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

NCT06733181 | Completed

• 2 other identifiers: FSREMINDERRDFIORG0011881University of Coimbra
• Study Type: interventional
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Dementia and mild cognitive impairment (MCI) deeply impact individuals' well-being and are expected to increase due to population aging, with global cases projected to rise to 152.8 million by 2050. Social isolation, accounting for 4% of dementia cases, emerges as a critical modifiable risk factor, particularly in institutionalized older adults, where it significantly raises dementia risk. To address these challenges, the REMINDER program was developed as a tailored, multidomain intervention to reduce dementia risk, emphasizing social and cognitive engagement and advancing its adaptation and evaluation in Residential and Daycare Facilities (RDF). To assess the feasibility of REMINDER in older adults supported by RDF (recruitment, adherence, retention, acceptability, accessibility, and usability) and explore potential changes in cognitive and psychosocial outcomes.

Conditions

Aging, Healthy; Risk Reduction; Old Age; Dementia

Keywords

Dementia risk reduction; Older adults; Multidomain programs; Residential and Daycare Facilities; Social Isolation; Loneliness

Outcome Measures

Primary Outcomes (6)

• Feasibility outcomes (quantitative)

  Recruitment rate

  During the intervention (at the end of the sessions) and 1-week after the intervention

• Feasibility outcomes (quantitative)

  Adherence

  During the intervention (at the end of the sessions) and 1-week after the intervention

• Feasibility outcomes (quantitative)

  Retention

  During the intervention (at the end of the sessions) and 1-week after the intervention

• Feasibility outcomes (qualitative)

  Acceptability (with Usefulness, Satisfaction, and Ease of use (USE) questionnaire) ranges from 7 to 49, with higher scores indicating greater acceptability.

  During the intervention (at the end of the sessions) and 1-week after the intervention

• Feasibility outcomes (qualitative)

  Accessibility (with Usefulness, Satisfaction, and Ease of use (USE) questionnaire) ranges from 15 to 105, with higher scores indicating greater accessibility.

  During the intervention (at the end of the sessions) and 1-week after the intervention

• Feasibility outcomes (qualitative)

  The intervention's usability (with Usefulness, Satisfaction, and Ease of use (USE) questionnaire) ranges from 8 to 56, with higher scores indicating greater usability.

  During the intervention (at the end of the sessions) and 1-week after the intervention

Secondary Outcomes (22)

• Preliminary efficacy data (screening)

  Screening

• Preliminary efficacy data (screening)

  Screening

• Preliminary efficacy data (screening)

  Screening

• Preliminary efficacy data (screening)

  Screening

• Preliminary efficacy data (screening)

  Screening

Study Arms (1)

REMINDER intervention

EXPERIMENTAL

The REMINDER 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). As for the structure of the sessions, each starts with a mindfulness exercise and concludes with a review of the homework assignments. Every session includes a psychoeducation component focused on a specific topic, a time for sharing and reflection, and a practical activity.

Other: REMINDER intervention

Interventions

REMINDER intervention OTHER

The REMINDER 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). As for the structure of the sessions, each starts with a mindfulness exercise and concludes with a review of the homework assignments. Every session includes a psychoeducation component focused on a specific topic, a time for sharing and reflection, and a practical activity.

Also known as: REMINDER and my brain

REMINDER intervention

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Individuals aged 65 years and older
• RDF users
• Those with elementary reading and writing skills.

You may not qualify if:

• Have a clinical diagnosis of dementia and/or 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 compromised their participation in the neuropsychological assessment and throughout the intervention sessions.

Sponsors & Collaborators

• University of Coimbra: lead

Study Sites (1)

Faculty of Psychology and Education Sciences

Coimbra, Portugal, 3000-115, Portugal

Location

MeSH Terms

Conditions

Risk Reduction Behavior; Alzheimer Disease; Social Isolation

Condition Hierarchy (Ancestors)

Behavior; Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Social Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Student

Study Record Dates

• First Submitted: November 29, 2024
• First Posted: December 13, 2024
• Study Start: July 20, 2023
• Primary Completion: July 31, 2024
• Study Completion: October 26, 2024
• Last Updated: April 23, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

PT (1)