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| Name | Class |
|---|---|
| Simon K.Y.Lee Foundation | UNKNOWN |
| Yang Memorial Methodist Social Service | OTHER |
| Christian Family Service Centre | OTHER |
| Hong Kong Young Women's Christian Association |
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The goal of this mixed method clinical trial is to evaluate whether BrainLive Coach training can enhance knowledge, skills, and wellbeing among young old volunteers.
The main question it aims to answer are:
• Do trained BrainLive Coaches demonstrate greater CST-related knowledge/skills, self-efficacy, and improved quality of life compared with volunteers receiving only educational materials?
Researchers will compare the BrainLive Coach training group vs. general service group (young old volunteers) to see whether the intervention leads to enhanced dementia knowledge, sense of competence in dementia care, and approaches to dementia.
Participants will be:
Adults aged 50 and over - volunteers (nRCT)
Qualitative study participants • Take part in individual interviews or focus groups, including trained volunteers, and NGO staff, to explore perceived impacts, mechanisms, implementation facilitators/barriers, and areas for improvement.
The research design is a non-randomized controlled trial (nRCT), involving 90 healthy adults aged 50 and over in the experimental group (Training group) who will receive 80-90 hours of BrainLive Coach Training, and another 90 young-old in the control group (Education group) who will receive educational workshops for comparison. Data will be collected at two time points: baseline (T0) and after the completion of BrainLive Connect volunteering (T1). Participants in the control group (N=90) will be recruited from the HKU network. During the evaluation period, control group participants will attend educational workshops focused on dementia and cognitive health.
The BrainLive Coach training aims to enhance the skills and knowledge for delivering evidence-based dementia intervention (Primary outcomes); and improve self-efficacy, quality of life, and social capital of the young-old individuals. The outcome measures include Dementia Knowledge Assessment Tool, Sense of Competence in Dementia Care, Approaches to Dementia, General Self-efficacy scale, Quality of Life and social capital assessment tool.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive Stimulation Therapy (CST) trained volunteers | Experimental | Intervention group volunteers receive comprehensive CST training |
|
| Non-cognitive stimulation therapy trained volunteers | Active Comparator | Control group volunteers receive dementia-related educational materials |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BrainLive Coach training | Behavioral | Volunteers will be trained, supervised and supported to deliver one of three modes of CST (Exercise-enhanced CST, Home2Community CST, Living CST). Basic level training covering topics fundamental to dementia education and common across different CST modes to all recruited volunteers; and then advanced level training covering knowledge and skills specific to each CST mode and service settings. |
| Measure | Description | Time Frame |
|---|---|---|
| Dementia Knowledge Assessment Tool (DKAT) | Possible range: 0 - 21, with higher scores indicate better knowledge | Baseline (T0) and 3 months after start of CST training (T1) |
| Sense of Competence in Dementia Care (SCIDC) | Possible range: 17 - 68, with higher scores indicate better sense of competence in dementia care | Baseline (T0) and 3 months after start of CST training (T1) |
| Approaches to Dementia Questionnaire (ADQ) | Possible range: 19 - 95, with higher scores indicate more positive and person-centered attitude | Baseline (T0) and 3 months after start of CST training (T1) |
| Measure | Description | Time Frame |
|---|---|---|
| The Lubben Social Network Scale-6 (LSNS-6) | Possible range: 0 - 30, with higher scores indicate greater social support and engagement. A total score of 12 or less is commonly used as a cut-off point to identify individuals at risk for social isolation | Baseline (T0) and 3 months after start of CST training (T1) |
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Inclusion Criteria:
Exclusion Criteria:
Unable to communicate and participate in interviews/training/intervention due to hearing impairment, visual impairment, or other conditions.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JACKY CP CHOY, PhD | Contact | 39170079 | cpchoy@hku.hk | |
| Shiyu LU, PhD | Contact | 39172074 | sylu@hku.hk |
| Name | Affiliation | Role |
|---|---|---|
| Shiyu LU, PhD | The University of Hong Kong | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Hong Kong | Recruiting | Hong Kong | Hong Kong |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26607411 | Background | Groot C, Hooghiemstra AM, Raijmakers PG, van Berckel BN, Scheltens P, Scherder EJ, van der Flier WM, Ossenkoppele R. The effect of physical activity on cognitive function in patients with dementia: A meta-analysis of randomized control trials. Ageing Res Rev. 2016 Jan;25:13-23. doi: 10.1016/j.arr.2015.11.005. Epub 2015 Nov 28. | |
| 34613622 |
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Anonymised data will be available upon request.
Anonymised data will be available after the first manuscript using the study data is published.
Anonymised data will be available upon request.
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| ID | Term |
|---|---|
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
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| OTHER |
The BrainLive Connect Model will be delivered by trained "young-old" volunteers, whom the investigators refer to as BrainLive Volunteers. Their participation enhances the delivery of the model and fosters social connections and promotes active ageing among the volunteers themselves. Volunteers will be trained, supervised and supported to deliver CST. Basic level training will cover topics fundamental to dementia education and common across different CST modes for all recruited volunteers, followed by advanced level training covering knowledge and skills specific to each CST mode and service settings.
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|
| Other intervention | Other | Volunteers will receive dementia-related educational materials |
|
| QoL: 8-item WHO quality of life scale |
Possible range: 8 - 40, with higher scores indicate better quality of life |
| Baseline (T0) and 3 months after start of CST training (T1) |
| The General Self-Efficacy Scale | Possible range: 10 - 40, with higher scores indicate higher self-efficacy | Baseline (T0) and 3 months after start of CST training (T1) |
| Bidirectional Social Support (2-Way SSS) | Possible range: 0 - 60, with higher scores indicate more bidirectional social support | Baseline (T0) and 3 months after start of CST training (T1) |
| Sense of belonging | Possible range: 16 - 80, with higher scores indicate better sense of belonging | Baseline (T0) and 3 months after start of CST training (T1) |
| Meaning in life | Possible range: 10 - 70, with higher scores indicate better meaning in life | Baseline (T0) and 3 months after start of CST training (T1) |
| Well-being | Possible range: 7 - 35, with higher scores indicate better well-being | Baseline (T0) and 3 months after start of CST training (T1) |
| Caregiver burden | Possible range: 0 - 48, with higher scores indicate higher caregiver burden | Baseline (T0) and 3 months after start of CST training (T1) |
| Knapp M, Bauer A, Wittenberg R, Comas-Herrera A, Cyhlarova E, Hu B, Jagger C, Kingston A, Patel A, Spector A, Wessel A, Wong G. What are the current and projected future cost and health-related quality of life implications of scaling up cognitive stimulation therapy? Int J Geriatr Psychiatry. 2022 Jan;37(1). doi: 10.1002/gps.5633. Epub 2021 Oct 15. |
| 16738349 | Background | Knapp M, Thorgrimsen L, Patel A, Spector A, Hallam A, Woods B, Orrell M. Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis. Br J Psychiatry. 2006 Jun;188:574-80. doi: 10.1192/bjp.bp.105.010561. |
| 30011160 | Background | Dementia: Assessment, management and support for people living with dementia and their carers. London: National Institute for Health and Care Excellence (NICE); 2018 Jun. Available from http://www.ncbi.nlm.nih.gov/books/NBK513207/ |
| 40337614 | Background | Ryan S, Brady O. Cognitive stimulation and activities of daily living for individuals with mild-to-moderate dementia: A scoping review. Br J Occup Ther. 2023 Aug;86(8):540-559. doi: 10.1177/03080226231156517. Epub 2023 Mar 15. |
| 27478677 | Background | Toh HM, Ghazali SE, Subramaniam P. The Acceptability and Usefulness of Cognitive Stimulation Therapy for Older Adults with Dementia: A Narrative Review. Int J Alzheimers Dis. 2016;2016:5131570. doi: 10.1155/2016/5131570. Epub 2016 Jul 11. |
| 38636561 | Background | Desai R, Leung WG, Fearn C, John A, Stott J, Spector A. Effectiveness of Cognitive Stimulation Therapy (CST) for mild to moderate dementia: A systematic literature review and meta-analysis of randomised control trials using the original CST protocol. Ageing Res Rev. 2024 Jun;97:102312. doi: 10.1016/j.arr.2024.102312. Epub 2024 Apr 16. |
| D001523 | Mental Disorders |