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Speed of Processing Training to Improve Cognition in Multiple Sclerosis

19 de febrero de 2020 actualizado por: Nancy Chiaravalloti, Kessler Foundation

Speed of Processing Training to Improve Cognition in Multiple Sclerosis: A Randomized Clinical Trial

The purpose of this research study is to investigate the effectiveness of a computerized technique designed to improve processing speed (i.e. the amount of time it takes for a person's brain to process information) in a multiple sclerosis (MS) population. The study is designed to study how well this technique can help people with MS increase their processing speed and their ability to function better in everyday life. This treatment protocol has been studied extensively with older adults, showing improvements on standard laboratory measures of processing speed and performance of activities of daily living.

Descripción general del estudio

Descripción detallada

This study is a double-blind, placebo-control randomized clinical trial examining the efficacy of Speed of Processing Training (SPT) for improving processing speed (PS) deficits in persons with Multiple Sclerosis (MS). Slowed PS is one of the most common deficits in individuals with MS and such deficits have been shown to exert significant negative impact on multiple aspects of everyday life, including occupational and social functioning. Despite these findings, few studies have attempted to remediate PS deficits in order to improve the everyday functioning of individuals with MS. This study is designed to (1) apply a treatment protocol for PS impairments well-validated in an aging population to individuals with MS with objectively observable deficits in PS and document its efficacy on standard neuropsychological outcome measures. In addition, the investigators will (2) assess the effectiveness of the intervention utilizing global measures of everyday life, including an objective measure (the Timed Activities of Daily Living; TIADL), as well as additional questionnaires to be completed by both the participant and a significant other. This study is also designed to (3) examine the influence of degree of PS impairment on treatment efficacy using neuropsychological tests, (4) evaluate the long-term effects of the treatment protocol and (5) examine the utility of booster sessions to facilitate long-term treatment effects.

Tipo de estudio

Intervencionista

Inscripción (Actual)

100

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • New Jersey
      • West Orange, New Jersey, Estados Unidos, 07052
        • Kessler Foundation

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 59 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • English as a primary language
  • diagnosis of Multiple Sclerosis
  • processing speed impairment (based on evaluation)

Exclusion Criteria:

  • most recent exacerbation within one month
  • currently taking steroids or benzodiazepines
  • history of significant psychiatric illness (bipolar disorder, schizophrenia, or psychosis) or a current diagnosis of Major Depressive Disorder
  • significant alcohol or drug abuse history

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Triple

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Speed of Processing Training (SPT)
SPT will be administered on a laptop computer twice a week for 5 weeks (10 training sessions).
Comparador de placebos: Placebo control group
Placebo control exercises will be administered on a laptop computer twice a week for 5 weeks (10 sessions)
Placebo control exercises will be administered on a laptop computer twice a week for 5 weeks (10 training sessions).

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Change in scores on standardized tests of processing speed
Periodo de tiempo: Three points in time: baseline (week1), immediately following treatment (week 7) and 6 months after treatment is completed
Three points in time: baseline (week1), immediately following treatment (week 7) and 6 months after treatment is completed

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change in scores on self-report of emotional functioning, measured via questionnaire
Periodo de tiempo: Three points in time: baseline (week1), immediately following treatment (week 7) and 6 months after treatment is completed
Self-report questionnaires and objective measures of everyday performance will be used to determine whether there have been changes across the three time points.
Three points in time: baseline (week1), immediately following treatment (week 7) and 6 months after treatment is completed
Change in scores on self-report of everyday functioning, measured via questionnaire
Periodo de tiempo: Three points in time: pre-treatment, immediately following treatment and 6 months after treatment is completed
Three points in time: pre-treatment, immediately following treatment and 6 months after treatment is completed
Change in scores on self-report of quality of life, measured via questionnaire
Periodo de tiempo: Three points in time: baseline (week1), immediately following treatment (week 7) and 6 months after treatment is completed
Three points in time: baseline (week1), immediately following treatment (week 7) and 6 months after treatment is completed

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Investigador principal: Nancy Chiaravalloti, PhD, Kessler Foundation

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de abril de 2014

Finalización primaria (Actual)

1 de febrero de 2020

Finalización del estudio (Actual)

1 de febrero de 2020

Fechas de registro del estudio

Enviado por primera vez

23 de abril de 2014

Primero enviado que cumplió con los criterios de control de calidad

21 de noviembre de 2014

Publicado por primera vez (Estimar)

25 de noviembre de 2014

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

20 de febrero de 2020

Última actualización enviada que cumplió con los criterios de control de calidad

19 de febrero de 2020

Última verificación

1 de febrero de 2020

Más información

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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