The purpose of this study is to investigate the feasibility and effectiveness of a cognitive training group in individuals with Mild Cognitive Impairment, using a new paradigm that will optimize ecological validity by (1) focusing on everyday memory problems, (2) supplementing traditional memory training with the teaching of an empirically-supported problem-solving approach, and (3) employing a clinically representative sample of individuals with MCI (e.g., not excluding those with mild affective symptoms).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
The cognitive training consists of 10 weekly 2-hour sessions. It is run with groups of MCI participants and their study partners (who help with reinforcing the strategies in everyday activities). The program provides information about memory and lifestyle factors in the first two weeks, followed by training and practice over the next eight weeks on empirically-supported cognitive strategies known to be effective at supporting day-to-day remembering in MCI. Participants learn to apply a core set of strategies (spaced retrieval, memory book logging) across a variety of common memory problems (e.g., remembering names, appointments, etc). To enhance the likelihood that these strategies will transfer to other settings beyond training, participants are also taught a memory problem solving approach that will cue them to recognize situations in which they need to: (1) stop and remember something, (2) select and apply an appropriate memory strategy, and (3) monitor that it is working.
Neuropsychology Service, Nova Scotia Hospital
Dartmouth, Nova Scotia, Canada
Change in everyday memory functioning
Rivermead Behavioural Memory Test (3rd Edition)
Time frame: Measured at baseline and months 3, 5, 8
Change on traditional memory testing
California Verbal Learning Test (2nd Edition)
Time frame: Measured at baseline and months 3, 5, 8
Change in memory perception
Multifactorial Metamemory Questionnaire
Time frame: Measured at baseline and months 3, 5, 8
Change in mood (i.e., self-report symptoms of depression)
Geriatric Depression Scale
Time frame: Measured at baseline and months 3, 5, 8
Change in mood (i.e., self-report symptoms of anxiety)
Beck Anxiety Inventory
Time frame: Measured at baseline and months 3, 5, 8
Change in other psychiatric symptoms (informant-report)
Neuropsychiatric Inventory
Time frame: Measured at baseline and months 3, 5, 8
Change in quality of life
Zarit Burden Interview
Time frame: Measured at baseline and months 3, 5, 8
Change in caregiver burden
Zarit Burden Interview
Time frame: Measured at baseline and months 3, 5, 8
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Feasibility
Recruitment, retention, and compliance rates
Time frame: Measured at end of study