Status:

ACTIVE_NOT_RECRUITING

Managing Pain and Cognitions in Older Adults With Early Cognitive Decline and Chronic Pain

Lead Sponsor:

Massachusetts General Hospital

Conditions:

Chronic Pain

Mild Cognitive Impairment

Eligibility:

All Genders

60+ years

Phase:

NA

Brief Summary

The investigators aim to conduct a fully powered randomized controlled trial to compare the efficacy of two symptom management programs for older adults with early cognitive decline (either self-repor...

Detailed Description

The investigators aim to conduct a fully powered randomized controlled trial to establish efficacy of two symptom management programs for older adults with early cognitive decline (either self-reporte...

Eligibility Criteria

Inclusion

  • Male and female outpatients, age 60 years or older
  • Have nonmalignant chronic pain for more than 3 months
  • Reports early cognitive decline (subjective or objective)
  • Telephone Interview for Cognitive Status-30 score greater than or equal to 17
  • Functional Activities Questionnaire score less than 9
  • Able to perform a 6-minute walk test at an accelerated pace
  • English fluency/literacy
  • Willingness and ability to participate and use an ActiGraph watch and smartphone app to view and sync the step count and sleep data
  • Free of concurrent psychotropic or pain medication for at least 2 weeks prior to initiation of treatment, OR stable on current psychotropic or pain medication for a minimum of 6 weeks and willing to maintain a stable dose
  • Cleared by a medical doctor for study participation and no self-reported concerns about physical functioning on the revised Physical Activity Readiness Questionnaire (PAR-Q; score 0)

Exclusion

  • Diagnosed with dementia or neurodegenerative disease
  • Diagnosed with medical illness expected to worsen in the next 6 months
  • Diagnosed with serious untreated mental illness (i.e., schizophrenia) or untreated substance use disorder
  • Current suicidal ideation reported on self-report
  • Engaging in regular mindfulness practice \> 45 min/week or has completed a course of cognitive behavioral therapy in the past 3 months
  • Regular use of a digital-monitoring device
  • Engagement in regular intensive physical exercise for \>30 minute daily

Key Trial Info

Start Date :

June 20 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2026

Estimated Enrollment :

260 Patients enrolled

Trial Details

Trial ID

NCT05373745

Start Date

June 20 2022

End Date

December 31 2026

Last Update

November 24 2025

Active Locations (1)

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1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114