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Trial registered on ANZCTR
Registration number
ACTRN12623001173684p
Ethics application status
Submitted, not yet approved
Date submitted
29/09/2023
Date registered
14/11/2023
Date last updated
14/11/2023
Date data sharing statement initially provided
14/11/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Maintaining Social Engagement: A social cognitive skills intervention for older adults with cognitive concerns.
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Scientific title
A randomised controlled trial to determine the effect of a social cognitive skills intervention on cognitive and mental health for older adults with cognitive concerns
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Secondary ID [1]
310694
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
dementia
331633
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mild cognitive impairment
331634
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anxiety
331635
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depression
331999
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Condition category
Condition code
Neurological
328362
328362
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0
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Dementias
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Neurological
328720
328720
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0
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Other neurological disorders
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Mental Health
328721
328721
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0
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Anxiety
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Mental Health
328722
328722
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
5 x 2-hour sessions involving online group social cognitive skills intervention with older adults with cognitive concerns and their care partners. The sessions cover topics such as communication skills (including verbal and non-verbal communication), managing sensory and cognitive challenges, assertive and respectful communication, maintaining good relationships, and goal setting. The facilitator will be a psychologist.
Additional points:
a) Participants will receive access via an emailed Zoom link
b) A random selection of group sessions will be recorded to be checked for fidelity to the intervention by an independent rater
c) There will be 3-5 participants per group
d) The overall time period of the intervention will be 2-hour weekly sessions over 5 weeks = 10 hours in total
e) The mode of administration will be short videos, powerpoint slides, and facilitated group discussions
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Intervention code [1]
327109
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Treatment: Other
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Intervention code [2]
327110
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Lifestyle
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Intervention code [3]
327111
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Behaviour
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Comparator / control treatment
Participants will receive 5 x 2-hour online sessions of active control in groups of 3-4 facilitated weekly. The facilitator with be a psychologist. The control condition group will watch segments from documentaries and engage in group discussions about the documentaries.
2. Additional points for the control group::
a) Participants will be provided access via an emailed Zoom link
b) A random selection of group sessions will be recorded to be checked for fidelity to the control condition by an independent rater
c) The documentaries will cover 5-10 min videos on the following topics: intergenerational social interactions; cooking; gardening; animals; pets; food; travel; music; tv/movies.
3. The control group will also have care partners (optional participation, as with the intervention group).
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Control group
Active
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Outcomes
Primary outcome [1]
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Social Cognition
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Assessment method [1]
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Edinburgh Social Cognition Test (ESCoT)
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Timepoint [1]
336203
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Baseline, 1 week post-intervention (primary timepoint) and 3 months post-intervention completion
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Secondary outcome [1]
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General cognition
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Assessment method [1]
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Montreal Cognitive Assessment (MoCA) audiovisual
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Timepoint [1]
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [2]
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Loneliness
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Assessment method [2]
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UCLA Loneliness scale
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Timepoint [2]
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [3]
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Social isolation
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Assessment method [3]
427316
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Social frailty scale
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Timepoint [3]
427316
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [4]
427317
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Quality of life
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Assessment method [4]
427317
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Assessment of quality of life-6D (AQoL-6D)
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Timepoint [4]
427317
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [5]
427318
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Depression
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Assessment method [5]
427318
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Geriatric Depression Scale (GDS) - 15 item version
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Timepoint [5]
427318
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [6]
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Anxiety
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Assessment method [6]
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Goldberg Anxiety Scale
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Timepoint [6]
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [7]
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Social behaviour
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Assessment method [7]
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Care partners to complete the Barsuglia Social Dysfunction Scale
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Timepoint [7]
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Baseline, and 1 week post-intervention and 3 months post-intervention completion
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Secondary outcome [8]
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Apathy
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Assessment method [8]
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care partners to complete the Neuropsychiatric Inventory (NPI)- apathy subscale
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Timepoint [8]
427321
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Baseline, and 1 week and 3 months post-intervention completion
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Secondary outcome [9]
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Social cognition
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Assessment method [9]
427322
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care partners to complete the Interpersonal Reactivity Index (IRI)
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Timepoint [9]
427322
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Baseline, and 1 week and 3 months post-intervention completion
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Secondary outcome [10]
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Behavioural changes associated with dementia
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Assessment method [10]
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Care partners to complete the NPI (total score)
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Timepoint [10]
428695
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Baseline, 1 week post-intervention and 3 months post-intervention completion
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Eligibility
Key inclusion criteria
People with cognitive impairment:
• Aged 55 years or older
• Cognitive complaints: Noticed changes in memory/thinking OR living with mild cognitive impairment or early stages of dementia
• Feeling lonely sometimes
• Able to join online sessions using a computer or tablet
Care partners:
• Care partner for a person with cognitive complaints participating in the study
• Able to join online sessions using a computer or tablet
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Minimum age
55
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
People with cognitive impairment:
• Participants that do not meet the above criteria
• Memory loss or aphasia that prevents them from having conversations
• Inability to manage basic activities of daily living independently
• English below conversational level
• Sensory loss not compensated for by visual/hearing aids
• A severe psychiatric diagnosis (such as psychosis)
• Life expectancy under 12 months
• Being located outside of Australia
Care partners:
• Participants that do not meet the above criteria
• Memory loss or aphasia that prevents them from having conversations
• Inability to manage basic activities of daily living independently
• English below conversational level
• Sensory loss not compensated for by visual/hearing aids
• A severe psychiatric diagnosis (such as psychosis)
• Life expectancy under 12 months
• Being located outside of Australia
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Dynamic (adaptive) random allocation methods such as Minimisation
Stratified randomisation: participants will be stratified by age group (55-74 years old vs. 75+), sex (male/other vs female); and cognitive status (subjective cognitive complaints vs. mild cognitive impairment or dementia).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/01/2024
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Actual
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Date of last participant enrolment
Anticipated
31/10/2025
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Actual
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Date of last data collection
Anticipated
31/03/2026
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
314910
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Charities/Societies/Foundations
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Name [1]
314910
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Dementia Australia Research Foundation
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Address [1]
314910
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Endeavour House, Level 3, 2-10 Captain Cook Crescent Griffith ACT 2603
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Country [1]
314910
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Australia
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Primary sponsor type
University
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Name
UNSW Sydney
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Address
UNSW Sydney High St Kensington NSW 2052 Australia
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Country
Australia
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Secondary sponsor category [1]
316918
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None
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Name [1]
316918
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Address [1]
316918
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Country [1]
316918
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Other collaborator category [1]
282826
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University
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Name [1]
282826
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University of Queensland
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Address [1]
282826
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The University of Queensland St Lucia 4072 Australia
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Country [1]
282826
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Australia
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Other collaborator category [2]
282827
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Commercial sector/Industry
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Name [2]
282827
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Silver Chain Group Limited
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Address [2]
282827
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Silverchain House. 6 Sundercombe Street, Osborne Park WA 6017
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Country [2]
282827
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
313903
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UNSW HREC
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Ethics committee address [1]
313903
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UNSW Sydney High St Kensington NSW 2052 Australia
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Ethics committee country [1]
313903
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Australia
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Date submitted for ethics approval [1]
313903
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18/09/2023
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Approval date [1]
313903
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Ethics approval number [1]
313903
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Summary
Brief summary
Older adults with cognitive concerns are at greater risk of loneliness, depression, and dementia. Often their cognitive difficulties are related not only to memory problems, but also to problems interacting and engaging socially with others. These problems include misreading body language, missing social cues, and having difficulty keeping conversations going. Existing treatments focus on improving memory or language, but there is no treatment that helps people enhance or maintain their social skills and connections. We received a Dementia Australia pilot grant in 2020 to co-design a ‘Maintaining Social Engagement program’ with Dementia Australia advocates. We successfully piloted this program with 10 people and found improvements in social cognitive skills (understanding oneself, understanding others, communicating with others). A randomised controlled trial will test if the program helps older adults with cognitive concerns to stay socially connected, feel more confident in social situations, and contribute to activities that are meaningful for them and potentially improve their quality of life.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Suraj Samtani
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Address
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Centre for Healthy Brain Ageing (CHeBA), School of Clinical Medicine, Discipline of Psychiatry & Mental Health, UNSW Medicine and Health, Level 3, AGSM (G27), Gate 11, Botany Street UNSW SYDNEY 2052 AUSTRALIA
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Country
129734
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Australia
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Phone
129734
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+61 293480170
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Fax
129734
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Email
129734
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[email protected]
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Contact person for public queries
Name
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Suraj Samtani
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Address
129735
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Centre for Healthy Brain Ageing (CHeBA), School of Clinical Medicine, Discipline of Psychiatry & Mental Health, UNSW Medicine and Health, Level 3, AGSM (G27), Gate 11, Botany Street UNSW SYDNEY 2052 AUSTRALIA
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Country
129735
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Australia
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Phone
129735
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+61 293480170
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Fax
129735
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Email
129735
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[email protected]
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Contact person for scientific queries
Name
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Suraj Samtani
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Address
129736
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Centre for Healthy Brain Ageing (CHeBA), School of Clinical Medicine, Discipline of Psychiatry & Mental Health, UNSW Medicine and Health, Level 3, AGSM (G27), Gate 11, Botany Street UNSW SYDNEY 2052 AUSTRALIA
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Country
129736
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Australia
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Phone
129736
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+61 293480170
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Fax
129736
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Email
129736
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The ethics approval states that data will not be shared for secondary research purposes
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
20539
Study protocol
[email protected]
20540
Informed consent form
[email protected]
20541
Ethical approval
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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