Risk Reduction Behavior Clinical Trial
Official title:
A Goal-setting With Mentoring Lifestyle Modification Intervention to Reduce Risk of Dementia in Later Life
This is a 5-year project. In the 1st year of this study, a pilot randomized controlled trial evaluating the feasibility and acceptability of a goal-setting behavior change intervention aim at reducing modifiable risk factors for preventing cognitive decline. The aim of 2nd to 5th year of this study to investigate whether this multidomain intervention to optimize self-management of cognitive decline risk factors in older individuals, delivered through a mentor- supported interactive internet platform, can reduce the risk of cognitive decline.
Lifestyle factors playing a role in the development of late-life cognitive decline may be
modifiable. There is a need for robust evidence about the potential for prevention of
cognitive decline through behavior change interventions.
This study involves the development, implementation and initial testing of a behavior change
intervention. At the 1st year, a small-scale randomized controlled trial (RCT) will
investigate the implementation of a goal-setting intervention aim at promoting behavior
change of personal modifiable risks for cognitive decline in the community for >55 years with
at least one of the 7 modifiable risk factors for dementia. These older participants in the
community (n = 100) will be randomized to either control (had a discussion regarding health
and daily activity) or goal-setting with mentoring (the goal-setting interview involving
identification of up to five personal goals of personal modifiable risks). All participants
will be reassessed after 12 months. The 2nd to the 5th year, is a multisite, prospective, RCT
with 36 months intervention. Recruitment of 300 older people (≥55 years) with at least one of
the 7 modifiable risk factors for dementia will take place in Northern Taiwan. Participants
randomised to the intervention condition will have access to an interactive internet
platform, stimulating self-management of dementia risk factors, with remote mentoring by a
mentor.
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