Cognitive Rehabilitation Using Neurofeedback With Brain-computer Interface
Cognitive Rehabilitation Using Neurofeedback With Brain-computer Interface - CONNECT: A Prospective Randomised Controlled Trial
The goal of this clinical trial is to determine whether a Brain-Computer Interface Neurofeedback Training (BCI-NFT) programme can improve cognitive outcomes, and whether electroencephalography (EEG)-based measures can serve as objective markers of cognitive impairment, in children and adolescents aged 7 to 21 years with acquired brain injury (ABI), including traumatic brain injury (TBI), stroke, encephalitis, brain tumour, or epilepsy.
A group of children and adolescents aged 7 to 21 years without any history of brain injury or epilepsy will also be enrolled to provide normative EEG data for comparison.
The main questions the study aims to answer are:
- Can EEG-derived measures of sustained attention, relaxation, and selective attention detect and quantify cognitive impairment in children and adolescents following ABI?
- Does a structured BCI-NFT programme improve cognitive and behavioural outcomes, including attention, memory, and executive function, compared with standard care alone?
Researchers will compare an Intervention Group, who will receive BCI-NFT in addition to standard cognitive rehabilitation, with a Waitlist-Control Group, who will initially receive standard care alone before subsequently crossing over to receive BCI-NFT. This design will allow researchers to determine whether BCI-NFT leads to greater improvements in cognitive and behavioural outcomes compared with standard care alone.
Participants in the main ABI cohort will:
- Complete behavioural assessments using the Behavior Assessment System for Children, Third Edition (BASC-3), including parent and/or teacher reports.
- Complete 12 BCI-NFT sessions over a 10-week period. Each session will last approximately 60 minutes. During each session, participants will wear a wireless EEG headset and interact with neurofeedback computer games designed to respond to their sustained attention, selective attention, and response time.
- Repeat the BASC-3 behavioural assessments at the end of the study period.
- Have undergone a recent neuropsychological assessment within the preceding 2 years and ongoing review by a neuropsychologist.
Participants in the normative EEG cohort, comprising children and adolescents without a history of brain injury or epilepsy, will attend a single study session. During this session, EEG activity will be recorded both at rest and while participants interact with a three-dimensional (3D) computer game. These recordings will provide normative EEG data against which findings from participants with ABI can be compared.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Jia Hui Teo
- Telefonnummer: +6563926042
- E-mail: teo.jia.hui@singhealth.com.sg
Studiesteder
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Singapore, Singapore
- Rekruttering
- KK Women's and Children's Hospital
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Kontakt:
- Jia Hui Teo, MBBS
- Telefonnummer: +6563926042
- E-mail: teo.jia.hui@singhealth.com.sg
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Kontakt:
- Nabil
- Telefonnummer: 6563947254
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
Tager imod sunde frivillige
Beskrivelse
Normaitve cohort:
- Patients with no history of epilepsy
Inclusion Criteria:
- Post acquired brain injury (stroke, encephalitis, brain tumour, traumatic brain injury)
- Epilepsy
Exclusion Criteria:
- History of photosensitive seizures
- Diagnosis of intellectual disability
- Presence of psychotic symptoms
- Diagnosis of attention deficit and hyperactivity disorder
- Diagnosis of autism spectrum disorder
- Children on methylphenidate
- Children who are unable to cooperate with neuropsychological assessment of cognitive function
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: BCI
Intervention then standard of care
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12 sessions of BCI-NFT computer games over 10 weeks
Andre navne:
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Eksperimentel: Usual care
Usual care followed by intervention
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12 sessions of BCI-NFT computer games over 10 weeks
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Attention Threshold
Tidsramme: Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in the game's adaptive attention threshold value, measured at each session, on a normalised scale between 0 to 1, where the greater value indicates greater sustained attention.
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Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in Relaxation Threshold
Tidsramme: Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in the game's adaptive threshold value, measured at each session, according to the normalised scale between 0 and 1, where higher value means greater sustained relaxation.
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Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in Response Time
Tidsramme: Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in mean response time to in-game stimuli, measured in milliseconds, at each session.
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Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in Alpha-Lateralization Index
Tidsramme: Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in the alpha-lateralization index, a unitless measure derived from posterior EEG channels (P7/P8, O1/O2), ranging from -1 to +1, measured at each session.
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Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in Beta-to-Alpha Power Ratio
Tidsramme: Baseline (Session 1) to final session (Session 12), over 10 weeks
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Change in the ratio of EEG beta-band to alpha-band spectral power, a unitless ratio, measured at each session.
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Baseline (Session 1) to final session (Session 12), over 10 weeks
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Internalising problem score on Behavior Assessment System for Children, Third Edition (BASC-3)
Tidsramme: From enrollment to 20 weeks
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Total internalising symptoms (anxiety, depression, somatisation) on BASC-3 questionnaire.
T-scores for the BASC-3 Internalizing Problems composite range from a minimum of 20 to a maximum of 120.
Higher scores indicate greater severity of mood disorder.
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From enrollment to 20 weeks
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Externalising symptoms score in Behavior Assessment System for Children, Third Edition (BASC-3)
Tidsramme: From enrollment to end of study 20 weeks
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Degree of change in total score for externalising symptoms (Hyperactivity, aggression, conduct problems) in BASC-3 questionnaire.
Raw score will be converted to T-score with range from 20 to 120.
Higher score suggests a high level of maladjustment or severe impairment
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From enrollment to end of study 20 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Epilepsi
- Terapeutik
- Mind-body terapier
- Komplementære terapier
- Udstyr og forsyninger
- Adfærdsterapi
- Psykoterapi
- Adfærdsdiscipliner og aktiviteter
- Biofeedback, psykologi
- Feedback, psykologisk
- Elektrisk udstyr og forsyninger
- Neurofeedback
- Brain-computergrænseflader
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2024/2114
Plan for individuelle deltagerdata (IPD)
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IPD-planbeskrivelse
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