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Trial registered on ANZCTR

Registration number

ACTRN12621000900819

Ethics application status

Approved

Date submitted

26/04/2020

Date registered

12/07/2021

Date last updated

16/06/2022

Date data sharing statement initially provided

12/07/2021

Type of registration

Retrospectively registered

Titles & IDs

Public title

Feasibility and Impact Study of Dayakattai Cognitive Stimulation Technique (DaCST) for Older Adults with and Without Cognitive Disorders.

Scientific title

Feasibility and Impact Study of Dayakattai Cognitive Stimulation Technique (DaCST) for Older Adults with and Without Cognitive Disorders.

Secondary ID [1]

Nil known

Universal Trial Number (UTN)

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Mild Cognitive Impairment

Dementia

Condition category

Condition code

Neurological

Dementias

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

1. BRIEF NAME: Dayakattai Cognitive Stimulation Technique (DaCST).

2. WHY: It was found that some of the major challenges endured by older adults with and without cognitive disorders include poor quality of life, cognitive deterioration and low mood which may negatively affect their overall psychological well-being as an individual. Moreover, researches have shown that older adults in aged care facilities experience more detrimental effects in the areas stated. In order to improve this poor psychosocial condition, the present research will be using the Indian board game ‘Dayakattai’ as a cultural-based Cognitive Stimulation Technique (DaCST).

3. WHAT: Materials (Dayakattai board game made from washable cotton, 24 pieces of pawns/coins made from wood, 2 pieces of cuboid shaped dice made from wood).

4. Procedures:
- All players start with six chips at a 'home' in the center of the board. They each take turns rolling the ‘Daayam’, a pair of dice that are shaped like long cuboids. They are typically made of wood and have dots punched onto the long faces (1, 2, 3, 0).

- When a player rolls the ‘Daayam’ (0 on one dice, 1 on the other), they get to move one of their pieces one space out of their home and roll again and they advance their piece by the number indicated by the dice.

- For all the pieces to move out of the home, ‘Daayam’ has to be rolled out till all pieces are out. Pieces advance along with the board by initially moving down their owner's leg of the board, and then in a clockwise direction.

- When a player rolls a one, five, six, or twelve (two 0s), they get to roll again. The numbers rolled can be distributed among the player's pieces (e.g. A player rolls 5, 12, 2. They can move one piece by twelve, move another by 5, and then move one more by 2).

- Pieces can 'cut' other pieces by landing on the same spot that they are in. A 'cut' piece is sent all the way back to the home. However, while on one of the safe zones on the board (marked by an X), a piece cannot be cut.

- After completing one lap, a piece starts to move up the outer edge of the right side of its owner's leg of the game board. It stays on the corners instead of the spaces.

- The piece then needs to move the exact number of spaces to get to the center of the board.

- While at the corner of the home, a piece can be cut by another piece getting to the corner of its home.

- Players win by getting all of their pieces to the center of the board.

5. WHO PROVIDED: The researcher will be the moderator/facilitator of DaCST. She is a certified Clinical Psychologist who has the knowledge, skills and experience in dealing with conflict management for 5 years. The moderator/facilitator is required to acquire skills such as being person-centered and flexible. Other responsibilities of a moderator/facilitator include guiding the participants in terms of who’s turn is it to roll the dice, show cue cards on the numbers that would allow players to move their pawn into the board. Overall, a moderator/facilitator is responsible to enhance individual and group dynamic while ensuring the players follow the rule of the games. Moderator/facilitator are also responsible to engage and facilitate group interaction while playing the game. Lastly, it is crucial for moderator/facilitator to maintain a safe, fun and optimal environment.

6. HOW: Mode of delivery (The DaCST is played face-to-face in a group with a minimum of two players and a maximum of four players at a time).

7. WHERE: Nursing homes/aged care facilities in West Malaysia (Negeri Sembilan, Kuala Lumpur and Selangor).

8. WHEN and HOW MUCH: DaCST will be conducted once/week, for 8 consecutive weeks. Each session will be conducted for 30-45 minutes.

9. TAILORING:
i) The game has no facilitator/moderator by its own. However, the researcher will be playing the role of the facilitator/moderator to assist the participants and to maintain a safe, fun and optimal environment.

ii) Cue cards with numbers will be shown to aid participants.

iii) The adherence strategy will be used for this study is by monitoring attendance for every session intervention conducted. A special attendance form will be used to monitor and record keeping. Fun and motivation also part of promoting adherence to the DaCST activity.
participant lists for each session

10. MODIFICATIONS: N/A

HOW WELL
11. Planned: N/A
12. Actual: N/A

Intervention code [1]

Prevention

Intervention code [2]

Rehabilitation

Intervention code [3]

Treatment: Other

Comparator / control treatment

Active: no treatment given

Control group

Active

Outcomes

Primary outcome [1]

Quality of life measured using The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire (English and Malay version-validated). The following domains will be measured: Domain 1 (Physical Health), Domain 2 (Psychological), Domain 3 (Social Relationship), Domain 4 (Environment).

Timepoint [1]