Evidence map›Paper›PMID 38030988›Full record

Trial reportBMC geriatrics2023

Reducing fear and avoidance of memory loss improves mood and social engagement in community-based older adults: a randomized trial.

Francesca R Farina, John Regan, Melissa Marquez, Hosanna An, Patricia O'Loughlin, Pavithra Pavithra, Michelle Taddeo, Rachel C Knight, Marc Bennett, Bert Lenaert and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04821960 (Improving Emotional Well-being and Quality of Life in Older Adults Experiencing Dementia-related Fear.), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT04821960 nacompletednot on this map

Improving Emotional Well-being and Quality of Life in Older Adults Experiencing Dementia-related Fear.

TypeinterventionalSponsorNorthwestern UniversityRan2021 to 2022Enrolled81ConditionsAnxiety and FearArmsTailored Mindfulness Program for Fear of Memory Loss, Conventional Mindfulness Program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

11 authors at 5 institutions in 4 countries.

Francesca R FarinaDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA. francesca.farina@northwestern.edu.
John ReganSchool of Psychology, Trinity College Dublin, Dublin, Ireland.
Melissa MarquezDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Hosanna AnDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Patricia O'LoughlinSchool of Psychology, University College Dublin, Dublin, Ireland.
Pavithra PavithraSchool of Nursing, Trinity College Dublin, Dublin, Ireland.
Michelle TaddeoDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Rachel C KnightMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Marc BennettSchool of Psychology, University College Dublin, Dublin, Ireland.
Bert LenaertFaculty of Psychology, Open University, Heerlen, The Netherlands.
James W GriffithDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Northwestern University · USTrinity College Dublin · IEUniversity College Dublin · IEMaastricht University · NLUniversity of Cambridge · GB

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Reducing Assessment Barriers for Patients with Low LiteracyR01MD010440 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GRIFFITH, JAMES WILLIAM, PAASCHE-ORLOW, MICHAEL · 2017 to 2021
$4.6M
Alzheimer's Association AARF-21-848281NCATS NIH HHS UL1 TR001422NIA NIH HHS R01MD010440NIMHD NIH HHS R01 MD010440
6 · The paper itself

Abstract

backgroundAlzheimer's disease and related dementias (ADRD) are among the most feared age-related conditions. The aim of this study was to evaluate a brief psychological intervention to promote adaptive coping in older adults experiencing heightened fear of ADRD and investigate positive downstream effects on health-related secondary outcomes, including frequency of reported memory failures, psychosocial functioning, and quality of life.

methodsEighty-one older adults were recruited and randomized into REFRAME or active control intervention arms. Both groups received psycho-education and training in mindful monitoring of fears related to ADRD. The REFRAME group received an additional behavioral activation component intended to disrupt maladaptive avoidant coping (i.e., avoidance) strategies. Both groups completed 3-weeks of intervention exercises with accompanying questionnaires (baseline, mid- and post-intervention and 4-week follow-up).

resultsAdherence was strong (> 75%). We observed a significant reduction in ADRD-related fear and avoidance in both groups. Significant reductions were also observed for frequency of self-reported memory failures, anxiety, and depression. Depression was significantly reduced in the REFRAME group compared to the control group. Significant increases in participants' ability to participate in social activities and well-being were also observed.

conclusionsFindings suggest that a brief psychological intervention can mitigate ADRD-related fears and avoidant coping in older adults, and that benefits extend to broader health-related outcomes including anxiety, depression, social functioning, and well-being. Addressing ADRD-related fear has implications for healthy aging and risk reduction, as individuals may be more likely to engage in activities that are protective against ADRD but were previously avoided.

trial registrationhttps://clinicaltrials.gov/ct2/show/NCT04821960 .

Indexed as

Alzheimer DiseaseQuality of LifeAgedFearHumansMemory DisordersSocial ParticipationAlzheimer’s Disease and its related DementiasAvoidanceFearMemory lossOlder adultswell-being.

Identifiers

PMID38030988
PMCPMC10688470
OpenAlexW4389135758

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.