A feasibility, randomised controlled trial of Club Connect: a group-based healthy brain ageing cognitive training program for older adults with major depression within an older people's mental health service.

Journal: BMC psychiatry

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Older People's Mental Health Service, St Vincent's Hospital, Victoria St, Darlinghurst, Sydney, NSW, , Australia. claudia.woolf@svha.org.au. Older People's Mental Health Service, St Vincent's Hospital, Victoria St, Darlinghurst, Sydney, NSW, , Australia. Charles Perkins Centre, The Faculty of Medicine and Health (Central Clinical School), The University of Sydney, Camperdown, NSW, Australia. Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.

Abstract summary 

Using the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework, we outline steps taken to implement an evidence-based cognitive training program, Club Connect, in older adults with major depressive disorder in an Older People's Mental Health Service in Sydney, Australia. The primary aim was to explore feasibility (or 'reach'), tolerability (or 'implementation'), and acceptability (or 'adoption'). The secondary aim was to explore the most sensitive clinical outcomes and measurement tools (i.e. 'effectiveness') to inform a formal randomised controlled trial, and to explore the healthcare resources used (i.e. costs) to assist decision-making by health care managers and policy-makers in relation to future resource allocation.Using a single blinded feasibility design, 40 participants (mean age: 76.13 years, SD: 7.45, range: 65-95 years) were randomised to either (a) Club Connect, a 10-week group-based multifaceted program, comprising psychoeducation and computer-based cognitive training, or (b) a waitlist control group.Implementing group-based cognitive training within a clinical setting was feasible, well tolerated and accepted by participants. Further, cognitive training, in comparison to the waiting list control, was associated with moderate to very large effect size improvements in depression, stress and inhibition (ηp = 0.115-0.209). We also found moderate effect size improvements on measures of daily functioning, wellbeing and cognitive flexibility. Small effect size improvements for other cognitive and psychosocial outcomes were also observed. The average cost per person participating in in the intervention was AU$607.50.Our findings support the feasibility of implementing group-based cognitive training into a specialised clinical (public health) setting. This trial was registered on the Australian and New Zealand Clinical Trial Registry (ACTRN12619000195156, 12/02/2019).

Authors & Co-authors:  Woolf Kaplan Norrie Burke Cunich Mowszowski Naismith

Study Outcome 

Source Link: Visit source

Statistics
Citations :  World Health Organization . Depression and other Common Mental disorders: Global Health estimates. Geneva: World Health Organization; 2017.
Authors :  7
Identifiers
Doi : 208
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Cognitive remediation;Cognitive training;Depression;Feasibility;Implementation;Older adults
Study Design
Study Approach
Country of Study
Publication Country
England