ClinicalTrials.gg
CompletedNCT06530277REMINDerUpdated Feb 6, 2025

REMINDer - a Digital Environmental Enrichment Intervention

An interventional study of REMINDer (A digital environmental enrichment intervention) in Healthy, sponsored by German Center for Neurodegenerative Diseases (DZNE). Completed at 1 site in Germany. Open to participants aged 60 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-06.

Sponsored by German Center for Neurodegenerative Diseases (DZNE) · Not applicable, Interventional, and Other

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Phase
Not applicable
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
60 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 212 studies in Alzheimer Disease with a site in Germany — 25 open to participants now, 38 under way, 17 of them phase 3. Alzheimer Disease · Germany.

Enrollment
157th of 192
58 · median 350
Started
2024
with 7 others
No phase
25 of 212
5 open now
Registered
189th of 212
by date

Among the 212 studies in Alzheimer Disease with a site in Germany, this one is the 157th largest by enrollment of the 192 interventional ones that give a count, is one of 8 that started in 2024, is one of 25 with no phase, and was the 189th registered.

Alzheimer Disease

3,967 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

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Open to participants now

25 of the 212 studies in Alzheimer Disease with a site in Germany are open now. Recruiting first, the newest first:

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All 25 open studies →

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

Who these studies take

Of the 642 Alzheimer Disease studies recruiting now, 283 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 284 take healthy volunteers.

This study: 60 Years to 80 Years · all sexes · healthy volunteers too.

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02

Study summary

The primary goal of this pilot study is to assess the feasibility and effectiveness for improving overall mental and physical well-being of a multimodal intervention program in older adults carried out in a digital telehealth setting.

Read the detailed description

Background: Increasing life expectancy and associated age-related diseases, such as Alzheimer's disease, are considered a global challenge for society. Multiple physical, cognitive, and psychosocial risk factors can increase the risk of developing Alzheimer's disease. To effectively maintain mental health and well-being in older adults, multimodal, low-threshold, cost-effective, lifestyle-based intervention strategies that simultaneously and sustainably promote cognitive, physical, psychological, and social functioning in the older population are needed.

Objective: The primary objective of this randomized, controlled pilot study is to assess the feasibility and effectiveness of a multimodal intervention program delivered in a digital telehealth environment to improve overall mental and physical well-being of older adults.

Methods: The REMINDer study is a monocentric, randomized, assessor-blinded, controlled pilot study with a 6-week intervention period (2 hours per week). The study includes a digital multimodal intervention called REMINDer (Environmental Enrichment Intervention to Prevent Dementia - electronic intervention). This program is specifically designed for older adults and includes music, dance-based movement, and mind (specifically mindfulness) activities that are simultaneously trained to activate and strengthen brain resources and resilience to dementia. The intervention will be delivered in a digital telehealth environment (via an established videoconferencing platform) and compared to a 6-week passive control (waitlist with delayed intervention, AB-BA design) in a cross-over study design. For this first pilot study, a total of n = 50 cognitively unimpaired older adults will be recruited from the general population (spouses will be allowed in the same group and analyses will be controlled accordingly). Participants will be randomized to the two intervention groups using block randomization, stratified by age and sex, with a 1:1 allocation ratio.

Results: The primary outcomes of the study are feasibility, operationalized by adherence rates, and effectiveness of the intervention. Adherence per participant will be assessed by the number of sessions attended relative to the total number of sessions. Effectiveness will be assessed by the change in self-reported overall mental and physical well-being, operationalized by the Short-Form Health Survey (SF-12), measured at baseline (t1), post-intervention (t2), and follow-up (t3). Secondary outcomes will include changes in self-reported cognitive, motor, sensory, emotional/affective, social, and lifestyle behaviors, assessed at baseline, post-intervention, and follow-up using digital assessments.

Discussion: This pilot study will provide preliminary evidence on the feasibility and effectiveness of a digital multimodal intervention (REMINDer) to improve mental health and well-being in older adults. The results of this pilot study will inform a larger intervention trial aimed at improving multiple health risk factors for dementia in older populations at increased risk for Alzheimer's disease.

03

Conditions studied

  • Healthy

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Keywords

  • Feasibility
  • Adherence
  • Prevention
  • Aging
  • Alzheimer's disease
  • Dance
  • Dance-movement therapy
  • Lifestyle
  • Well-being
  • Quality-of-life
04

Who can participate

Ages eligible
60 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Retired adults aged between 60 and 80 years
  • Fluency in the German language
  • Cognitively unimpaired, as assessed via the Six-Item Screener (SIS) ≥ 4 points (out of 6)
  • Access to wireless internet connection and a digital device with speakers, screen, and camera at home
  • Access to a personal email address
  • Sufficient in-home space
  • Availability throughout the study and its measurement time points
  • Ability to provide written
  • Spouses (must be in the same group and each participate in the intervention individually via their own device and in independent rooms; this fact is considered accordingly in the analyses)

Exclusion criteria

Exclusion Criteria:

  • Regular rigorous physical exercise as defined by regular aerobic exercise (> 1.5 hours/week) during the last 6 months
  • Regular prior experience (> 1 hour/week) with tai chi, dance-movement, or other mind-body practices during the last 6 months
  • Disabilities that limit participation in online moment programs: Presence of physical ineligibility or mobility restrictions through a history of falls, not being able to walk, reliance on a walking aid
  • Severe uncorrected auditory or visual impairments that limit the ability to listen to online instructions or to observe online movements
  • Diagnosis of cognitive impairment and any type of dementia
  • Diagnosis of motor disorders (e.g. Parkinson's disease, multiple sclerosis)
  • History of cerebral disease (e.g. tumor)
  • Severe neurological disorders (e.g. epilepsy)
  • Diagnosis of psychiatric disorders (e.g. depression)
  • Other chronic medical disorders that limit physical activity (e.g. advanced cardiac or respiratory disease, severe hypertension)
  • Substance abuse (excessive smoking, alcohol consumption, drug abuse)
  • Current participation in another research study
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Intervention, no intervention (AB)

    Beginning with the digital multimodal intervention (REMINDer) and then transitioning to a no intervention phase (sequence: AB).

    Behavioral: REMINDer (A digital environmental enrichment intervention)

  • Experimental
    No intervention, intervention (BA)

    Starting with a no intervention phase and subsequently moving to the digital multimodal intervention (REMINDer) (sequence: BA).

    Behavioral: REMINDer (A digital environmental enrichment intervention)

Interventions

  • BehavioralREMINDer (A digital environmental enrichment intervention)

    REMINDer adapts the REMIND program (Nicotra et al., 2022) for telehealth, integrating cognitive, motor, sensory, emotional, and social stimulation through "music, dance-based movement, and mindfulness". The program consists of 2 online sessions/week for 60 minutes each over 6 weeks, led by trained facilitators experienced in dance movement therapy and mindfulness exercises. Sessions are divided into welcome/warm-up (10 min), training (40 min), and relaxation/feedback (10 min) phases. Using a structured manual, participants perform exercises that address the program's multimodal stimulation. The REMINDer program is delivered in a group setting via an online videoconferencing system. The "intervention, no intervention" (AB) group undergoes the training program between t1 and t2 and then resumes their normal lifestyle from t2 to t3. The "no intervention, intervention" group (BA) maintains its normal lifestyle from t1 to t2 and then participates in the training program from t2 to t3.

06

What researchers measure

Primary outcomes

  1. Feasibility: Adherence to the intervention

    Assessed by the number of sessions attended in relation to the total number of sessions (\[number of sessions attended / total number of sessions\] \* 100).

    Time frame: from baseline (t1) to the end of the 6-weeks intervention (t2)

  2. Effectiveness: Change in overall mental and physical well-being

    Assessed by the Short-Form-Health Survey (SF-12), range 0 to 100, higher scores indicate greater mental and physical well-being.

    Time frame: from baseline (t1) to the end of the 6-weeks intervention (t2)

Secondary outcomes

  1. Feasibility: reach

    \[participants enrolled / participants screened and eligible\] \* 100

    Time frame: End of 6-week-intervention (t2)

  2. Feasibility: retention rate

    \[participants completing t3 / participants enrolled\] \* 100

    Time frame: 12 weeks post baseline (6 weeks post intervention) (t3)

  3. Feasibility: dropout rate

    Assessed by the number of participants who did not complete the intervention and follow-up period divided by the total number of participants that underwent the randomisation process.

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  4. Feasibility: Change in credibility and acceptance

    Assessed by the Credibility Expectancy Questionnaire (CEQ), instruction adapted, range 1 to 9, higher scores indicating higher credibility and acceptance

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  5. Change in cognitive ability: subjective cognition function

    Assessed by the Everyday Cognition Scales (ECog-12), short form, instruction adapted, range 1 to 4 (mean), higher scores indicate higher subjective cognitive impairment / worse cognitive state

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  6. Change in cognitive ability: objective cognitive function

    Assessed by the Consortium to Establish a Registry for Alzheimer's Disease (CERAD): word list learning. Instruction adapted, range subscale wordlist learning 0 to 10, higher scores indicate better memory function

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  7. Change in motor ability: frailty

    Assessed by the Tilburg frailty indicator (TFI), range 0 to 15, higher scores indicate higher frailty.

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  8. Change in sensory ability: interoceptive awareness

    Assessed by the Multidimensional Assessment of Interoceptive Awareness (MAIA), subscale awareness, range 0 to 5, higher scores indicate more positive body awareness

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  9. Change in sensory ability: self-perceived bodily abilities

    Assessed by the Body Self-Efficacy Scale (BSE), range 1 to 5, higher scores indicate greater feelings associated with the four domains: guilt, shame, authentic pride and hubristic pride

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  10. Change in well-being: psychological well-being

    Assessed by the Ryff's Psychological Well-Being Scales (PWB), short form (18 items), range 1 to 7, higher scores indicate greater well-being.

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  11. Change in well-being: general well-being

    Assessed by the Heidelberg State Inventory (HSI-24), range 1 to 5, higher scores indicate higher well-being

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  12. Change in positive emotion: life-satisfaction

    Assessed by the General Life Satisfaction Short Scale (L1), range 0 to 10, higher scores indicate greater satisfaction with life

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  13. Change in positive emotion: mindfulness

    Assessed by the Freiburg Mindfulness Inventory (German: FFA), range 1 to 4, higher scores indicate more mindfulness

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  14. Change in negative emotion: perceived stress

    Assessed by the Perceived Stress Scale (PSS-10), range 1 to 5, higher scores indicate greater levels of perceived stress

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  15. Change in negative emotion: anxiety

    Assessed by the State-Trait Anxiety Inventory (STAI-5), short form, range 1 to 4, higher scores indicate higher anxiety

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  16. Change in social integration / loneliness

    Assessed by the German Version of the UCLA Three-item loneliness scale (LS-S), range 1 to 5, higher scores indicate less social integration / more loneliness

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  17. Change in social connectedness with others

    Assessed by the Inclusion of Other in the Self (IOS), range 1 to 7, higher scores indicate more overlap indicating higher social connectedness

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  18. Change in lifestyle: social activity

    Assessed by the Lubben Social Network Scale (LSNS-6), range 0 to 30, higher scores indicate bigger active and intimate networks of family and friends

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  19. Change in lifestyle: physical activity

    Assessed by the Physical Activity Scale for the Elderly (PASE), minimum score 0, higher scores indicate greater physical activity

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

  20. Change in lifestyle: sleep quality

    Assessed by the Jenkins Sleep Scale 4 (JSS-4), range 0 to 20, higher scores indicate more sleep problems

    Time frame: a) From baseline to the end of 6-week-intervention (t2) b) From baseline to 12 weeks (t3)

07

Study locations

1 site
  • German Center for Neurodegenerative Diseases (DZNE), Dresden
    Dresden, Saxony 01307, Germany
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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 Aug 2024 to primary completion in Dec 2024, 4 months.

Of 882 non-industry interventional studies with no phase under Alzheimer Disease, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 51. This study's 4 months is below that.

Counting every sponsor, half of 959 studies reached it within 29 months; a quarter within 15 and three quarters within 51.

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

Registered
Jul 27, 2024
First posted
Jul 31, 2024
StartActual
Aug 1, 2024
Primary completionActual
Dec 13, 2024
CompletionActual
Dec 13, 2024
Last update
Feb 6, 2025
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 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06530277
Lead sponsor
German Center for Neurodegenerative Diseases (DZNE)
Responsible party
Miranka Wirth (Dr. habil. Dipl.-Psych., German Center for Neurodegenerative Diseases (DZNE)) — Principal investigator
First posted
Jul 31, 2024
Start date
Aug 1, 2024
Primary completion
Dec 13, 2024
Completion
Dec 13, 2024
Last update
Feb 6, 2025

Study contacts

Miranka Wirth, Dr. habil. Dipl.-Psych.
principal investigator · German Center for Neurodegenerative Diseases (DZNE), Dresden
Olga M. Klimecki, PD Dr.
principal investigator · German Center for Neurodegenerative Diseases (DZNE), Dresden

Oversight

Data monitoring committee
No
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 Jul 2024. You cannot join it, but the record below documents what was studied.

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