APPLE-Tree programme for dementia prevention: pilot and RCT

  • Research type

    Research Study

  • Full title

    The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce: Pilot of the intervention and Randomised Controlled Trial

  • IRAS ID

    274277

  • Contact name

    Claudia Cooper

  • Contact email

    Claudia.cooper@qmul.ac.uk

  • Sponsor organisation

    University College London Hospitals NHS Foundation Trust

  • ISRCTN Number

    ISRCTN17325135

  • Clinicaltrials.gov Identifier

    Z6364106/2019/11/96 , UCL Data Protection Registration number

  • Duration of Study in the UK

    4 years, 3 months, 30 days

  • Research summary

    We want to test a prevention programme to lower older people’s chances of getting dementia. The half of older people (aged 60+) who have problems with “cognition” (memory, orientation and other thinking) have more chance of getting dementia, so we have tried to design an approach that works for them. The programme aims to help older people make changes that can prevent dementia:
    Being more socially, mentally and physically active
    Eating more healthily
    Looking after their mental and physical health
    Stopping smoking
    Reducing alcohol.
    We will find out whether people receiving our programme have less cognitive problems over two years than people who only receive an information leaflet; if so, how our programme worked, and if it is good value for money.

    We will pilot the new programme in one group of 10-12 people with memory problems without dementia.

    Then we will randomly allocate 704 people with memory problems without dementia, so they have an equal chance of receiving the new programme or an information leaflet.
    The programme involves 10 group sessions over 6 months, with individual sessions for people who cannot come to groups. Two facilitators will lead the groups. They will be trained and supervised by an experienced psychologist to keep to a manual so sessions are delivered in the same way each time. Groups will take place in NHS and third sector organisations. Intervention participants will also have access to the APPLE-Tree website with information about preventing dementia.

    We will ask participants to complete questionnaires, including a memory test and give a voluntary blood sample, before the programme starts and 6 and 24 months later. We will interview around 45 people taking part in or running the groups to hear what went well and what could be better. We will see whether and how they access the website.

  • REC name

    London - Camden & Kings Cross Research Ethics Committee

  • REC reference

    20/LO/0034

  • Date of REC Opinion

    2 Mar 2020

  • REC opinion

    Further Information Favourable Opinion