ClinicalTrials.gg
CompletedNCT03289546Updated Feb 20, 2019

The Active Mind Study

An interventional study of Mindfulness training and Aerobic training in Cognitive Impairment and Cardiovascular Risk Factor, sponsored by The Miriam Hospital. Completed at 1 site in United States. Open to participants aged 55 Years and older. Per ClinicalTrials.gov, last updated 2019-02-20.

Sponsored by The Miriam Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Apr 2016, registered Mar 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
55 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,418 studies in Cognitive Dysfunction with a site in United States — 328 open to participants now, 432 under way, 13 of them phase 3. Cognitive Dysfunction · United States.

Enrollment
723rd of 1,143
38 · median 58
Started
2016
with 58 others
No phase
713 of 1,418
181 open now
Registered
469th of 1,418
by date

Among the 1,418 studies in Cognitive Dysfunction with a site in United States, this one is the 723rd largest by enrollment of the 1,143 interventional ones that give a count, is one of 59 that started in 2016, is one of 713 with no phase, and was the 469th registered.

Cognitive Dysfunction

3,872 studies on the registry are indexed under Cognitive Dysfunction; 1,119 are open to participants now.

Browse Cognitive Dysfunction studies →

Open to participants now

328 of the 1,418 studies in Cognitive Dysfunction with a site in United States are open now. Recruiting first, the newest first:

323 more — sign in →

All 328 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 750 Cognitive Dysfunction studies recruiting now, 362 (48%) set no upper age limit and 143 (19%) stop at 75 or younger; 46 take children under 18; 259 take healthy volunteers.

This study: 55 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to explore whether physical exercise, mindfulness training, or both interventions together can improve cognitive function in individuals with multiple risk factors for the development of dementia in the future.

Read the detailed description

The investigators will test the feasibility and acceptability of a combined mindfulness training + aerobic training intervention, vs. either alone or none to improve cognitive function in older adults with cognitive impairment. The investigators will also obtain estimates of effect sizes (and confidence intervals) on cognitive function. Preliminary analyses will be conducted to explore the mediating role of changes in aerobic capacity, physical activity, vascular risk factors, and mindfulness skills. Assessments will be conducted at baseline, 3-, and 6- months since baseline.

03

Conditions studied

  • Cognitive Impairment
  • Cardiovascular Risk Factor

Keywords

  • mindfulness
  • exercise
  • cognitive function
04

Who can participate

Ages eligible
55 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥55
  2. Being physically inactive (defined as not meeting current AHA recommendations for physical activity, i.e., \< 150 min of moderate-intensity aerobic activity per week OR \< 75 minutes of vigorous aerobic activity per week
  3. Cognitive complaint defined as answering yes to the question "do you feel that your memory or thinking skills have gotten worse recently?"
  4. Fluency in English language

Exclusion criteria

Exclusion Criteria:

  1. Unwillingness/inability to provide
  2. to physical activity as per the participant's PCP assessment
  3. Blood pressure >200/110
  4. Severe depressive symptoms (defined as Hospital Anxiety and Depression Scale [HADS] depression subscale scores >14)
  5. Acute psychosis (from medical record)
  6. Severe cognitive impairment ( [MMSE] score \<24)
  7. Recent hospitalization (\< 6 weeks)
  8. Current (at least once a month) mind/body practice (i.e., mindfulness meditation, yoga, or tai chi)
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Mindfulness training only

    1 mindfulness training class (1 hour) every week for 8 weeks.

    Behavioral: Mindfulness training

  • Experimental
    Aerobic training only

    3 aerobic training sessions (1 hour) per week for 12 weeks.

    Behavioral: Aerobic training

  • Experimental
    mindfulness + aerobic training

    2 aerobic training sessions + 1 mindfulness training class every week for 8 weeks, then continue with 3 aerobic training sessions/ week for 4 additional weeks.

    Behavioral: Mindfulness training · Behavioral: Aerobic training

  • No intervention
    Usual care

Interventions

  • BehavioralMindfulness training

    The mindfulness training protocol will include the following basic components of traditional mindfulness-based stress reduction training: 1) training in awareness of sensations ("body scan"); 2) training in the awareness of the sensations of breathing; 3) training in directing the attention to simple activities of daily life, and in recognizing when the attention is no longer focused on a specific object of attention; and 4) training in 'open awareness'.

  • BehavioralAerobic training

    Exercise sessions will be led by CPR- and exercise-certified YMCA instructors and supervised by the senior research assistant. Sessions will consist of 10 minutes of warm-up, 40 minutes of aerobic exercise (walking on a treadmill), 10 minutes of cool down and stretching. Participants will receive heart monitors at the beginning of the study and will be trained by the senior research assistant to exercise targeting heart rates at 65-75% of the age predicted max heart rate or at an intensity of 12-13 in the Borg scale of the rate of perceived exertion.

06

What researchers measure

Primary outcomes

  1. Retention rates of 80% at the final follow-up visit

    The investigators will consider the study feasible under this condition

    Time frame: 3 months from baseline

  2. Number of participants who attended at least 70% of the planned sessions

    The investigators will consider the study feasible under this condition

    Time frame: 3 months from baseline

  3. Number of participants who completed 70% of the assigned individual home practice exercises

    The investigators will consider the study feasible under this condition

    Time frame: 3 months from baseline

  4. Acceptability will be assessed using a satisfaction survey

    Acceptability will be assessed using a satisfaction survey. The intervention will be considered acceptable if ≥80% of participants responds that they are at least somewhat satisfied with the intervention.

    Time frame: 3 months from baseline

Secondary outcomes

  1. Effect size on cognitive function

    Preliminary estimates of effect size of mindfulness training alone vs. aerobic training alone, both, or neither on changes from baseline cognitive function.

    Time frame: baseline, 3, 6 months

  2. An exploratory outcome: Mindfulness will be assessed using the Five Facets of Mindfulness questionnaire (short form)

    Five Facets of Mindfulness questionnaire (short form) is a 12-item questionnaire that measures the five identified components of mindfulness meditation: observing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience.

    Time frame: baseline, 3, 6 months

  3. An exploratory outcome: Depression will be assessed using the Hospital Anxiety and Depression Scale (HADS)

    The HADS is a self-administered questionnaire with two sub-scales (0-21) measuring anxiety and depression, with higher scores indicating greater psychological morbidity

    Time frame: baseline, 3, 6 months

  4. Exploratory outcome: waist-to-hip ratio

    waist-to-hip ratio

    Time frame: baseline, 3, 6 months

  5. An exploratory outcome: Exercise capacity will be assessed via the 6 minute walking test

    The 6 minute walking test

    Time frame: baseline, 3, 6 months

  6. Exploratory outcome: blood pressure

    blood pressure

    Time frame: baseline, 3, 6 months

  7. An exploratory outcome: Social support will be assessed using the Multidimensional Scale of Perceived Social Support

    A 12-item, uni-dimensional tool to measure how one perceives their social support system, including individuals sources of social support (i.e., family, friends, and significant other).

    Time frame: baseline, 3, 6 months

07

Study locations

1 site
  • The Miriam Hospital
    Providence, Rhode Island 02906, United States
08

References and documents

Publications

  • Salmoirago-Blotcher E, DeCosta J, Harris K, Breault C, Dunsiger S, Santos C, Snyder P. Exploring synergistic effects of aerobic exercise and mindfulness training on cognitive function in older adults: Protocol for a pilot randomized controlled trial. Medicine (Baltimore). 2018 May;97(21):e10626. doi: 10.1097/MD.0000000000010626. PubMed 29794738 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2016 to primary completion in Nov 2018, 31 months.

Of 1,442 non-industry interventional studies with no phase under Cognitive Dysfunction, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 51. This study's 31 months is above that.

Counting every sponsor, half of 1,511 studies reached it within 27 months; a quarter within 12 and three quarters within 50.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 23, 2017
First posted
Sep 21, 2017
StartActual
Apr 1, 2016
Primary completionActual
Nov 30, 2018
CompletionActual
Dec 31, 2018
Last update
Feb 20, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03289546
Responsible party
Elena Salmoirago-Blotcher (Assistant professor of Medicine, The Miriam Hospital) — Principal investigator
First posted
Sep 21, 2017
Start date
Apr 1, 2016
Primary completion
Nov 30, 2018
Completion
Dec 31, 2018
Last update
Feb 20, 2019

Study contacts

Elena Salmoirago-Blotcher, PhD, MD
principal investigator · The Miriam Hospital & Warren Alpert Medical School at Brown University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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