- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04184375
Cognitive Stimulation for Elderly Bipolar Patients (TONIC)
Evaluation of Cognitive Stimulation on Dysexecutive Residual Symptoms in Bipolar Patients Over 65 Years of Age
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Caroline ALLIX-BEGUEC, Ph.D.
- Phone Number: +33 (0) 516 49 42 46
- Email: caroline.allix-beguec@ght-atlantique17.fr
Study Locations
-
-
-
La Rochelle, France
- Recruiting
- Groupe Hospitalier de la Rochelle Ré Aunis
-
Contact:
- Pascale Puzos, MD
-
Principal Investigator:
- Cécile DUFRESNE
-
Principal Investigator:
- Damien CLUS
-
Principal Investigator:
- Edouard BARUCQ
-
Principal Investigator:
- Louise LARROQUE
-
Principal Investigator:
- Marion COULON
-
Principal Investigator:
- Emmanuelle TEYSSEDRE
-
Principal Investigator:
- Sophie DEVAUCHELLE
-
Principal Investigator:
- Caroline DURAND
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Pre-Inclusion Criteria:
- age > 65 years old
- Diagnosis of bipolar illness for more than 10 years
- Euthymic phase
- Understands and speaks French
- Free, informed and express consent
Inclusion Criteria:
- Mild to moderate neuro-cognitive impairments (MMS Test : 16 ≤ score < 26)
Exclusion Criteria:
- Illiteracy
- Patient participating in other therapeutic workshops (e. g. psycho-geriatric day hospital care, etc.)
- Persons deprived of their liberty by a judicial or administrative decision
- Persons of full age who are subject to a legal protection measure
- Persons unable to consent
- Persons who are not members of or beneficiaries of a social security scheme
- Patient's refusal to participate in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: TONIC
The cognitive stimulation sessions are carried out using Liliane Israël's "TRAIN YOUR MEMORY" software, and are divided into two parts: the first part is essentially cognitive and the second relates to the daily life of the Bipolar patient. This training method consists of combining two means of intervention, pedagogical action and psychotherapeutic effect. It aims to stimulate, develop and strengthen the basic mechanisms underlying memory phenomena (sensory acuity, attention, associations, structuring, executive functions, spatial and temporal landmarks, associative recruitment). It is presented in the form of exercises divided into eight modules. |
Patients participate in one session per week according to the following schedule:
|
No Intervention: Control
The usual practice consists of interviews with the psychiatrist with the possibility of home visits by the nurse.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Score at the Frontal Assessment Battery (FAB)
Time Frame: at 3 months after inclusion
|
The FAB assesses conceptualization (category responses, such as "in what way are a banana and an orange are alike?"),
lexical fluency, programming or motor series (Luria), sensitivity to interference (conflicting instructions, such as "tap twice when I tap once"), inhibitory control (Go/No-Go), and environmental autonomy (prehension behavior, such as "do not take my hands")
|
at 3 months after inclusion
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Score at FAB
Time Frame: at 6 months after inclusion
|
Scores between the 3-month and 6-month evaluation will determine whether executive analysis functions have been maintained
|
at 6 months after inclusion
|
Number of patients with a positive difference between the scores on the Functional Activities Questionnaire (QAF)
Time Frame: at inclusion
|
The QAF allows to quickly assess a patient's functional capacity and to identify a functional decline in the patient with a mild neurocognitive disorder, Alzheimer's disease or other neurocognitive disorder.
|
at inclusion
|
Number of patients with a positive difference between the scores on the Functional Activities Questionnaire (QAF)
Time Frame: at 6 months after inclusion
|
A positive difference in scores reflects an improvement in patient autonomy
|
at 6 months after inclusion
|
Score at delayed matching-to-sample (DMS48)
Time Frame: at inclusion
|
The DMS48 is a test of visual recognition memory test
|
at inclusion
|
Score at DMS48
Time Frame: at 3 months after inclusion
|
The DMS48 is a test of visual recognition memory test
|
at 3 months after inclusion
|
Time in minutes at the Trail Making Test A (TMTA)
Time Frame: at inclusion
|
Evaluation of speed of processing.
|
at inclusion
|
Time in minutes at the Trail Making Test A
Time Frame: at 3 months after inclusion
|
Evaluation of speed of processing.
|
at 3 months after inclusion
|
Number of errors at Trail Making Test B (TMTB)
Time Frame: at inclusion
|
Evaluation of mental flexibility
|
at inclusion
|
Number of errors at Trail Making Test B (TMTB)
Time Frame: at 3 months after inclusion
|
Evaluation of mental flexibility
|
at 3 months after inclusion
|
Score at ISAAC test
Time Frame: at inclusion
|
Measures fluence
|
at inclusion
|
Score at ISAAC test
Time Frame: at 3 months after inclusion
|
Measures fluence
|
at 3 months after inclusion
|
Score at Montreal Cognitive Assessment (MMS)
Time Frame: at inclusion
|
Assessment for detecting cognitive impairment
|
at inclusion
|
Score at Montreal Cognitive Assessment (MMS)
Time Frame: at 6 months after inclusion
|
Assessment for detecting cognitive impairment
|
at 6 months after inclusion
|
Score at the Hamilton Depression Rating Scale
Time Frame: at inclusion
|
Evaluation of patient thymic state
|
at inclusion
|
Score at the Hamilton Depression Rating Scale
Time Frame: at 6 months after inclusion
|
Evaluation of patient thymic state
|
at 6 months after inclusion
|
Interference score at the Stroop test
Time Frame: at inclusion
|
Evaluation of selective attention
|
at inclusion
|
Interference score at the Stroop test
Time Frame: at 6 months after inclusion
|
Evaluation of selective attention
|
at 6 months after inclusion
|
Number of hospitalization due to relapse
Time Frame: at 6 months after inclusion
|
hospitalization due to relapse
|
at 6 months after inclusion
|
Score at Zarit scale (caregiver)
Time Frame: at inclusion
|
Identification of suffering or exhaustion, anxiety and/or depressive disorder(s), sleep disorder(s), etc. in the caregiver
|
at inclusion
|
Score at Zarit scale (caregiver)
Time Frame: at 6 months after inclusion
|
Identification of suffering or exhaustion, anxiety and/or depressive disorder(s), sleep disorder(s), etc. in the caregiver
|
at 6 months after inclusion
|
Collaborators and Investigators
Investigators
- Study Director: Pascale Puzos, MD, Groupe Hospitalier de la Rochelle Ré Aunis
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2015/P05/095
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Data will be made available with publication. A Digital Object Identifier will be used.
Keyword are bipolar disorder, aged, cognitive dysfunction, cognitive Remediation.
The only available version will be the locked database. With the exception of dates, all data will be made available. Dates will only be collected to verify the quality of the clinical trial execution. They do not add to the clinical question, and may be a means of indirectly identifying patients. The database will be made available through Mendeley Data.
Medical Subject Headings (MESH) terms will be used to describe clinical data. Psychological test references will be provided in the publication. International standard unit will be used. The data will be made available to the community of scientists and clinicians interested in bipolar disorder.
Data will be made available with the free access to the publication for 15 years.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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