Elderly Patients With Type 2 Diabetes and Cognitive Exercises

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorIstanbul University - Cerrahpasa

About this trial

The study was planned as a single-center, prospective randomized controlled study. Individuals over 65 years of age with type 2 diabetes without severe cognitive impairment will be included in the study. The primary aim of the study is to improve the cognitive functions of the patients after the interventions. The secondary aim is to strengthen patients' diabetes self-management and increase their quality of life, especially by improving their glycemic control. For these purposes, in our study, patients will be randomized into three groups: "cognitive exercise and diabetes education", "diabetes education only" and "control" group. The control group will be provided with standard outpatient diabetes education. Individuals who will be in the "cognitive exercise and video training" group will watch a total of 12 diabetes education videos prepared by the researcher, in which a different topic will be discussed every week for 3 months, and they will also participate cognitive exercises for 15-20 minutes a day for 3 months via a mobile application. Individuals in the "diabetes education only" group will similarly watch a total of 12 diabetes education videos prepared by the researchers. Patients will be evaluated in terms of cognitive function, psychosocial problems (anxiety, depression, stress), glycemic control (HbA1c), diabetes management and quality of life before the interventions, at 3 months and 6 months.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with type 2 diabetes for at least one year

Literate

Able to use smartphone/tablet/computer and have internet access

Individuals who agree to participate in the study will be included.

Disqualifiers

Type 1 diabetes

With severe cognitive impairment

Known neurological or psychiatric disorders

Severely depressed

Trial design

Design model

Parallel

Treatments tested in this trial

  • Educational video program

    Other intervention

    Diabetes education video contents are as follows; Type 2 diabetes definition, symptoms and the effect of diabetes on cognitive functions, Medical nutrition therapy and healthy nutrition recommendations in Type 2 diabetes, The importance of diabetes and exercise, Oral antidiabetic treatments, Insulin treatment, Hypoglycemia symptoms, findings and treatment, Macrovascular complications in diabetes, Microvascular complications in diabetes, Foot Protection and care recommendations, Diabetes self-care skills and problem-solving strategies, Diabetes and stress management.

  • A mobile application

    Other intervention

    This mobile application is a science-based application that patients can access via their smartphone or tablet. It consists of verbal, numerical, visual, logical, memory and attention categories and contains 24 different gamified mind exercises

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: Control GroupNo intervention 0 interventions
Group B: Video GroupExperimental treatment 1 intervention
Group C: Video and Mobile application GroupExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Neurocognitive profile

Neurocognitive Assessment Battery

Time frame
The moment it is included in the study, 3rd month, 6th month

Secondary outcomes

1

Hba1c

Laboratory values derived from patients' routine visits

Time frame
The moment it is included in the study, 3rd month, 6th month
2

Psychological state

A Scale to assess psychological state

Time frame
The moment it is included in the study, 3rd month, 6th month
3

Quality of Life (1)

Burden of Diabetes in the Elderly Scale

Time frame
The moment it is included in the study, 3rd month, 6th month
4

Quality of Life (2)

Type 2 Diabetes Self-Management Scale

Time frame
The moment it is included in the study, 3rd month, 6th month

Other outcomes

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