Effectiveness of Active Brain Construction Program in Community-Dwelling Older Adults

NCT07282626 | Completed

• 1 other identifier: 202310063RINA
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

The urgency of health promotion and dementia prevention is paramount. In 2019, the World Health Organization announced the "Risk reduction of cognitive decline and dementia," which reviewed evidence-based prevention aspects and deduced 12 preventative dimensions, all related to lifestyle adjustments. Several are also related to chronic disease management. Therefore, referencing the theoretical foundation of chronic disease management and lifestyle interventions, and through the use of coaching skills-including goal setting, action planning, problem-solving, etc.-as indicators of effective behavior change, a 12-week group intervention program is developed for the prevention and delay of disability and dementia. This program aims to promote healthy behaviors, lifestyle changes, and cognitive function effects. This study aims to investigate whether the "Active Brain Construction Program (ABC Program)," led by trainers with coaching skills, can promote behavior participation in a dementia-preventive healthy lifestyle among community-dwelling elders, as well as enhance their health status and cognitive function. Furthermore, it compares the cognitive enhancement effects on community-dwelling elders between the coached and non-coached "Active Brain Construction Program (ABC Program)" against a control group. This study is a quasi-experimental non-randomized controlled trial, arranging three groups (experimental group, active control group, and control group) for comparison: 1) the coached "Brain-Healthy Lifestyle Reformation Course" group, 2) the general "Brain-Healthy Lifestyle Reformation Course" group, and 3) the control group (e.g., physical fitness class, nutrition courses). The elders undergo assessments before and after the course, including the collection of basic data. The primary effectiveness indicators are: the Health-Promoting Lifestyle Profile-Taiwan Short Form (HELP-T-SF) and the Goal Achievement Scale (GAS), with GAS measuring the experimental and active control groups; the secondary indicators include: the questionnaire for the Prevention and Delay of Disability Care for the Elderly (program effectiveness evaluation), the ICOPE Function Self-Assessment Scale for the Elderly - Self-Rating version, and the WHO-5 Well-Being Index. Data analysis collected includes: descriptive statistics of demographic baseline data, paired t-test comparisons of pre- and post-test differences within groups, ANOVA for between-group differences and post-hoc comparisons, and qualitative observational records to aid interpretation during the intervention process.

Conditions

Community Dwelling; Lifestyle Risk Reduction; Elderly Adults

Keywords

Elderly; Community health; Lifestyle intervention; Behavior Change Technique; coaching

Outcome Measures

Primary Outcomes (1)

• Health Enhancement Lifestyle Profile -Taiwanese Version -Short Form

  The original version contains a total of 56 items, categorized into the following subscales: 1) Exercise, 2) Diet, 3) Productive or Social Activities, 4) Leisure, 5) Activities of Daily Living, 6) Stress Management and Spiritual Participation, and 7) Other Health Promotion and Risk Behaviors. The complete original Taiwanese version consists of 59 items using a 3-point scale, and the HELP-T-SF consisted of 20 items, demonstrating acceptable internal consistency (Cronbach's alpha = 0.781) and test-retest reliability (ICC = 0.782). All items significantly correlated with the total score (0.303 to 0.535) and with the original HELP-T (0.749). Criterion-related validity showed moderate correlations with well-being and quality of life. The short form also resulted in significant time savings, requiring only 15-20 minutes to complete.

  Perioperative/Periprocedural

Secondary Outcomes (2)

• Outcome Measurement of Health-Promotion Program for Community-Dwelling Elderly

  Perioperative/Periprocedural

• Integrated care for older people (ICOPE)

  Perioperative/Periprocedural

Study Arms (3)

ABC program with coaching

EXPERIMENTAL

ABC program with coaching techniques

Behavioral: Active comparator (ABC Program)

ABC program

ACTIVE COMPARATOR

ABC program without coaching techniques

Behavioral: ABC program with coaching

others

SHAM COMPARATOR

other programs such as exercise or art program

Behavioral: ABC program with coaching

Interventions

ABC program with coaching BEHAVIORAL

This program lasts 12 weeks and 2 hours per week and targets community-dwelling older adults aged 60 and above, conducted by a trained occupational therapist or other professionals. The program consists of exercise (muscle strength, aerobic exercise, balance, and cognicise), cognition (attention, memory, spatial concept, language, calculation ability, and cognitive flexibility), and lifestyle factors modification (topics about cognition, exercise, sleep, health and Mediterranean diet, leisure activities, lifestyle arrangement, medication usage, chronic-disease management, fall prevention, emotion, stress, communication, social resources, and closing). Homework was assigned to the participants every week. Based on motivation theory and behavior change techniques, this program adopts behavior change techniques.

ABC program; others

Active comparator (ABC Program) BEHAVIORAL

This program lasts 12 weeks and 2 hours per week and targets community-dwelling older adults aged 55 and above, conducted by a trained occupational therapist or other professionals. The program consists of exercise (muscle strength, aerobic exercise, balance, and cognicise), cognition (attention, memory, spatial concept, language, calculation ability, and cognitive flexibility), and lifestyle factors modification (topics about cognition, exercise, sleep, health and Mediterranean diet, leisure activities, lifestyle arrangement, medication usage, chronic-disease management, fall prevention, emotion, stress, communication, social resources, and closing). Homework was assigned to the participants every week. Compared to the experiment group, there is no coaching techniques involved.

ABC program with coaching

Eligibility Criteria

• Age: 55 Years - 99 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants aged 55 and older
• reside in the community
• independently care for themselves and go outside to attend activities.
• can read and write sentences, comprehend conversations, and communicate appropriately.

You may not qualify if:

• Individuals diagnosed with neurological conditions
• dementia
• mild cognitive impairment
• stroke.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

Communities

Kaohsiung City, 807, Taiwan

Location

MeSH Terms

Conditions

Risk Reduction Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 18, 2024
• First Posted: December 15, 2025
• Study Start: November 9, 2023
• Primary Completion: November 30, 2025
• Study Completion: November 30, 2025
• Last Updated: December 15, 2025

Record last verified: 2025-11

Locations

TW (1)