activities of nutrition education and capacitation to deal with cognitive decline.
Receives: Behavioral: Cognitive training; Behavioral: Physical exercise; Behavioral: Nutrition education; Behavioral: Capacitation to deal with cognitive decline; Behavioral: Diagnosis and correction of hearing impairment

What is being measured

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

  1. Adherence to the Mediterranean diet

    Variation of participant's self-reported adherence to the Mediterranean diet, assessed using the Mediterranean food pattern scale (MEDAS), between the baseline assessment and the end of follow-up. This scale varies from 0 (lowest adherence to the Mediterranean diet) to 14 points (highest adherence to the Mediterranean diet). A score over 10 points indicates good adherence to the Mediterranean diet.

    Measured: Up to 12 months

  2. Self-reported quality of life

    Variation of participant's quality of life, assessed using the EuroQol Group scale - 5 dimensions (EQ-5D) scale, between the baseline assessment and the end of follow-up. This scale is subdivided in two subscales: a) five multiple choice questions, with five response possibilities, which produce a score that varies from 5 (best score) to 25 points (worst score); b) visual analogic scale, that varies from 0 (worst score) to 100 (best score).

    Measured: Up to 12 months

Secondary outcomes (25)
  1. Memory complaints

    Variation of the self-reported memory complaints, assessed using the Subjective Memory Complaints Scale, between the baseline assessment and the end of follow-up. This scale varies from 0 (best score) to 21 points (worst score). Scores over three points indicate the presence of self-reported memory complaints.

    Measured: Up to 12 months

  2. Cognitive performance 1

    Variation of participant's cognitive performance assessed using the Montreal Cognitive Assessment, between the baseline assessment and the end of the follow-up. This scale varies from 0 (worst cognitive performance) to 30 points (best cognitive performance).

    Measured: Up to 12 months

  3. Cognitive performance 2

    Variation of participant's cognitive performance assessed using a neuropsychological battery tests, between the baseline assessment and the end of the follow-up. This will be reported in the format of a Z-score, assuming positive and negative values. Higher scores indicate better cognitive performance.

    Measured: Up to 12 months

  4. Anxiety and depression

    Variation of the anxiety and depression scores, assessed using the Hospital Anxiety and Depression Scale (HADS), between the baseline assessment and the end of the follow-up. This scale varies from 0 (best score) to 21 points (worst score).

    Measured: Up to 12 months

  5. Handgrip strength

    Variation of participant's handgrip strength, assessed using a dynamometer, between the baseline assessment and the end of the follow-up.

    Measured: Up to 12 months

  6. Agility 1

    Variation of participant's agility and balance, assessed using the Timed Up and Go Test scale, between the baseline assessment and the end of the follow-up. This is measured in time units (seconds) and varies from 0 (best score) to infinite (worst score).

    Measured: Up to 12 months

  7. Agility 2

    Variation of participant's agility and balance, assessed using the Unipedal Stance Test, between the baseline assessment and the end of the follow-up. This is measured in time units (seconds) and varies from 0 (best score) to infinite (worst score).

    Measured: Up to 12 months

  8. Upper body strength

    Variation of participant's upper body strength assessed using the 30-second arm curl test from the Senior Fitness Test.

    Measured: Up to 12 months

  9. Lower body strength

    Variation of participant's lower body strength assessed using the 30-second chair stand test from the Senior Fitness Test.

    Measured: Up to 12 months

  10. Upper body flexibility

    Variation of participant's upper body flexibility assessed using the back-scratch test from the Senior Fitness Test.

    Measured: Up to 12 months

  11. Lower body flexibility

    Variation of participant's lower body flexibility assessed using the chair sit-and-reach test from the Senior Fitness Test.

    Measured: Up to 12 months

  12. Agility 3

    Variation of participant's agility and dynamic balance assessed using the 8-foot distance test (2,44 meters) from the Senior Fitness Test.

    Measured: Up to 12 months

  13. Aerobic endurance

    Variation of participant's aerobic endurance assessed using the 2-minute step test from the Senior Fitness Test.

    Measured: Up to 12 months

  14. Lower limb function

    Variation of participant's lower limb function, assessed using the Short Physical Performance Battery (SPPB), which tests 3 dimensions: standing balance, walking speed, and chair stands. Each component is scored between 0-4; total score ranges from 0 (poor performance) to 12 (best performance).

    Measured: Up to 12 months

  15. Levels of glycated hemoglobin

    Variation of participant's levels of glycated hemoglobin, between the baseline assessment and the end of follow-up. This parameter will be measured through a laboratory analysis of participants' blood sample and will be used to analyze glycemic control.

    Measured: Up to 12 months

  16. 24-hour urinary sodium excretion

    Variation of participant's urinary sodium excretion, between the baseline and the follow-up assessments. This parameter will be measured through a laboratory analysis of participants' 24-hour urinary samples and will be analyzed as a proxy of dietary salt intake.

    Measured: Up to 12 months

  17. 24-hour urinary potassium excretion

    Variation of participant's urinary potassium excretion, between the baseline and the follow-up assessments. This parameter will be measured through a laboratory analysis of participants' 24-hour urinary samples and will be analyzed as a proxy of dietary potassium intake.

    Measured: Up to 12 months

  18. Body mass index

    Variation of participant's body mass index between the baseline assessment and the end of follow-up.

    Measured: Up to 12 months

  19. Blood pressure

    Variation of participant's systolic and diastolic blood pressure, between the baseline evaluation and the end of follow-up.

    Measured: Up to 12 months

  20. Functional capacity to perform instrumental activities of daily living

    Variation of participant's independence on performing instrumental activities of daily living, using the Lawton \& Brody scale, which ranges from 0 to 8 and higher scores represent increased functional capacity to perform instrumental activities.

    Measured: Up to 12 months

  21. Time of follow-up

    Number of days between the first and the last session attended by the participant.

    Measured: Up to 12 months

  22. Implemented sessions

    Proportion of sessions implemented, calculated as the number of sessions that the research team was able to implement divided by the total number of sessions planned.

    Measured: Up to 12 months

  23. Complete assessment of participants

    For each study outcome, proportion of participants with complete information, calculated at baseline and different moments of follow-up, as the number of participants with complete information divided by the total number of participants evaluated.

    Measured: Up to 12 months

  24. Adherence to each component of the intervention

    Proportion of adherence to each component of the intervention and to different intervention modalities (remote/in person), calculated as the number of sessions attended divided by the total number of sessions implemented. For remote cognitive training the outcome will be the absolute number of sessions.

    Measured: Up to 12 months

  25. Dropout

    Proportion of participants who dropped out of the study, calculated as the number of participants who dropped out after attending at least one session divided by the total number of participants who attended at least one session.

    Measured: Up to 12 months

Timeline

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

  1. First posted20 May 2022
  2. Study start15 Dec 2020
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2022 (estimated)

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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05383443
Sponsor's protocol ID
63/CE/JAS/2020
Status last verified
May 2022
First submitted
3 May 2022
Last updated
20 May 2022
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 training, Physical exercise and Nutrition education in people with Cognitive Dysfunction and Cognition Disorder, run by Instituto de Saude Publica da Universidade do Porto at 1 site in Portugal.

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 4 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 20 May 2022. 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 Portugal. 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?

Results are not available in the source record.

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

Contact Ana Rute Costa, PhD (+351 22 206 1820, arcosta@ispup.up.pt), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adherence to the Mediterranean diet (time frame: Up to 12 months). The study lists 2 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 20 May 2022.

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