title: The PACE study: a randomised clinical trial of cognitive activity (CA) for older adults with mild cognitive impairment (MCI).
abstract: BACKGROUND
  Research evidence from observational studies suggests that cognitive activity reduces the risk of cognitive impairment in later life as well as the rate of cognitive decline of people with dementia. The Promoting Healthy Ageing with Cognitive Exercise (PACE) study has been designed to determine whether a cognitive activity intervention decreases the rate of cognitive decline amongst older adults with mild cognitive impairment (MCI).
  
  
  METHODS
  The study will recruit 160 community-dwelling men and women aged 65 years of age or over with mild cognitive impairment (MCI). Participants will be randomly allocated to two treatment groups: non-specific education and cognitive activity. The intervention will consist of ten 90-minute sessions delivered twice per week over a period of five weeks. The primary outcome measure of the study is the change from baseline in the total score on the Cambridge Cognitive Score (CAMCOG). Secondary outcomes of interest include changes in memory, attention, executive functions, mood and quality of life. Primary endpoints will be collected 12, 52 and 104 weeks after the baseline assessment.
  
  
  CONCLUSIONS
  The proposed project will produce the best available evidence on the merits of increased cognitive activity as a strategy to prevent cognitive decline among older adults with MCI. We anticipate that the results of this study will have implications for the development of evidence-based preventive strategies to reduce the rate of cognitive decline amongst older people at risk of dementia.
  
  
  BACKGROUND
  ACTRN12608000556347.
authors.affiliation: Western Australia Centre for Health and Ageing, School of Psychiatry and Clinical Neurosciences, Perth, Western Australia, Australia. vidovichm@meddent.uwa.edu.au
authors.forename: Mandy R
authors.initials: MR
authors.lastname: Vidovich
authors.forename: Nicola T
authors.initials: NT
authors.lastname: Lautenschlager
authors.forename: Leon
authors.initials: L
authors.lastname: Flicker
authors.forename: Linda
authors.initials: L
authors.lastname: Clare
authors.forename: Osvaldo P
authors.initials: OP
authors.lastname: Almeida
mesh_terms: D000368:Aged; D000375:Aging; D003071:Cognition; D003072:Cognition Disorders / Q000517:prevention & control* / Q000628:therapy*; D003704:Dementia / Q000517:prevention & control / Q000628:therapy; D005260:Female; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D012720:Severity of Illness Index; D013813:Therapy, Computer-Assisted