Quality of Life Clinical Trial
Official title:
Effect of the Mindfulness-Based Health Promotion Program - MBHP on Quality of Life and Maintenance of Cognitive Function in the Elderly: a Randomized Controlled Trial
According to the World Health Organization (WHO), it is estimated that by 2025 the number of older people in Brazil will be approximately 33.4 million and it will be the sixth population in absolute numbers of the elderly in the world. The aging process is often associated with natural health debilitation, impairment of cognitive abilities, depression, loneliness and decreased daily life activity. Therefore, by increasing the number of older people also increase the needs and demands of health systems to serve this population. Government programs and projects that promote health and quality of life for this group must be developed and researched, so that the population aging happens in a satisfactory way and with physical and mental health. Several researches have been done on interventions that prevent the symptoms of memory impairment in elderly and on delaying symptoms of Mild Cognitive Impairment. Studies indicate that Mindfulness-Based Interventions (IBMs) are effective in the treatment of depression, anxiety, stress, chronic pain and in promoting well-being to young people and adults, yet the field of study of these interventions with the elderly is still a field to be explored and deepened. This project will focus on the discussion about the effectiveness of the Mindfulness-Based Health Promotion Program (MBHP) in the cognitive functions and quality of life of the elderly, based on quantitative and qualitative analysis. It will be used neuropsychological test and scales to assess the level of consciousness in the present moment, acceptance, self-compassion, quality of life and daily life activity, as well as a qualitative analysis through a structured script using the word evocation method and interviews through focus group.
The MBHP-elderly study is a randomized and controlled trial of older people with 3 assessment
point (baseline, post-intervention and six-months follow up) made with a cohort study whose
participants will be older adults patients assisted in Primary Health Care of the Center for
Aging Studies of the Federal University of São Paulo.
152 Participants will be recruited from the cohort and then randomized into the following
groups: (I) MBHP intervention group (76 participants) in which the elderly will have a weekly
meeting of an hour and thirty minutes for eight weeks to perform the mindfulness-based
interventions accompanied by plus four one-hour meetings through a maintenance group after
conclusion of the program, totaling 16 hours; (II) TAU control group (76 participants) of
elderly who will take a cognitive simulation through computers for four months, a week
meeting, totaling 16 hours. In both groups will be applied the same assessment for data
collection and they will be applied in the baseline, post-intervention and six-month follow
up. The steps of the study will be conducted based on Consolidated Standards of Reporting
Trials (CONSORT) guidelines to report clinical studies in a clear, transparent and
comprehensive manner. The protocol is reported according to the Standard Protocol Items:
Recommendations for Intervention Trials (SPIRIT) statement.
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