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Clinical Trial Summary

This project will pilot a tailored Cognitive Behavioral Therapy (CBT) intervention delivered via telehealth videoconferencing (Tele-CBT) to reduce anxiety in people living with cognitive impairment. A process evaluation will inform its feasibility and implementation in the community nation-wide.

Clinical Trial Description

Anxiety is a pre-existing mental health issue in older persons with cognitive impairment (includes people with mild cognitive impairment (MCI) and dementia), with considerably high prevalence (14%) as compared to older persons in the general population (3%) (Kuring et al., 2018). Anxiety results in accelerated cognitive decline (Banks et al., 2014), increased aggressive behaviours (Feretti et al., 2001), and even an increased risk of suicide (Seyfried et al., 2011). Anxiety also negatively influences quality of life (QoL) of the individual with cognitive impairment and their care partner (Poon et al., 2019), increases early institutionalisation (Schnaider et al. 2002), and amplifies economic burden (Konnopka et al., 2020). The Tele-CBT package used in this study is a modification of existing manualised psychotherapeutic interventions for treatment of anxiety in people with Parkinson's disease (Dissanayaka et al., 2019) and older adults with cognitive impairment (Havas et al., 2013). This new package incorporates techniques tailored to reduce anxiety in people with cognitive impairment, including symptom monitoring. The interventions will include various psychological techniques aimed at reducing anxiety and stress. The intervention consists of 6 weekly psychotherapy sessions. Each therapy session lasts between 30-60 minutes, depending on the participants' capacity to actively participate in session and on their cognitive functioning (e.g. complex attention, executive function). Support persons will be invited and instructed to actively engage in the therapy sessions as well as in between-session home tasks to support the person with cognitive impairment. These techniques will be facilitated via the use of non-immersive videos in telehealth videoconferencing. ;

Study Design

Related Conditions & MeSH terms

NCT number NCT05030285
Study type Interventional
Source The University of Queensland
Contact Nadeeka Dissanayaka, PhD
Phone 617 3346 6026
Email [email protected]
Status Not yet recruiting
Phase N/A
Start date August 30, 2021
Completion date December 31, 2022

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