Non Verbal Communication and Dementia

NCT ID: NCT04255329

Last Updated: 2021-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-29

Study Completion Date

2021-09-27

Brief Summary

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Cognitive impairements in Alzheimer's and apparented disorders may lead to the decreased engagement in activities, spetially in moderate and advanced stages of evolution. The lack of stimulation for people with dementia is associated with the risk of challenging behaviors, depressives symptoms, sleeping disorders or faster cognitive deterioration. Those challenges may lead to the increased administration of pharmacological treatments, though the risks of neurleptics use in this population are currently known. In this context, non-pharacological interventions hold a significant place in dementia care.

This research focuses on cognitve stimulation activities. More precisly, our study compares two aproaches using the reading groups. The first type (" usual " reading group) is based on the principle of stimulating those cognitive functions which dicreases with the evolution of dementia. The second (Montessori reading group) approach relies on the idea to use preserved capacities in order to compensate the cognitive impariments.

The aim of our study is to compare the impact of these two non-pharmalogical interventions on non-verbal communication. The collected datas will help analyzing and understanding the internal and behavioral states of people living with dementia. Our study will also extend relfexions about cognitive stimulation groups in care institutions.

Detailed Description

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Conditions

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Neurocognitive Disorders Alzheimer Disease

Keywords

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Non pharmacological interventions Cognitive stimulation Non-verbal communication Montessori Lifestyle

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Usual reading group

The leader of the activity reads aloud a text to four participants seated around the table. The readen text is a normal, currently used in a everyday life support such as a journal article. Consequently it is not previously adaptated to people with cognitive impairements. After the reading phase, the leader asks the participants the questions about the content.

Group Type OTHER

Usual reading

Intervention Type OTHER

The readen text is a normal, currently used in a everyday life support such as a journal article.

Montessori reading roundtable group

The group counts four participants and one activity leader. Each person have the same Montessori reading roundtable book.

Group Type OTHER

Montessori reading roundtable

Intervention Type OTHER

Such book is written in a way to adaptate to people with cognitif and sensory impairments. Indeed, text is written in large characters and structured to not involve episodic memory. Each person read one page aloud in his turn. After the reading phase, the participants discuss the questions about their opinions and distant memories.

Interventions

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Montessori reading roundtable

Such book is written in a way to adaptate to people with cognitif and sensory impairments. Indeed, text is written in large characters and structured to not involve episodic memory. Each person read one page aloud in his turn. After the reading phase, the participants discuss the questions about their opinions and distant memories.

Intervention Type OTHER

Usual reading

The readen text is a normal, currently used in a everyday life support such as a journal article.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 65 years and more
* Diagnosed with Alzheimer's disease and/or related disease (frontotemporal dementia, vascular dementia, multiple etiologies dementia, Lewy's Body dementia) according to DSM-IV-TR criteria (2005)
* MMSE ≤ 15
* Good reading ability assessed using Montessori Reading Test (ability to read text written in Arial 40)
* The written agreement of the patient, primary caregiver or curator or or guardian to participate in the study and to make a film about the participant.
* Patient receiving social security benefits

Exclusion Criteria

* Previously known associated psychotic disorder
* Deafness not compensated by hearing aid
* Extrapyramidal syndrome diagnosed by a practitioner
* Tendency to daytime sleepiness (Score 6 on the Karolinska somnolence scale)
* Patient with disruptive behaviour disorders such as screaming and/or motor agitation likely to affect the smooth running of the workshop
* Subject deprived of liberty by judicial or administrative decision.
* Subject under exclusion for another research protocol.
* Presence of motor stereotypes
* Patient receiving State Medical Assistance (AME)
* Patient under Justice Safeguard
* If the patient or guardian cannot be given informed information
Minimum Eligible Age

65 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Geneva, Switzerland

OTHER

Sponsor Role collaborator

University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie-Suzanne LEGLISE, MD

Role: PRINCIPAL_INVESTIGATOR

CHU of Montpellier

Locations

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CHU Montpellier

Montpellier, , France

Site Status

Countries

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France

Other Identifiers

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RECHMPL18_0071

Identifier Type: -

Identifier Source: org_study_id