ChiCTR2200065444
尚未开始
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2022-11-04
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Mild cognitive impairment
Integrated Multi-Component Service Model for Mild Cognitive Impairment
Integrated Multi-Component Service Model for Mild Cognitive Impairment Among Older Adults in Community and Primary Care
1. To establish an enhanced multi-component care model with collaborative care coordinated by nurse and supervised by family medicine academics with support from a multidisciplinary team of health professionals with the aim to prevent cognition decline and improve quality of life among Hong Kong older adults with or at high risk for MCI. 2. To establish a lower cost multi-component care model led by health professionals but supported by trained community workers with the aim to perform protocol-driven assessments and interventions to prevent cognition decline and improve quality of life among older adults with or at high risk for MCI. 3. To understand the effectiveness and cost-effectiveness of the above two models, in comparison with usual community practice (physical activity, cognitive activity, and psychosocial activity). 4. To understand the 1-year re-screening results for those screened negative at initial screening and risk factors of cognition deterioration to prepare for future service planning and allocation.
随机平行对照
其它
Computer-generated allocation sequencing will be done in blocks of twelve to ensure the balanced allocation of participants in each venue.
Single blind (Blind to assessors and statistician who conduct the analyses)
Non-commercial
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600
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2022-11-14
2025-11-13
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1. Aged 60 years or above; 2. Having Montreal Cognitive Assessment Hong Kong version (HK-MoCA) score within 19-25 after adjusting for years of educational (+1 point if < 6 years) suggesting MCI; or at high risk for MCI (e.g., screened positive in SARC-F for sarcopenia (>= 4 points); or have handgrip strength below the cut-off points (< 26 for male, <18 for female); or have subjective memory complaint (reported memory loss and worried about it); or have diabetes or metabolic syndrome (a combination of diabetes, hypertension and obesity); or screened positive for depression (PHQ-2 >= 3 points).；
请登录查看1. A confirmed diagnosis of dementia; 2. One or more significant communicative impairments. Notes: Use of psychotropic medication does NOT constitute an exclusion criterion, but any use of anti-dementia and other psychotropic medications should be kept on a stable dosage for at least three months before enrolment and also throughout the project.；
请登录查看The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong
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