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Trial registered on ANZCTR
Registration number
ACTRN12610001025022
Ethics application status
Approved
Date submitted
20/11/2010
Date registered
23/11/2010
Date last updated
10/03/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of Functional Task Exercise Program on Older Adults with Cognitive Impairment at Risk of Alzheimer Disease
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Scientific title
Effects of Functional Task Exercise Program on Cognitive, Functional and Health status of Older Adults with Cognitive Impairment at Risk of Alzheimer Disease – A randomized Controlled Trial
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
U1111-1117-9270
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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:
Mild cognitive impairment
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Condition category
Condition code
Neurological
258835
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0
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Alzheimer's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
10-week (3 sessions per week, 1 hour per session), center-initiated home based functional task exercise program. For the first 4 weeks, center-based sessions will be scheduled twice weekly supported with once weekly home practice with caregiver, followed by once weekly center-based and twice weekly home practice session for 4 weeks, then once biweekly center-based sessions for the last 2 weeks. The intervention program will be conducted by occupational therapist. Physical parameters associated with balance, strength, flexibility, mobility will be incorporated to daily functional tasks. All exercise sessions began with a 5-10 minute warm-up consisting of light stretching designed to increase flexibility, 30-40 minute core exercise and end with a 5-10 minute cool-down. Functional tasks for core exercise include table task and dinning task will be used according to the training protocol and training guidelines.
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
The control group will receive an existing computer cognitive training program (1x 60 minute session,once weekly for week1-2 and once bi-weekly for week 3-10, with home exercise in a total of 10 weeks). All the participants will continue with their usual routine medical care.
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Control group
Active
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Outcomes
Primary outcome [1]
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Chinese version of Neurobehavioral Cognitive Status Examination
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Assessment method [1]
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Timepoint [1]
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Baseline, at completion (10 weeks) and 3 months after completion of intervention
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Primary outcome [2]
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Specific cognitive functions: Trail making test A and B to assess visual scanning mental flexibility, and executive functions. Verbal fluency test to assess speed of answer; mental organization; search strategies, and short- and long-term Memory. Auditory-Verbal Learning Test to assess evaluates immediate memory span, new learning, susceptibility to interference, retention of memory and recognition memory. Problems in Everyday Living Test to assess ability of practical problem solving related to everyday life.
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Assessment method [2]
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Timepoint [2]
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Baseline, at completion (10 weeks) and 3 months after completion of intervention
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Secondary outcome [1]
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Health status & Quality of Life: Medical Outcomes 12-Item Short-Form (SF-12) Health Survey
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Assessment method [1]
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Timepoint [1]
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Baseline, at completion (10 weeks) and 3 months after completion of intervention
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Secondary outcome [2]
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Functional Status: Activities of Daily Living Questionnaire and Lawton Instrument Activities of Daily Living Scale to assess functional level.
Zarit Caregiver Burden Interview to measure the carer burden
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Assessment method [2]
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Timepoint [2]
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Baseline, at completion (10 weeks) and 3 months after completion of intervention
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Eligibility
Key inclusion criteria
1) Memory/cognitive complaint; (2) Objective cognitive impairment in 1 or more domains; but with (3) intact personal selfcare functions; (4) Absence of Dementia
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Minimum age
60
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
(1) History of brain lesion/ psychoactive substance abuse/co-morbid medical condition associated with cognitive/ functional decline; (2) Clinically significant depression; (3) significant impairment of vision, hearing or communication(4) Medical conditions render patients unable to engage in physical activity, such as severe cardiac failure
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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)
Simple ramdomisation using computer generated random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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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
Completed
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Date of first participant enrolment
Anticipated
1/02/2012
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Actual
16/01/2012
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Date of last participant enrolment
Anticipated
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Actual
11/09/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Hong Kong
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State/province [1]
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Kowloon
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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James Cook University
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Address [1]
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Occupational Therapy Discipline
School of Public Health, Tropical Medicine & Rehabilitation Sciences
James Cook University, James Cook Drive
Douglas
Townsville QLD 4811
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Country [1]
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Australia
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Primary sponsor type
University
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Name
James Cook University
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Address
Occupational Therapy Discipline
School of Public Health, Tropical Medicine & Rehabilitation Sciences
James Cook University, James Cook Drive
Douglas
Townsville QLD 4811
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Occupational therapy department, United Christian Hospital, Hong Kong
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Address [1]
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130 Hip Wo Street, Kwun Tong, KLN, Hong Kong
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Country [1]
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Hong Kong
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Tasmania Health & Medical Human Research Ethics Committee (EC00337)
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Ethics committee address [1]
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Private Bag 1 Sandy Bay, Hobart, Tasmania 7001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/12/2010
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Approval date [1]
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Ethics approval number [1]
260094
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Ethics committee name [2]
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James Cook University Human Research Ethics Committee (EC00164)
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Ethics committee address [2]
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Research Ethics and Grants Research Office Room 021 A, Ground Floor Kevin Stark Research Building (DB019) James Cook University James Cook Drive Douglas QLD 4811
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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01/02/2011
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Approval date [2]
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06/09/2011
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Ethics approval number [2]
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Ethics committee name [3]
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Research Ethics Committee (Kowloon Central/Kowloon East)
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Ethics committee address [3]
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Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong
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Ethics committee country [3]
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Hong Kong
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Date submitted for ethics approval [3]
286740
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Approval date [3]
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06/07/2011
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Ethics approval number [3]
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REC (KC/KE): KC-KE 11-0097/ER-3
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Summary
Brief summary
The main aim of the present study is to determine whether a functional task exercise program supervised by caregivers would improve the cognitive function of cognitive decline older adults at risk for Alzheimer’s Disease (AD) in a randomized controlled trial. It is also hypothesized that functional task exercises can improve the capacity of everyday problem solving. A further aim is to assess whether the use of meaningful functional tasks as intervention media would reduce functional decline and promote a sense of satisfaction in older adults with cognitive decline.
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Trial website
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Trial related presentations / publications
1. Lawla L F Law; Fiona Barnett, Matthew K Yau, and Marion A Gray (2013). Development and initial testing of Functional Tasks Exercise on Older Adults with Cognitive Impairment at Risk of Alzheimer Disease –FcTSim program a feasibility study. Occupational Therapy International, June 2013, early view published online. 2. Lawla L F Law; Fiona Barnett, Matthew K Yau, and Marion A Gray (under review). Effects of Functional Tasks Exercise on Older Adults with Cognitive Impairment at Risk of Alzheimer Disease – A randomized controlled trial.
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Public notes
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Contacts
Principal investigator
Name
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Dr Lan Fong Law
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Address
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Occupational Therapy Discipline, James Cook Drive, Douglas. School of Public Health, Tropical Medicine and Rehabilitation Sciences, Rehabilitation and Exercise Sciences Building, James Cook University, Townsville, QLD 4811, Australia
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Country
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Australia
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Phone
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+61 7 47816678
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Lan Fong Law
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Address
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Occupational Therapy Discipline, James Cook Drive, Douglas. School of Public Health, Tropical Medicine and Rehabilitation Sciences, Rehabilitation and Exercise Sciences Building, James Cook University, Townsville, QLD 4811, Australia
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Country
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Australia
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Phone
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+61 7 47816678
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Fax
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+61 7 47816868
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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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Lan Fong Law
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Address
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Occupational Therapy Discipline, James Cook Drive, Douglas. School of Public Health, Tropical Medicine and Rehabilitation Sciences, Rehabilitation and Exercise Sciences Building, James Cook University, Townsville, QLD 4811, Australia
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Country
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Australia
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Phone
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+61 7 47816678
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Fax
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+61 7 47816868
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Email
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[email protected]
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No information has been provided regarding IPD availability
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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