The REMINDER4Care Program for Older Adults Supported by Residential and Daycare Facilities

NCT ID: NCT06922071

Last Updated: 2025-04-10

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-01
• Study Completion Date: 2026-12-31

Brief Summary

Dementia incidence is rising, posing a public health challenge, but 45% of cases can be prevented by addressing modifiable risk factors. Multidomain trials show that lifestyle changes can improve cognitive function and reduce dementia risk (like the FINGER trial). The REMINDER program, a Portuguese-based dementia risk reduction protocol, was developed for community-dwelling older adults aged 55 and above. However, older adults in Residential and Daycare Facilities (RDF) have distinct needs that demand program adaptation to ensure its relevance and effectiveness. In addition, more studies are needed to evaluate the impact of multidomain interventions with older adults in RDF.

To address these challenges, the REMINDER4Care program was developed as a tailored, multidomain intervention to reduce dementia risk. It emphasizes social and cognitive engagement and advances its adaptation and evaluation in Residential and Daycare Facilities (RDF). To assess efficacy, the investigators will perform a Randomized Controlled Trial.

Conditions

Dementia Risk Factors; Prevention; Cognitive Health

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

REMINDER4Care intervention

In this arm, participants will receive the intervention - REMINDER4Care. REMINDER4Care is a 20-session group program that includes psychoeducation about the brain, social skills training, using cognitive aids, setting personal goals, and practicing mindfulness.

Group Type: EXPERIMENTAL

REMINDER4Care

Intervention Type: OTHER

REMINDER4Care was an adapted version of the original REMINDER program, tailored to the characteristics, needs, and interests of older adults in RDF.

The REMINDER4Care intervention includes 20 face-to-face group sessions, each approximately 60 to 75 minutes, held twice a week over ten weeks. This program aims to optimize memory, attention, executive function, and emotional regulation while promoting lifestyle habits that protect the aging brain. The sessions include brain health education, cognitive exercises, compensatory memory strategies, training for managing personally relevant goals (with goal setting), and stress management techniques (compassion-based therapies, relaxation methods, and mindfulness). Social support and emotion regulation strategies (like attention management, positive cognitive reappraisal, and reframing speech) were included to address psychosocial risk factors like stress, social isolation, and depression.

Waiting-list group

In this arm, participants will be a waiting-list group and receive the REMINDER4Care interventions after the study ends (after the post-interventions).

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

REMINDER4Care

REMINDER4Care was an adapted version of the original REMINDER program, tailored to the characteristics, needs, and interests of older adults in RDF.

The REMINDER4Care intervention includes 20 face-to-face group sessions, each approximately 60 to 75 minutes, held twice a week over ten weeks. This program aims to optimize memory, attention, executive function, and emotional regulation while promoting lifestyle habits that protect the aging brain. The sessions include brain health education, cognitive exercises, compensatory memory strategies, training for managing personally relevant goals (with goal setting), and stress management techniques (compassion-based therapies, relaxation methods, and mindfulness). Social support and emotion regulation strategies (like attention management, positive cognitive reappraisal, and reframing speech) were included to address psychosocial risk factors like stress, social isolation, and depression.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Aged 65 years and older
• RDF users
• Elementary reading and writing skills

Exclusion Criteria

• Have a clinical diagnosis of dementia and/or Mini-Mental State Examination (MMSE) scores below the cutoff for the presence of dementia (MMSE < 22-27, depending on education level)
• Have a psychiatric or neurological condition that impairs cognition in the long term
• Have sensory and functional deficits that compromise their participation in the neuropsychological assessment and throughout the intervention sessions

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Fundação para a Ciência e a Tecnologia

OTHER

Sponsor Role: collaborator

University of Coimbra

OTHER

Sponsor Role: lead

Responsible Party

Catarina Baptista

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Catarina L. B. Baptista, PhD Student

Role: PRINCIPAL_INVESTIGATOR

University of Coimbra

Ana Rita E. S. Silva, Doctorate

Role: STUDY_CHAIR

University of Coimbra

Margarida P. Lima, Doctorate

Role: STUDY_CHAIR

University of Coimbra

Rosa M. Afonso, Doctorate

Role: STUDY_CHAIR

University of Beira Interior

Locations

Faculty of Psychology and Education Sciences

Coimbra, Portugal, Portugal

Site Status: RECRUITING

Countries

Portugal

Central Contacts

Catarina L. B. Baptista, PhD Student

Role: CONTACT

catarinalbbaptista23@gmail.com

+351 963 031 318

Facility Contacts

Catarina L. B. Baptista, PhD student

Role: primary

catarinallbaptista23@gmail.com

+351 963 031 318

Related Links

https://www.remindereomeucerebro.pt/

Website REMINDER

Other Identifiers

RCTREMINDER4Care

Identifier Type: -

Identifier Source: org_study_id