Comprehensive Cognitive and Affective Intervention for Mild Cognitive Impairment (MCI) for Foreign-Born Arab Americans

NCT ID: NCT05854290

Last Updated: 2024-12-13

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

TERMINATED

Clinical Phase

NA

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-03

Study Completion Date

2024-12-09

Brief Summary

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The purpose of this pilot study is to evaluate the feasibility of a cognitive and affective intervention for foreign born Arab American dyads consisting of the person with Mild Cognitive Impairment (MCI) and participants caregiver. This study will evaluate the feasibility of a cognitive and affective intervention combining Cognitive Behavioral Therapy (CBT), Cognitive Rehabilitation Therapy (CRT), and modifiable lifestyle factors to address the cognitive and affective dysfunctions associated with Mild Cognitive Impairment (MCI) or those with cognitive complaints.

The study team hypothesizes that combining evidence-based cognitive and affective therapies (CRT+CBT) with lifestyle modifications is feasible and will improve the cognitive performance and Quality of Life (QoL) in patients with MCI and participants caregivers compared to usual care.

Detailed Description

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Conditions

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Mild Cognitive Impairment

Keywords

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Caregiver Quality of life Cognitive Behavioral Therapy Modifiable lifestyle factors Cognitive Rehabilitation Therapy Arab American

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Caregiver and patient dyads will be randomly assigned to receive either CRT plus CBT, or usual care.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Only the data collectors in this study will be blind to the dyad's allocation.

Study Groups

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CRT plus CBT and Lifestyle modifications

Group Type EXPERIMENTAL

CRT

Intervention Type BEHAVIORAL

Participants will complete an 8-week intervention, 2 sessions per week. Co-INTEGRATE sessions take 30-50 minutes to complete. Weekly on the day of the last therapy session, before or after the session, all patients, regardless of the group assigned to, will be asked to complete an electronic brief questionnaire to provide information, on sleep, recreational habits, alcohol intake, exercise, and smoking.

CBT

Intervention Type BEHAVIORAL

Participants will complete an 8-week intervention, 2 sessions per week. Co-INTEGRATE sessions take 30-50 minutes to complete. Weekly on the day of the last therapy session, before or after the session, all patients, regardless of the group assigned to, will be asked to complete an electronic brief questionnaire to provide information, on sleep, recreational habits, alcohol intake, exercise, and smoking.

Modifiable lifestyle factors

Intervention Type BEHAVIORAL

The therapy sessions are coupled with homework and requires some lifestyle modifications for the persons with MCI, such lifestyle adjustments are using a calendar, a diary, maintaining a sleep schedule and exercise.

Usual care Psychoeducation

Group Type ACTIVE_COMPARATOR

Usual care Psychoeducation

Intervention Type BEHAVIORAL

Participants will receive 15-minute psychoeducation session twice per week for 8 weeks.

All research-related sessions will be web-based (on Zoom) and recorded (with approval).

Weekly on the day of the last therapy session, before or after the session, all patients, regardless of the group assigned to, will be asked to complete an electronic brief questionnaire to provide information, on sleep, recreational habits, alcohol intake, exercise, and smoking.

Interventions

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CRT

Participants will complete an 8-week intervention, 2 sessions per week. Co-INTEGRATE sessions take 30-50 minutes to complete. Weekly on the day of the last therapy session, before or after the session, all patients, regardless of the group assigned to, will be asked to complete an electronic brief questionnaire to provide information, on sleep, recreational habits, alcohol intake, exercise, and smoking.

Intervention Type BEHAVIORAL

CBT

Participants will complete an 8-week intervention, 2 sessions per week. Co-INTEGRATE sessions take 30-50 minutes to complete. Weekly on the day of the last therapy session, before or after the session, all patients, regardless of the group assigned to, will be asked to complete an electronic brief questionnaire to provide information, on sleep, recreational habits, alcohol intake, exercise, and smoking.

Intervention Type BEHAVIORAL

Modifiable lifestyle factors

The therapy sessions are coupled with homework and requires some lifestyle modifications for the persons with MCI, such lifestyle adjustments are using a calendar, a diary, maintaining a sleep schedule and exercise.

Intervention Type BEHAVIORAL

Usual care Psychoeducation

Participants will receive 15-minute psychoeducation session twice per week for 8 weeks.

All research-related sessions will be web-based (on Zoom) and recorded (with approval).

Weekly on the day of the last therapy session, before or after the session, all patients, regardless of the group assigned to, will be asked to complete an electronic brief questionnaire to provide information, on sleep, recreational habits, alcohol intake, exercise, and smoking.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All patients diagnosed with MCI or Persons with Montreal Cognitive Assessment (MoCA) less or equal to 25
* Disease duration less or equal to 3 years
* Age older than 60 years
* Foreign-Born Arab origins, Language: Arabic or English
* Cognitive impairment ≥ 1.0 standard deviation below the test score normed for age and education in at least 2 cognitive domains (verbal learning and memory, processing speed, or visuospatial memory)
* Participants who can provide consent or legally authorized representative who can provide consent on their behalf


* Identified by the patients as the person that provides the most care for them with regards to medical care; may be a spouse, an adult child, a sibling, a relative, or family friend
* Above the age of 18 years Fluent in Arabic and/or English
* Can complete a self-report questionnaire by interview or self-report.

Exclusion Criteria

* History of traumatic brain injury (TBI)
* Diagnosed with Covid-19
* Patients with other neurosensory or neurodegenerative diseases
* Younger than 60 years
* Psychiatric disorders other than mild to moderate anxiety and depression
* Diagnosed sleep disorders
* Visual or auditory impairment
* Current or history of alcohol or substance abuse/dependence
* Patients with severe depression or suicidal (ideation or plan) will be instructed to seek mental health, provided with resources, and referred to their primary care provider


\- Paid caregivers
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Hala Darwish

Associate Professor of Nursing

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hala Darwish, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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HUM00227630

Identifier Type: -

Identifier Source: org_study_id