Sharing History Through Active Reminiscence and Photo-imagery - With MCI

NCT ID: NCT05906667

Last Updated: 2023-06-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: EARLY_PHASE1
• Total Enrollment: 23 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-05-24
• Study Completion Date: 2020-08-30

Brief Summary

The SHARP-MCI study tests impact of walking and social reminiscence on cognitive function, blood pressure, and weight among healthy Black Americans and those experiencing mild cognitive impairment (MCI).

Detailed Description

For 6 months (24 weeks), triads of healthy and MCI Black adults aged 55 and over walk 3x/week (1 mile) in Portland's historically Black neighborhoods. Triads follow GPS-mapped routes accessible via the SHARP walking application on a group tablet device. At three points along each route, GPS-triggered "Memory Markers" (historical images of local Black culture and life from1940-2010) appear on the tablet screen serving as a conversational reminisce prompt as the triad walks. At baseline and 24 weeks, cognitive function is measured via the Montreal Cognitive Assessment (MoCA), and weight and blood pressure are measured. Pre-post health surveys rate activity levels, days feeling downhearted/blue, energy level, and health status. Program evaluation surveys at month 1, 3, 6 assess mood, pace and dose of walking, prompt effectiveness, program readiness, and liklihood to recommend program to others. Focus groups at month 1, 3, 6 evaluate participants' program experience and needed changes.

Conditions

Cognitive Change

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Intervention Group

All participants assigned to the experimental group (walking)

Group Type: EXPERIMENTAL

Sharing History through Active Reminiscence and Photo-imagery (SHARP)

Intervention Type: BEHAVIORAL

Participants engage in neighborhood walks and conversational reminisce three times per week over 24 weeks

Interventions

Sharing History through Active Reminiscence and Photo-imagery (SHARP)

Participants engage in neighborhood walks and conversational reminisce three times per week over 24 weeks

Intervention Type: BEHAVIORAL

Other Intervention Names

SHARP

Eligibility Criteria

Inclusion Criteria

• Self-identified African American
• > 55 years old
• Reside or resided for >10 years in Portland's historically Black neighborhoods (to be familiar with Memory Markers about this area)
• Able to ambulate independently. Participants (n=7) with MCI will meet criteria consistent with those defined by Jak et al. 2009 and with criteria outlined by the NIA-Alzheimer's Association workgroup (2011)
• Participants without cognitive impairment (n=14) will have an MMSE score > 24 (and not meet MCI criteria).
• Participants' cognitive function should allow them to get to/ from walk locations independently or with minimal assistance

Exclusion Criteria

• Serious or unstable medical condition (such as, but not limited to, cardiovascular disease, pulmonary disease, or severe arthritis) where participation in the trial would, in the opinion of the investigator, pose a significant health risk to the subject.
• Diagnosis of Alzheimer's disease, vascular dementia, Parkinson's disease, or other dementing illness.

• Minimum Eligible Age: 55 Years
• Maximum Eligible Age: 95 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Oregon Health and Science University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Oregon Health & Science University

Portland, Oregon, United States

Countries

United States

References

Carder, P., Croff, R., Tuttle, A., Towns, J. (2022) Walking and Talking: Recommendations for Doing Mobile Interviews with Older Adults. Journal of Aging and Environment, DOI: 10.1080/26892618.2022.2030844

Reference Type: BACKGROUND

Croff R, Aron S, Wachana A, Fuller P, Mattek N, Towns J, Kaye J. Walking and Social Reminiscence in Gentrifying Neighborhoods: Feasibility and Impact on Cognitive, Physical, and Mental Health Among Older Black Adults in the SHARP Study. Gerontologist. 2024 Sep 1;64(9):gnae019. doi: 10.1093/geront/gnae019.

Reference Type: DERIVED

PMID: 38412543 (View on PubMed)

Other Identifiers

00016980

Identifier Type: -

Identifier Source: org_study_id