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      The Age-Well randomized controlled trial of the Medit-Ageing European project: Effect of meditation or foreign language training on brain and mental health in older adults

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          Abstract

          Introduction

          The Age-Well clinical trial is an ongoing monocentric, randomized, controlled trial aiming to assess an 18-month preventive meditation-based intervention directly targeting the attentional and emotional dimensions of aging to promote mental health and well-being in elderly people.

          Methods

          One hundred thirty-seven cognitively unimpaired older adults are randomized to either an 18-month meditation-based intervention, a structurally matched foreign language training, or a passive control arm. The impact of the intervention and underlying mechanisms are assessed with detailed cognitive, behavioral, biological, neuroimaging and sleep examinations.

          Results

          Recruitment began in late 2016 and ended in May 2018. The interventions are ongoing and will be completed by early 2020.

          Discussion

          This is the first trial addressing the emotional and cognitive dimension of aging with a long-term nonpharmacological approach and using comprehensive assessments to investigate the mechanisms. Results are expected to foster the development of preventive strategies reducing the negative impact of mental conditions and disorders.

          Highlights

          • Meditation or language training could improve mental health and well-being in aging.

          • Age-Well is a randomized controlled trial targeting mental health in aging.

          • Age-Well includes 18-month meditation and foreign language training in 137 elderly.

          • Age-Well interventions are expected to positively impact brain structure and function.

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          Most cited references14

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          Dementia prevention, intervention, and care

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            The neuroscience of mindfulness meditation.

            Research over the past two decades broadly supports the claim that mindfulness meditation - practiced widely for the reduction of stress and promotion of health - exerts beneficial effects on physical and mental health, and cognitive performance. Recent neuroimaging studies have begun to uncover the brain areas and networks that mediate these positive effects. However, the underlying neural mechanisms remain unclear, and it is apparent that more methodologically rigorous studies are required if we are to gain a full understanding of the neuronal and molecular bases of the changes in the brain that accompany mindfulness meditation.
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              Psychometric properties of the credibility/expectancy questionnaire.

              The present research evaluated the psychometric properties of the credibility/expectancy questionnaire, a quick and easy-to-administer scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies. The results suggested that this questionnaire derives the two predicted factors (cognitively based credibility and relatively more affectively based expectancy) and that these factors are stable across different populations. Furthermore, the questionnaire demonstrated high internal consistency within each factor and good test-retest reliability. The expectancy factor predicted outcome on some measures, whereas the credibility factor was unrelated to outcome. The questionnaire is appended to the paper, yet the authors stress care when utilizing the scale. During the administration of the questionnaire, the participant sees two sections--one related to thinking and one related to feeling. However, the researcher needs to be aware that the 2 factors derived are not grouped into those questions. Instead credibility was found to be derived from the first three think questions and expectancy was derived from the fourth think question and the two feel questions.
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                Author and article information

                Contributors
                Journal
                Alzheimers Dement (N Y)
                Alzheimers Dement (N Y)
                Alzheimer's & Dementia : Translational Research & Clinical Interventions
                Elsevier
                2352-8737
                14 December 2018
                2018
                14 December 2018
                : 4
                : 714-723
                Affiliations
                [a ]Université Normandie, Inserm, Université de Caen-Normandie, Inserm UMR-S U1237, GIP Cyceron, Caen, France
                [b ]GIGA-CRC, In Vivo Imaging, Université de Liège, Liège, Belgium
                [c ]Belgian National Fund for Scientific Research (F.R.S.-FNRS), Brussels, Belgium
                [d ]Swiss Center for Affective Sciences, Department of Medicine and Department of Psychology, University of Geneva, Geneva, Switzerland
                [e ]Division of Psychiatry, University College London, London, United Kingdom
                [f ]Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humbold-Universität zu Berlin and Berlin Institute of Health, NeuroCure Clinical Research Center, Berlin, Germany
                [g ]Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humbold-Universität zu Berlin and Berlin Institute of Health, Centre for Stroke Research Berlin, Berlin, Germany
                [h ]Université Normandie, Inserm, Université de Caen-Normandie, Inserm UMR-S U1077, GIP Cyceron, Caen, France
                [i ]CHU Caen-Normandie, Department of Clinical Research, Caen, France
                [j ]Department of Medicine, University of Geneva, Geneva, Switzerland
                [k ]EUCLID/F-CRIN Clinical Trials Platform, University of Bordeaux, INSERM, Bordeaux Population Health Center, Bordeaux, France
                [l ]CHU Bordeaux, F-33000, Bordeaux, France
                [m ]Lyon Neuroscience Research Center INSERM U1028, CNRS UMR5292, Lyon University, Lyon, France
                Author notes
                []Corresponding author. Tel.: +33 231470173; Fax: +33 2 3147 0275. chetelat@ 123456cyceron.fr
                [∗∗ ]Corresponding author. Tel.: +33 231470142; Fax: +33 2 3147 0275. poisnel@ 123456cyceron.fr
                [1]

                These authors contributed equally to this work.

                [2]

                These senior authors contributed equally to this work.

                Article
                S2352-8737(18)30073-8
                10.1016/j.trci.2018.10.011
                6296161
                30581977
                079505f6-c13f-469a-8c8b-b13e2596cff5
                © 2018 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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                Categories
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                aging,alzheimer's disease,dementia,prevention,cognition,reserve,attention,meditation,mindfulness,compassion,foreign language training,emotion,lifestyle,neuroimaging,blood markers,sleep

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