Lifestyle Intervention in the Memory Clinics of General and Academic Hospitals Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorMaastricht University Medical Center

About this trial

Lifestyle Intervention in the memory clinics of General and academic Hospitals Trial (LIGHT) is a multi-center, randomized, controlled, lifestyle intervention trial among 300 older adults (≥50 years) with subjective cognitive decline (SCD) and mild cognitive impairment (MCI) at risk of dementia. Participants are randomized in a 1:1 ratio to Group A (tailored lifestyle intervention) or Group B (general health advice) for a duration of 12 months. The lifestyle intervention comprises three parts 1) Lifestyle coaching, 2) a voucher program, and 3) online self-management. Group B will receive general health advice.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥50 years of age at pre-screening;

Having a diagnosis of SCD or MCI;

Presence of ≥ 2 modifiable risk factors for dementia.

Disqualifiers

Having a diagnosis of dementia;

Insufficient understanding of the Dutch language;

Conditions affecting safe and continuous engagement in the intervention (e.g. under treatment for current malignant diseases, major psychiatric disorders (e.g. major depression, psychosis, bipolar disorder), other conditions preventing co-operation as judged by the local study nurse or consulted physician at the local study site;

Participation in any other research intervention trial at time of pre-screening and throughout the study period.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Personalized lifestyle intervention

    Behavioral

    The lifestyle intervention in Group A comprises three parts (1) three individual consultations with a trained lifestyle coach, (2) a voucher program to encourage brain healthy activities, and (3) access to an online self-management tool for dementia risk reduction (www.breinzorg.nl).

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: Lifestyle intervention (Group A)Experimental treatment 1 intervention
Group B: Regular healthcare (Group B)No intervention 0 interventions

Trial outcomes

Primary outcomes

1

Lifestyle for BRAin Health (LIBRA) score 2

1-year change in the Lifestyle for BRAin Health (LIBRA) score 2. This is a weighted score of fifteen lifestyle-related risk factors that are proven to be associated with increased dementia risk. Higher score means a greater risk for dementia. Scored from -6.1 to 25.8 (absolute weight).

Time frame
1 year

Secondary outcomes

1

15-Word Verbal Learning Test

Measure of immediate and delayed memory. Wordlist is presented five times in a row and asked to be recalled immediately and after 15 minutes. Discrete number; score: 0-15 (higher score means a better outcome)

Time frame
1 year
2

Digit Symbol Substitution Test (DSST)

Measure of attention/processing speed, number of correctly matched symbols to digits within 90 seconds. Discrete number; 0-90 (higher score means a better outcome).

Time frame
1 year
3

Wechsler Adult Intelligent Scale (WAIS) digit span

Measure of working memory. Scored as the maximum number of digits repeated correctly. Discrete number; 0-14 (higher score means a better outcome).

Time frame
1 year
4

Trail Making Test

Measure of attention and executive function. Task A and B. Time taken to complete the test; minimum 0, no maximum, lower score means a better outcome.

Time frame
1 year

Other outcomes

1

Biomarkers

Plasma samples will be stored to later assess biomarkers. For example amyloid, p-tau, NFL, GFAP, BDNF.

Time frame
1 year

Sponsors and contacts

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Maastricht University Medical Center

Lead sponsor

Amsterdam UMC, location VUmc

Collaborator

InHolland University of Applied Sciences

Collaborator