BrainLive Connect: Volunteer Training Programme

Обзор

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: 1. Adults aged 50 and over - volunteers (nRCT) * Participate in either 80-90 hours of BrainLive Coach training followed by volunteering in BrainLive Connect or receive educational materials on dementia and cognitive health. * Complete assessments at baseline (T0) and post intervention (T1) on dementia knowledge, competence in dementia care, self-efficacy, attitudes to dementia, quality of life, and social capital. 2. 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.

Подробное описание

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.

Вмешательства

• Поведенческое BrainLive Coach training
  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.
• Другое Other intervention
  Volunteers will receive dementia-related educational materials

Первичные конечные точки

• Dementia Knowledge Assessment Tool (DKAT) [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Sense of Competence in Dementia Care (SCIDC) [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Approaches to Dementia Questionnaire (ADQ) [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]

Вторичные конечные точки (8)

• The Lubben Social Network Scale-6 (LSNS-6) [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• QoL: 8-item WHO quality of life scale [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• The General Self-Efficacy Scale [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Bidirectional Social Support (2-Way SSS) [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Sense of belonging [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Meaning in life [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Well-being [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]
• Caregiver burden [Срок оценки: Baseline (T0) and 3 months after start of CST training (T1)]

Критерии участия

Критерии включения

• Hong Kong residents
• Aged 50 and over
• Had education level of Form 3 or above
• Fluent in Cantonese
• Able to read and write Chinese

Критерии исключения

Unable to communicate and participate in interviews/training/intervention due to hearing impairment, visual impairment, or other conditions.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

Гонконг · 1 центр

• The University of Hong Kong — Гонконг

Публикации

• 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. PMID 26607411
• 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. PMID 34613622
• 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. PMID 16738349
• 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/ PMID 30011160
• 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. PMID 40337614
• 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. PMID 27478677
• 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. PMID 38636561

Идентификаторы

NCT: NCT07544875 · EA250765b

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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