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HealthyREMINDerNCT06530277

REMINDer - A Digital Environmental Enrichment Intervention

A study testing REMINDer (A digital environmental enrichment intervention) in people with Healthy, run by German Center for Neurodegenerative Diseases (DZNE) at 1 site in Germany.

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 primary goal of this pilot study is to assess the feasibility and effectiveness for improving overall mental and physical well-being of a multimodal intervention program in older adults carried out in a digital telehealth setting. Read more about this study

Who is it for?
Ages 60 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
REMINDer (A digital environmental enrichment intervention)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
58 participants
Where
1 siteGermany
Study dates
1 Aug 2024to 13 Dec 2024
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 60 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Retired adults aged between 60 and 80 years
  • Fluency in the German language
  • Cognitively unimpaired, as assessed via the Six-Item Screener (SIS) ≥ 4 points (out of 6)
  • Access to wireless internet connection and a digital device with speakers, screen, and camera at home
  • Access to a personal email address
  • Sufficient in-home space
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  • Availability throughout the study and its measurement time points
  • Ability to provide written informed consent
  • Spouses (must be in the same group and each participate in the intervention individually via their own device and in independent rooms; this fact is considered accordingly in the analyses)

Who cannot join

  • Regular rigorous physical exercise as defined by regular aerobic exercise (> 1.5 hours/week) during the last 6 months
  • Regular prior experience (> 1 hour/week) with tai chi, dance-movement, or other mind-body practices during the last 6 months
  • Disabilities that limit participation in online moment programs: Presence of physical ineligibility or mobility restrictions through a history of falls, not being able to walk, reliance on a walking aid
  • Severe uncorrected auditory or visual impairments that limit the ability to listen to online instructions or to observe online movements
  • Diagnosis of cognitive impairment and any type of dementia
  • Diagnosis of motor disorders (e.g. Parkinson's disease, multiple sclerosis)
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  • History of cerebral disease (e.g. tumor)
  • Severe neurological disorders (e.g. epilepsy)
  • Diagnosis of psychiatric disorders (e.g. depression)
  • Other chronic medical disorders that limit physical activity (e.g. advanced cardiac or respiratory disease, severe hypertension)
  • Substance abuse (excessive smoking, alcohol consumption, drug abuse)
  • Current participation in another research study

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • German Center for Neurodegenerative Diseases (DZNE), Dresden

    Dresden, Saxony, 01307

Other trials in Germany

About this study

Official title: Feasibility and Preliminary Efficacy of a 12-weeks Digital Environmental Enrichment Intervention in Cognitively Unimpaired Older Adults (REMINDer)

The primary goal of this pilot study is to assess the feasibility and effectiveness for improving overall mental and physical well-being of a multimodal intervention program in older adults carried out in a digital telehealth setting.

Read the detailed description

Background: Increasing life expectancy and associated age-related diseases, such as Alzheimer's disease, are considered a global challenge for society. Multiple physical, cognitive, and psychosocial risk factors can increase the risk of developing Alzheimer's disease. To effectively maintain mental health and well-being in older adults, multimodal, low-threshold, cost-effective, lifestyle-based intervention strategies that simultaneously and sustainably promote cognitive, physical, psychological, and social functioning in the older population are needed.

Objective: The primary objective of this randomized, controlled pilot study is to assess the feasibility and effectiveness of a multimodal intervention program delivered in a digital telehealth environment to improve overall mental and physical well-being of older adults.

Methods: The REMINDer study is a monocentric, randomized, assessor-blinded, controlled pilot study with a 6-week intervention period (2 hours per week). The study includes a digital multimodal intervention called REMINDer (Environmental Enrichment Intervention to Prevent Dementia - electronic intervention). This program is specifically designed for older adults and includes music, dance-based movement, and mind (specifically mindfulness) activities that are simultaneously trained to activate and strengthen brain resources and resilience to dementia. The intervention will be delivered in a digital telehealth environment (via an established videoconferencing platform) and compared to a 6-week passive control (waitlist with delayed intervention, AB-BA design) in a cross-over study design. For this first pilot study, a total of n = 50 cognitively unimpaired older adults will be recruited from the general population (spouses will be allowed in the same group and analyses will be controlled accordingly). Participants will be randomized to the two intervention groups using block randomization, stratified by age and sex, with a 1:1 allocation ratio.

Results: The primary outcomes of the study are feasibility, operationalized by adherence rates, and effectiveness of the intervention. Adherence per participant will be assessed by the number of sessions attended relative to the total number of sessions. Effectiveness will be assessed by the change in self-reported overall mental and physical well-being, operationalized by the Short-Form Health Survey (SF-12), measured at baseline (t1), post-intervention (t2), and follow-up (t3). Secondary outcomes will include changes in self-reported cognitive, motor, sensory, emotional/affective, social, and lifestyle behaviors, assessed at baseline, post-intervention, and follow-up using digital assessments.

Discussion: This pilot study will provide preliminary evidence on the feasibility and effectiveness of a digital multimodal intervention (REMINDer) to improve mental health and well-being in older adults. The results of this pilot study will inform a larger intervention trial aimed at improving multiple health risk factors for dementia in older populations at increased risk for Alzheimer's disease.

Conditions
Healthy
Being tested
REMINDer (A digital environmental enrichment intervention)
Keywords
Feasibility, Adherence, Prevention, Aging, Alzheimer's disease, Dance, Dance-movement therapy, Lifestyle, Well-being, Quality-of-life
Medical subject headings
Alzheimer Disease

What participants receive

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

  • REMINDer (A digital environmental enrichment intervention)Behavioural

    REMINDer adapts the REMIND program (Nicotra et al., 2022) for telehealth, integrating cognitive, motor, sensory, emotional, and social stimulation through "music, dance-based movement, and mindfulness". The program consists of 2 online sessions/week for 60 minutes each over 6 weeks, led by trained facilitators experienced in dance movement therapy and mindfulness exercises. Sessions are divided into welcome/warm-up (10 min), training (40 min), and relaxation/feedback (10 min) phases. Using a structured manual, participants perform exercises that address the program's multimodal stimulation. The REMINDer program is delivered in a group setting via an online videoconferencing system. The "intervention, no intervention" (AB) group undergoes the training program between t1 and t2 and then resumes their normal lifestyle from t2 to t3. The "no intervention, intervention" group (BA) maintains its normal lifestyle from t1 to t2 and then participates in the training program from t2 to t3.

Study groups in NCT06530277
Study groupRoleWhat they receive
Intervention, no intervention (AB)ExperimentalBeginning with the digital multimodal intervention (REMINDer) and then transitioning to a no intervention phase (sequence: AB).
Receives: Behavioral: REMINDer (A digital environmental enrichment intervention)
No intervention, intervention (BA)ExperimentalStarting with a no intervention phase and subsequently moving to the digital multimodal intervention (REMINDer) (sequence: BA).
Receives: Behavioral: REMINDer (A digital environmental enrichment intervention)

What is being measured

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

  1. Feasibility: Adherence to the intervention

    Assessed by the number of sessions attended in relation to the total number of sessions ([number of sessions attended / total number of sessions] * 100).

    Measured: from baseline (t1) to the end of the 6-weeks intervention (t2)

  2. Effectiveness: Change in overall mental and physical well-being

    Assessed by the Short-Form-Health Survey (SF-12), range 0 to 100, higher scores indicate greater mental and physical well-being.

    Measured: from baseline (t1) to the end of the 6-weeks intervention (t2)

Secondary outcomes (20)
  1. Feasibility: reach

    [participants enrolled / participants screened and eligible] * 100

    Measured: End of 6-week-intervention (t2)

  2. Feasibility: retention rate

    [participants completing t3 / participants enrolled] * 100

    Measured: 12 weeks post baseline (6 weeks post intervention) (t3)

  3. Feasibility: dropout rate

    Assessed by the number of participants who did not complete the intervention and follow-up period divided by the total number of participants that underwent the randomisation process.

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  4. Feasibility: Change in credibility and acceptance

    Assessed by the Credibility Expectancy Questionnaire (CEQ), instruction adapted, range 1 to 9, higher scores indicating higher credibility and acceptance

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  5. Change in cognitive ability: subjective cognition function

    Assessed by the Everyday Cognition Scales (ECog-12), short form, instruction adapted, range 1 to 4 (mean), higher scores indicate higher subjective cognitive impairment / worse cognitive state

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  6. Change in cognitive ability: objective cognitive function

    Assessed by the Consortium to Establish a Registry for Alzheimer's Disease (CERAD): word list learning. Instruction adapted, range subscale wordlist learning 0 to 10, higher scores indicate better memory function

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  7. Change in motor ability: frailty

    Assessed by the Tilburg frailty indicator (TFI), range 0 to 15, higher scores indicate higher frailty.

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  8. Change in sensory ability: interoceptive awareness

    Assessed by the Multidimensional Assessment of Interoceptive Awareness (MAIA), subscale awareness, range 0 to 5, higher scores indicate more positive body awareness

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  9. Change in sensory ability: self-perceived bodily abilities

    Assessed by the Body Self-Efficacy Scale (BSE), range 1 to 5, higher scores indicate greater feelings associated with the four domains: guilt, shame, authentic pride and hubristic pride

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  10. Change in well-being: psychological well-being

    Assessed by the Ryff's Psychological Well-Being Scales (PWB), short form (18 items), range 1 to 7, higher scores indicate greater well-being.

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  11. Change in well-being: general well-being

    Assessed by the Heidelberg State Inventory (HSI-24), range 1 to 5, higher scores indicate higher well-being

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  12. Change in positive emotion: life-satisfaction

    Assessed by the General Life Satisfaction Short Scale (L1), range 0 to 10, higher scores indicate greater satisfaction with life

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  13. Change in positive emotion: mindfulness

    Assessed by the Freiburg Mindfulness Inventory (German: FFA), range 1 to 4, higher scores indicate more mindfulness

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  14. Change in negative emotion: perceived stress

    Assessed by the Perceived Stress Scale (PSS-10), range 1 to 5, higher scores indicate greater levels of perceived stress

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  15. Change in negative emotion: anxiety

    Assessed by the State-Trait Anxiety Inventory (STAI-5), short form, range 1 to 4, higher scores indicate higher anxiety

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  16. Change in social integration / loneliness

    Assessed by the German Version of the UCLA Three-item loneliness scale (LS-S), range 1 to 5, higher scores indicate less social integration / more loneliness

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  17. Change in social connectedness with others

    Assessed by the Inclusion of Other in the Self (IOS), range 1 to 7, higher scores indicate more overlap indicating higher social connectedness

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  18. Change in lifestyle: social activity

    Assessed by the Lubben Social Network Scale (LSNS-6), range 0 to 30, higher scores indicate bigger active and intimate networks of family and friends

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  19. Change in lifestyle: physical activity

    Assessed by the Physical Activity Scale for the Elderly (PASE), minimum score 0, higher scores indicate greater physical activity

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  20. Change in lifestyle: sleep quality

    Assessed by the Jenkins Sleep Scale 4 (JSS-4), range 0 to 20, higher scores indicate more sleep problems

    Measured: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

Timeline

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

  1. First posted31 Jul 2024
  2. Study start1 Aug 2024
  3. Primary completion13 Dec 2024
  4. Study completion13 Dec 2024

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
Other
Allocation
Randomised
Intervention model
Crossover
Model description
The intervention will be compared to a 6-week passive control (waitlist with delayed intervention, AB-BA design) in a cross-over study design.
Masking
None (open label)
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06530277
Sponsor's protocol ID
SR-EK-477112023
Acronym
REMINDer
Status last verified
Jul 2024
First submitted
27 Jul 2024
Last updated
6 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing REMINDer (A digital environmental enrichment intervention) in people with Healthy, run by German Center for Neurodegenerative Diseases (DZNE) at 1 site in Germany.

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 9 inclusion and 12 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 6 Feb 2025. 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 Germany. 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?

Feasibility: Adherence to the intervention (time frame: from baseline (t1) to the end of the 6-weeks intervention (t2)). 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 6 Feb 2025.

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