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Trial registered on ANZCTR
Registration number
ACTRN12623001355662p
Ethics application status
Submitted, not yet approved
Date submitted
14/10/2023
Date registered
21/12/2023
Date last updated
21/12/2023
Date data sharing statement initially provided
21/12/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Effectiveness of an Online Group Memory Intervention for Neurocognitive Disorders: Pilot Study
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Scientific title
Memory Intervention for Neurocognitive Disorders: Investigating the Effectiveness, Feasibility and Acceptability of an Online Telehealth Treatment Program using Single-case Experimental Design
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Secondary ID [1]
310700
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None
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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:
Neurocognitive Disorder
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Condition category
Condition code
Neurological
328509
328509
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will be delivered a manualised group rehabilitation program adapted from Radford et al.’s (2010) ‘Making the Most of your Memory: an Everyday Memory Skills Program’ for telehealth delivery (as detailed by Withiel et al., 2019). The program entails six weekly two-hour sessions, which includes psychoeducation on the impact of neurological conditions on memory, training in compensatory memory strategy, and education of the impact of lifestyle factors (e.g., diet, exercise, sleep). Participants will also engage in interactive activities within the session and homework tasks between sessions in order to practice and apply learned skills in their daily contexts. This program will be delivered by an experienced neuropsychologist. A booster session (1-2hrs) will be offered to the group before the six-week follow-up assessment, administered by the same clinician who delivered the main intervention program. The booster group session will entail a summary of the main program along with discussion on the application of strategies within participant’s contexts.
The intervention will be delivered over videoconferencing to group/s consisting of around 6 participants.
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Intervention code [1]
327197
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Behaviour
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Intervention code [2]
327198
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Lifestyle
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Intervention code [3]
327199
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Rehabilitation
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Comparator / control treatment
No Comparator / control treatment (pilot study using single-case experimental design)
A 'baseline' period (of 3-5 weeks) will be used as the comparator/control treatment condition for this study. During the baseline period, participants will be completing a weekly online survey.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Participant-centred rehabilitation goals using Goal Attainment Scaling (GAS)
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Assessment method [1]
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Participants rate their adherence to goals on a five-point symmetrical scale (-2 = a lot less than expected, -1 = baseline, 0 = at expectation, +1 = somewhat better than expected, +2 = a lot more than expected).
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Timepoint [1]
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Weekly over 17 weeks i.e., Baseline (3-5 weeks before intervention), Intervention (6 weeks), Post-intervention (6 weeks)
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Secondary outcome [1]
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Everyday Memory Questionnaire-Revised (EMQ-R; Royle & Lincoln, 2008)
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Assessment method [1]
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EMQ-R total score
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Timepoint [1]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [2]
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Part A of the Comprehensive Assessment of Prospective Memory (CAPM; Shum & Fleming, 2012).
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Assessment method [2]
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CAPM total score
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Timepoint [2]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [3]
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Episodic memory/new learning
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Assessment method [3]
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Raw scores and normed scaled scores from the list learning subtest from Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) (Randolph et al., 1998).
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Timepoint [3]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [4]
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Royal Prince Alfred Prospective Memory Test (RPA- ProMem; Radford et al., 2011)
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Assessment method [4]
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The three alternate forms, using the total score.
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Timepoint [4]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [5]
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TBI Self-efficacy Scale (Huckans et al., 2010).
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Assessment method [5]
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TBI Self-efficacy Scale total score.
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Timepoint [5]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [6]
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Satisfaction with Participation in Social Roles
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Assessment method [6]
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PROMIS Satisfaction with Participation in Social Roles – Short Form 4a (Hahn et al., 2016).
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Timepoint [6]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [7]
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Strategy Use Checklist. This checklist will be used to record participant use of external strategies (e.g., lists, smartphone applications). The frequency of use of each strategy was estimated, from “Daily” to “Not at all”.
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Assessment method [7]
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Total scores used for analysis, ranging from 0 to 44 for external strategies.
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Timepoint [7]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Secondary outcome [8]
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Feasibility of the intervention
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Assessment method [8]
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• Rates of agreement to participate collect from recruitment records (%)
• Proportion of participants attending and participating in telehealth sessions collected from session attendance checklist
• Proportion of participants completing at least 5 sessions collected from session attendance checklist
• Rates of engagement with weekly homework collected from session notes
• hours to run program collected from intervention clinical notes
• number of technological issues during the telehealth session with a description of its nature and how it may have impacted the quality or completion of the session collected from session notes
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Timepoint [8]
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Weekly throughout the intervention program (6 weeks)
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Secondary outcome [9]
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Acceptability of the intervention
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Assessment method [9]
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Measured by a post-intervention participant evaluation form, consists of both open and closed questions (qualitative and quantitative data). This evaluation form has been designed specifically for this study.
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Timepoint [9]
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Within a week or two post-completion of intervention program for the participant.
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Secondary outcome [10]
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Treatment fidelity.
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Assessment method [10]
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Treatment fidelity checklist of key objectives for each session, rated by the intervention facilitator.
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Timepoint [10]
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Weekly post each session of the intervention (6 weeks)
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Secondary outcome [11]
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Strategy Use Checklist. This checklist will be used to record participant use of internal strategies (e.g., mental rehearsal, face-name association). The frequency of use of each strategy was estimated, from “Daily” to “Not at all”.
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Assessment method [11]
429561
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Total scores used for analysis, ranging from 0 to 40 for internal strategies.
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Timepoint [11]
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Pre-intervention and post-intervention (i.e., within one to two week starting the intervention and after completing the intervention) and 6-week follow-up
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Eligibility
Key inclusion criteria
The study will recruit participants who:
• Are 18 years old and over;
• Have been diagnosed with a neurocognitive disorder or suspected neurocognitive disorder;
• Report memory difficulties confirmed by self, close-others, or referring clinicians;
• Have a Eastern Cooperative Oncology Group (ECOG) Performance Status Scale score of 0 to 1 or Karnofsky Performance Scale Index of >70;
• Have access to a device (not mobile phone) that has a microphone, a webcam and can access online videoconferencing,
• Are able to understand and speak English at a proficient level to participate in the intervention
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Minimum age
18
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
Exclusion criteria entails the diagnosis of a neurodegenerative disorder or severe language/cognitive deficits that would prohibit adequate engagement with the intervention or assessment measures.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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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
31/01/2024
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
6
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
25734
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
41557
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2145 - Westmead
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Funding & Sponsors
Funding source category [1]
314916
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Hospital
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Name [1]
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Westmead Hospital
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Address [1]
314916
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Cnr Hawkesbury Road and, Darcy Rd, Westmead NSW 2145
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Country [1]
314916
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Australia
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Funding source category [2]
315347
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University
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Name [2]
315347
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Western Sydney University
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Address [2]
315347
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Western Sydney University, Kingswood, NSW 2747
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Country [2]
315347
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Australia
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Primary sponsor type
Individual
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Name
Chiara Pawela
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Address
Westmead Hospital, Cnr Hawkesbury Road and, Darcy Rd, Westmead NSW 2145
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Country
Australia
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Secondary sponsor category [1]
316923
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Individual
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Name [1]
316923
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Dr Travis Wearne
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Address [1]
316923
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Western Sydney University, Kingswood, NSW 2747
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Country [1]
316923
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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]
313909
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Western Sydney Local Health District HREC
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Ethics committee address [1]
313909
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Executive Unit, Level 1, Education Block, Westmead Hospital, Westmead, NSW 2145
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Ethics committee country [1]
313909
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Australia
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Date submitted for ethics approval [1]
313909
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27/10/2023
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Approval date [1]
313909
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Ethics approval number [1]
313909
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Summary
Brief summary
This a pilot study aiming to determine how appropriate and helpful is a telehealth program aimed to improving memory functioning in people who have a condition affecting their cognitive abilities (e.g., memory, attention, etc.). In other words, will this telehealth memory intervention lead to improvements in memory problems and other psychological factors (e.g., satisfaction with participation in social roles). The structured group rehabilitation program consists of six weekly two-hour sessions, covering psychoeducation about the impact of neurological conditions on memory, training in compensatory memory strategies, and education on the influence of lifestyle factors like diet, exercise, and sleep. The sessions involve interactive activities and homework tasks to practice and apply the learned skills in daily 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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Ms Chiara Pawela
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Address
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Westmead Hospital, Cnr Hawkesbury Road and, Darcy Rd, Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 8890 6686
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Fax
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Email
129754
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[email protected]
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Contact person for public queries
Name
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Chiara Pawela
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Address
129755
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Westmead Hospital, Cnr Hawkesbury Road and, Darcy Rd, Westmead NSW 2145
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Country
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Australia
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Phone
129755
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+61 2 8890 6686
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Chiara Pawela
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Address
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Westmead Hospital, Cnr Hawkesbury Road and, Darcy Rd, Westmead NSW 2145
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Country
129756
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Australia
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Phone
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+61 2 8890 6686
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Fax
129756
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Email
129756
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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)?
Yes
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What data in particular will be shared?
after de-identification, individual participant data underlying published results only
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When will data be available (start and end dates)?
After the publication of the study results (no end date)
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Available to whom?
Case-by-case basis at the discretion of Principal Investigator.
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Available for what types of analyses?
only to achieve the aims in the approved proposal
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How or where can data be obtained?
Deidentified data may be made publicly available in an online repository, as this is becoming a more common practice for journal publication. Contact the Principal Investigator Chiara Pawela,
[email protected]
.
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What supporting documents are/will be available?
No Supporting Document Provided
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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