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| Name | Class |
|---|---|
| University of Santo Tomas | OTHER |
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This randomised controlled trial aims to determine the effectiveness of combined physical and cognitive training in preventing falls and decreasing risks of falls among community-dwelling older persons with mild cognitive impairment (MCI).
This is a single-blind, multicentre, randomised controlled trial. Community-dwelling older adults with MCI aged 60 or above will be recruited. They will be randomly allocated into four groups: Physical Training alone (PT), Cognitive Training alone (CT), combined Physical And Cognitive Training (PACT) and wait-list group (WG). Assessors blinded to participant allocation will conduct pre-test, posttest, and 6-month follow-up assessments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Physical training alone (PT) | Experimental | Physical Training (flexibility, endurance, strengthening, and balance training) for 60-90 minutes 3x/week over 12 weeks of moderate intensity. |
|
| Cognitive training alone (CT) | Experimental | Cognitive training with a focus on orientation, memory, attention and executive functioning for 60-90 minutes per session, once per week for 12 weeks. |
|
| Physical and cognitive training (PACT) | Experimental | Integrated cognitive training in physical exercise for 60-90 minutes per session, 3x/week over 12 weeks. |
|
| Wait-list group (WG) | No Intervention | The control group on wait-list. They will be instructed to go on with their usual activities and will receive the intervention, combined physical and cognitive training, at a later date. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical and Cognitive Training | Behavioral | Physical Exercise and Cognitive Training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Falls Rate | Number of Falls over a period of time | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Physiologic Profile Assessment (PPA) score | Physiologic risk for falls | Baseline, 3 months, 9 months |
| Change in Falls Risks for Older People in the Community (FROP-Com) Screen score | Overall fall risk |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Fear of Falling | Falls Efficacy Scale - International | Baseline, 3 months, 9 months |
| Change in Quality of Life | European Quality of life - five dimensions - five levels (EQ-5D-5L) questionnaire |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| William Tsang, PhD | The Hong Kong Polytechnic University - Department of Rehabilitation Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Santo Tomas | Manila | National Capital Region | 1015 | Philippines |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30143002 | Derived | Lipardo DS, Tsang WWN. Falls prevention through physical and cognitive training (falls PACT) in older adults with mild cognitive impairment: a randomized controlled trial protocol. BMC Geriatr. 2018 Aug 24;18(1):193. doi: 10.1186/s12877-018-0868-2. |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D012149 | Restraint, Physical |
| D000091942 | Cognitive Training |
| D015444 | Exercise |
| D064797 | Physical Conditioning, Human |
| ID | Term |
|---|---|
| D032763 | Behavior Control |
| D013812 | Therapeutics |
| D007103 | Immobilization |
| D008919 | Investigative Techniques |
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| Physical Training | Behavioral | Physical training alone |
|
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| Cognitive training | Behavioral | Cognitive training alone |
|
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| Baseline, 3 months, 9 months |
| Change in Global Cognitive Function | Montreal Cognitive Assessment (MoCA) | Baseline, 3 months, 9 months |
| Change in Memory Function | Memory Index Score of the Montreal Cognitive Assessment (MoCA-MIS) | Baseline, 3 months, 9 months |
| Change in Executive Function | Executive Function Performance Test (EFPT) | Baseline, 3 months, 9 months |
| Change in Balance | Time Up and Go Test (TUGT) | Baseline, 3 months, 9 months |
| Change in Gait Speed | 10-Meter Walk Test (10MWT) | Baseline, 3 months, 9 months |
| Change in Muscle Strength | 30s-Chair-Stand Test (CST) | Baseline, 3 months, 9 months |
| Baseline, 3 months, 9 months |
| D000066530 |
| Neurological Rehabilitation |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |