Evidence map›Paper›PMID 35079596›Full record

ArticleNursing (Auckland, N.Z.)2022

Rationale and protocol for a pilot randomized controlled trial of a cognitive prescription intervention for reducing dementia risk factors among African Americans.

Pariya L Fazeli, Cierra Hopkins, David E Vance, Virginia Wadley, Peng Li, Bulent Turan, Pamela G Bowen, Olivio J Clay

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Nursing (Auckland, N.Z.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Pariya L FazeliSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Cierra HopkinsSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
David E VanceSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Virginia WadleySchool of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Peng LiSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Bulent TuranDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
Pamela G BowenSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Olivio J ClayDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USKoç University · TR

Funding

A Multidomain Approach to Preventing Dementia in African Americans: Cognitive PrescriptionsR21AG059954 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WHEELER, PARIYA FAZELI · 2019 to 2020
$408k
NIA NIH HHS R21 AG059954
6 · The paper itself

Abstract

BACKGROUND & PURPOSE: African Americans (AAs) are twice as likely to develop dementia than Whites, which may be driven by poorer dementia knowledge and lifestyle factors. This article provides the rationale and protocol for a pilot clinical trial examining a tailored multi-domain lifestyle modification intervention in middle-aged and older AAs. This study will explore the feasibility and efficacy of individualized Cognitive Prescriptions (CogRx) which target five domains: physical activity, cognitive activity, diet, sleep, and social activity. Theoretical underpinnings include Social Cognitive Theory and the Health Belief Model, which suggest that tailored risk factor information, goal-setting, and outcome expectations along with addressing self-efficacy and barriers will promote behavior change. STUDY

designThis study plans to enroll 150 community-dwelling AA participants aged 45-65 without significant cognitive impairment. After baseline assessment including data-driven assessment of deficiencies in each of the five CogRx domains, participants are randomized with equal allocation to either: psychoeducation + CogRx, psychoeducation only, or no-contact control. The psychoeducation and CogRx groups receive general psychoeducation on dementia prevalence, prognosis, and risk factors, while the CogRx group also receives information on their risk factor profile and develops a tailored 3-month intervention plan, consisting of simple evidence-based strategies to implement. The CogRx condition receives text-messaging reminders and adherence queries and provides feedback on this program.

conclusionThis study tests a novel multi-domain dementia prevention intervention and has several strengths, including enrolling middle-aged AAs with a focus on prevention, assessing adherence and self-efficacy, tailoring the intervention, and examining dementia knowledge. The goal is to yield new perspectives on person-centered dementia prevention approaches in diverse populations, and ultimately impact clinical and public health recommendations for maintaining cognitive health, thereby reducing disparities in dementia. Modifications to study design due to COVID-19 and future directions are discussed.

Indexed as

health behaviorshealth literacylifestyleminorities

Identifiers

PMID35079596
PMCPMC8783962
OpenAlexW4205300514

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.