Race-Based Stress and Cognitive Training for MCI

Verbal learning and memory,Basic auditory attention and working memory,Psychomotor processing speed,Psychomotor processing speed; executive functioning,Self-report of prospective and retrospective memory,Self-report of cognitive concerns,The Patient Health Questionnaire-9,Self-report symptoms of anxiety,Self-reported daily functioning,The Racial Microaggressions Scale,The Trauma Symptoms of Discrimination Scale

This a two phase project that aims to pilot a new adaptation (Phase 1) of Motivationally
 Enhanced Compensatory Cognitive Training for Mild Cognitive Impairment (ME-CCT; an originally
 VA-based cognitive rehabilitation manualized intervention for older adults with MCI, with a
 focus on the impact of stress on cognitive functioning; that integrates components from the
 Race Based Stress and Empowerment (RBSE) group for an increased focus on race-based stress
 and discrimination for racial minority older adults (i.e., RBSEF-CCT-MCI). In a pilot open
 trial, 75-150 participants will receive group-based intervention for 8 weeks, with 8-10
 participants per group.
 
 Following the pilot study, the investigators will complete a randomized controlled trial
 (RCT) (Phase 2) to compare the efficacy of the RBSEF-CCT-MCI with the ME-CCT. In the RCT,
 75-150 participants will be randomized into either 1) The active control group, who will
 complete the original, ME-CCT training program, or 2) The experimental group, who will
 complete the newly developed RBSE-CCT-MCI. Both research groups will complete the
 interventions for 8 weeks, with 8-10 participants per group.
 
 Hypothesis: Participation in this newly developed/updated intervention (i.e., RBSEF-CCT-MCI)
 will result in improvements in both (a) subjective and (b) objective cognitive functioning,
 and (c) self-reported mental health symptoms.