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DEMA Intervention for Mild Cognitive Impairment (PRIMA Trial)
N/A
Recruiting
Led By Yvonne Y Lu, PhD
Research Sponsored by Indiana University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up change from baseline life satisfaction at 10 days post-intervention evaluation, 3 months post-intervention, and 6 months post-intervention
Awards & highlights
Summary
This trial is testing whether the DEMA intervention can improve life satisfaction and health outcomes for patients and caregivers, compared to the attention control group.
Who is the study for?
This trial is for pairs of adults over 59 with mild cognitive impairment (MCI) and their caregivers. Participants need to speak English, be oriented in time and space, have a phone, and not require help with daily tasks. Caregivers must be adults providing unpaid care without severe cognitive issues themselves.Check my eligibility
What is being tested?
The study tests the DEMA program against an information support group. DEMA aims to improve life satisfaction by helping patients/caregivers identify meaningful activities and learn about MCI through sessions with a nurse.See study design
What are the potential side effects?
Since this intervention involves educational activities rather than medication, typical drug side effects are not expected. However, participants may experience emotional or psychological responses to discussing MCI-related topics.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ pre-consent
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~pre-consent
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Life satisfaction
Secondary outcome measures
Alzheimer Disease Cooperative Study MCI-Activities of Daily Living Inventory [ADCS-MCI-ADL Scale]
Caregiving Outcomes Scale (COS)
Patient Health Questionnaire-9 Items (PHQ-9)
+2 moreOther outcome measures
Confidence Scale
Dementia Deficits Scale (DDS) (Patient vs. Caregiver Versions)
Demographic Profile and Comorbidity Condition
+8 moreTrial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Daily Engagement Meaningful Activity (DEMA)Experimental Treatment1 Intervention
This group will receive 7 individualized sessions, 1 face-to-face session at week 1 and via 6 bi weekly telephone sessions delivered by a trained intervener. DEMA will use the principles of problem-solving therapy and consistent with the overall goals of this intervention; and will provide autonomy support, classify needs and goals, generalize manageable solutions, engage in self-selected activities under family support, and self-evaluate failure and success or renew problem-solving as needed. Each session consists: 1) MCI dyads are guided to use the principles of problem-solving therapy to review their personalized, self-selected meaningful activities and plan next steps to continue the activity, identify and establish a plan for additional activities; and 2) the intervener and dyad discuss one of the 6 topics in the Toolkit such as introducing of the intervention and meaningful activity concepts, understanding MCI, its treatments, management, resources, and planning for the future.
Group II: Information Support (IS)Placebo Group1 Intervention
This group will attend 1 face-to-face meetings to receive an overview of what will happen in the study and an initial Alzheimer disease educational brochure from the Alzheimer's Association (AA). The face-to-face sessions will take place at the IADC Clinical Core clinic, Indiana University Center of Excellence of Women's Health clinic, or Indiana School of Nursing conference room that based on patient-caregiver dyad's preference. Then they will receive 6 bi weekly follow-up phone calls and have the opportunity to ask only questions related to the educational materials. After completing Time 4 data collection, the patient-caregiver dyads will receive DEMA Self-Management Tool kit package through mail.
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
The DEMA intervention for Mild Cognitive Impairment (MCI) focuses on engaging patients in meaningful activities and providing self-management education. The mechanisms of action include cognitive stimulation through activities that are personally significant, which can enhance neuroplasticity and cognitive reserve.
Additionally, self-management education empowers patients by improving their understanding of MCI and teaching strategies to cope with cognitive challenges. These approaches can lead to improved life satisfaction, better health outcomes, and potentially slow the progression of cognitive decline by maintaining mental and emotional engagement.
The German day-care study: multicomponent non-drug therapy for people with cognitive impairment in day-care centres supplemented with caregiver counselling (DeTaMAKS) - study protocol of a cluster-randomised controlled trial.Helping persons with mild or moderate Alzheimer's disease recapture basic daily activities through the use of an instruction strategy.
The German day-care study: multicomponent non-drug therapy for people with cognitive impairment in day-care centres supplemented with caregiver counselling (DeTaMAKS) - study protocol of a cluster-randomised controlled trial.Helping persons with mild or moderate Alzheimer's disease recapture basic daily activities through the use of an instruction strategy.
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Who is running the clinical trial?
National Institute of Nursing Research (NINR)NIH
588 Previous Clinical Trials
10,379,581 Total Patients Enrolled
Indiana UniversityLead Sponsor
997 Previous Clinical Trials
1,095,194 Total Patients Enrolled
Yvonne Y Lu, PhDPrincipal InvestigatorIndiana University School of Medicine
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am over 18, care for someone with MCI, speak English, and am mentally oriented.I am over 59, speak English, have memory concerns, a MoCA score of 15-25, and can do daily tasks without help.I do not have severe depression, advanced cancer treatment, dialysis, severe hearing loss without aids, lack of phone access, or a caregiver with significant cognitive issues.
Research Study Groups:
This trial has the following groups:- Group 1: Information Support (IS)
- Group 2: Daily Engagement Meaningful Activity (DEMA)
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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