- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04098835
A Pilot Study of a Strategy and Computer-based Intervention to Enhance Daily Cognitive Functioning After Stroke
May 30, 2023 updated by: Weill Medical College of Cornell University
This is an initial pilot study to test feasibility, participant engagement and satisfaction, and clinical and neurobiological target engagement of a behavioral treatment called "ASCEND" that combines computer-based cognitive training and coaching of cognitive strategies to improve daily cognitive functioning in individuals with stroke.
Study Overview
Study Type
Interventional
Enrollment (Actual)
3
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Abhishek Jaywant, PhD
- Phone Number: 212-746-4666
- Email: abj2006@med.cornell.edu
Study Contact Backup
- Name: Alexandra Keenan, BA
- Phone Number: 212-746-1509
- Email: alk4028@med.cornell.edu
Study Locations
-
-
New York
-
New York, New York, United States, 10065
- NewYork-Presbyterian Hospital/Weill Cornell Medical Center
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
43 years to 87 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- History of first-time stroke, minimum of 6 months prior to enrollment
- English speaking
- Ability to comprehend sufficiently to participate in the treatment.
- Subjective or objective evidence of mild cognitive impairment
- Willingness to participate in full study duration
- Has computer that meets specification for the training program software.
- Physically able to operate a computer keyboard and mouse.
- Not concurrently receiving other cognitive rehabilitation services
- Cognitively able to perform basic self-care activities (e.g., dressing, grooming, eating).
Exclusion Criteria:
- History of neurologic disease other than stroke
- History of severe mental illness or substance use disorder, or current major depressive episode.
- History of dementia or dependence in basic self-care activities due to cognitive deficits
- Contraindications to MRI
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ASCEND
ASCEND combines computer-based cognitive training exercises, homework exercises to enhance cognition, and coaching sessions delivered in-person and via telephone/videoconference by a neuropsychologist.
ASCEND includes 24 total computer training sessions of 30 minutes each, for a total of 12 hours.
ASCEND includes 8 coaching sessions of 45 minutes each.
The computer exercises aim to improve attention, working memory (WM), and cognitive control through a series of engaging and interactive computer games (e.g., card games, driving simulation).
The homework exercises and coaching sessions aim to assist the participant in generalizing and transferring skills from the computer exercises to daily life and to develop further strategies to compensate for attention and WM difficulties in daily life.
|
ASCEND is a behavioral intervention that combines computer-based cognitive exercise, strategy coaching with a neuropsychologist, and homework exercises in order to improve attention, working memory, and cognitive control after stroke.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Participant satisfaction with ASCEND, as measured by the Client Satisfaction Questionnaire-8 (CSQ-8)
Time Frame: 5 weeks (at the conclusion of treatment)
|
The CSQ-8 is a self-report measure of participant satisfaction with the intervention.
Scores range from 8-32 with higher scores indicating greater satisfaction.
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5 weeks (at the conclusion of treatment)
|
Participant impression of ASCEND as a credible treatment to improve cognition, as measured by the Credibility and Expectancy Questionnaire (CEQ).
Time Frame: 5 weeks (at the conclusion of treatment)
|
The CEQ is a self-report measure that assesses participants' perceived benefit and improvement from the intervention.
Each item is scored on a 1-9 Likert-type scale or as a percentage rating from 0% to 100% in 10% increments.
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5 weeks (at the conclusion of treatment)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in auditory attention and working memory, as measured by the Digit Span test
Time Frame: Baseline, 5 weeks
|
Performance-based measure of attention/working memory with scores ranging from 0-48, with higher scores indicating better performance.
|
Baseline, 5 weeks
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Change in visual attention and working memory, as measured by the Symbol Span test
Time Frame: Baseline, 5 weeks
|
Performance-based measure of attention/working memory with scores ranging from 0-50, with higher scores indicating better performance.
|
Baseline, 5 weeks
|
Change in divided attention and working memory, as measured by the Symbol-Digit Modalities Test
Time Frame: Baseline, 5 weeks
|
Performance-based measure of divided attention/working memory with scores ranging from 0-120, with higher scores indicating better performance.
|
Baseline, 5 weeks
|
Change in divided attention and processing speed, as measured by the Trail Making Test
Time Frame: Baseline, 5 weeks
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Performance-based and timed measure of divided attention/processing speed with lower scores indicating better performance (faster completion time).
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Baseline, 5 weeks
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Change in selective attention and inhibitory control, as measured by the Stroop Test
Time Frame: Baseline, 5 weeks
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Performance-based and timed measure of selective attention and inhibition, with higher scores indicating better performance.
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Baseline, 5 weeks
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Change in rapid working memory and mental arithmetic, as measured by the Paced Auditory Serial Addition Test (PASAT)
Time Frame: Baseline, 5 weeks
|
Performance-based and timed measure of rapid working memory, with higher scores indicating better performance.
|
Baseline, 5 weeks
|
Change in attention and working memory as measured by the Mental Control test
Time Frame: Baseline, 5 weeks
|
Performance-based measure of simple auditory attention and working memory.
Scores range from 0-12 with higher scores indicating better performance.
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Baseline, 5 weeks
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Change in executive functioning as measured by the Weekly Calendar Planning Activity
Time Frame: Baseline, 5 weeks
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Performance-based measure of executive functioning.
Higher scores indicate better performance.
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Baseline, 5 weeks
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Change in self-reported executive functioning as measured by the Behavior Rating Inventory of Executive Function-Adult
Time Frame: Baseline, 5 weeks
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Self-report measure of executive functioning.
Higher scores indicate greater problems with executive dysfunction in daily life.
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Baseline, 5 weeks
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Change in self-reported cognitive symptoms due to stroke, as measured by the Patient Reported Evaluation of Cognitive State (PRECIS).
Time Frame: Baseline, 5 weeks
|
Self-report measure of cognitive difficulties after stroke.
Scores range from 0-128 with higher scores indicating greater cognitive problems in daily life due to stroke.
|
Baseline, 5 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Abhishek Jaywant, PhD, Weill Medical College of Cornell University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 13, 2019
Primary Completion (Actual)
February 13, 2020
Study Completion (Actual)
February 13, 2020
Study Registration Dates
First Submitted
September 18, 2019
First Submitted That Met QC Criteria
September 18, 2019
First Posted (Actual)
September 23, 2019
Study Record Updates
Last Update Posted (Actual)
June 2, 2023
Last Update Submitted That Met QC Criteria
May 30, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 19-06020310
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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