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Cognitive Computer Training in Patients With Depression

29 juin 2016 mis à jour par: Kjeld Andersen, University of Southern Denmark

Evaluating Cognitive Computer Training as a Tool for Returning Earlier to Work After Depression

Cognitive impairment plays an important role in functional recovery and leads to long-term sickness absence. Therefore there is a need of a treatment specifically improving cognitive functions. In this pilot study the investigators aim to evaluate the feasibility of using cognitive computer training in patients with unipolar depression to enhance cognitive performance. Further the investigators investigate whether this intervention shortens sick leave.

Aperçu de l'étude

Description détaillée

This study will evaluate cognitive computer training on patients in remission from depression by measuring the compliance and effect, investigating whether patients returned earlier to work and examine patients' physical and psychological health. This is done by comparing an intervention group and a control group.

Outpatients from psychiatric department Odense in Denmark will be recruited from December 2015 to July 2017.

At enrolment the participants wil be randomized 1:1 to either the intervention group or the control group. After the participants will complete a clinical interview and answer the The Short Form (36) Health Survey (SF-36) questionnaire. The participants' cognitive function and depression severity will be measured at baseline and three months follow-up. At nine months follow-up the participants will receive an email with the SF-36 questionnaire and questions about their education and work status, which they were required to answer.

The intervention is a cognitive computer program, consisting of different computer games. The intervention will start at enrolment and finish at the three months follow-up. The participants in the intervention group will do trainings session lasting 10-20 minutes three times a week. Each participant ends up with a total of 36 training sessions.

Type d'étude

Interventionnel

Inscription (Anticipé)

20

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • Region of southern Denmark
      • Odense C, Region of southern Denmark, Danemark, 5000
        • Recrutement
        • Research Unit of Psychiatry, Psychiatric Unit Odense - University function
        • Contact:

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

20 ans à 63 ans (Adulte)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • a diagnosis of a moderate to severe unipolar depression according to the International Classification of Diseases -10 criteria
  • receiving antidepressant medicine
  • completed their treatment for depression
  • not be in any risk of suicide
  • study or work on reduced hours, be unemployed or on long-term sickness leave at enrolment.

Exclusion Criteria:

  • neurological disease of the central nervous system
  • alcohol or substance abuse
  • pregnancy
  • receiving disability pension
  • receiving electroconvulsive therapy within the last 6 weeks.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Cognitive computer training
This is the intervention group receiving cognitive computer training three times a week for three months.
COGNIFIT is cognitive computer training. Its purpose is to improve cognitive function and is designed to accommodate each individual's cognitive strengths and weaknesses. The cognitive computer training last three months and must be done three times a week, in session lasting 10-20 minutes.
Autres noms:
  • Cognifit personalized training
Aucune intervention: cogntrol group
The control group do not receive cognitive computer training for three months

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Employment status of the participants at nine months follow-up
Délai: When the study is completed, approximately 15 months
Questionnaire about employment status and will be send to the participants via email at nine months follow-up. The questionnaire include questions according to: current working situation; why they are not working; when they started working; do they work at the same workplace; do they have the same work assignments as before they got ill; do whey work the same number of hour as before the got ill.
When the study is completed, approximately 15 months

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
The difference in concentration from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
Concentration is measured by The Digit Span Test
approximately nine months
The difference in attention from baseline to 3 months follow-up in the intervention group compared to the control group
Délai: approximately nine months
Attention is measured by The Letter Cancellation Test
approximately nine months
The difference in working memory from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
Working memory is measured by The Letter Number Sequencing
approximately nine months
The difference in learning from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
Learning is measured by the Rey Auditory Verbal Learning Test.
approximately nine months
The difference in executive function from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
Executive function is measured by The Verbal Fluency
approximately nine months
The difference in psychomotor speed from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
Psychomotor speed is measured by The Trial Making Test (TMT).
approximately nine months
The difference in executive function from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
Executive function is measured by The Tower of London
approximately nine months

Autres mesures de résultats

Mesure des résultats
Description de la mesure
Délai
Compliance of cognitive computer training
Délai: approximately nine months
The participants were supposed to do 36 sessions of cognitive computer training during three months. The actual completed trainings sessions are available on the website of the cognitive computer training, called COGNIFIT. The compliance is defined as the percentage of actual completed training sessions of the 36 sessions of training.
approximately nine months
The difference in health status from baseline to 9 months follow-up in the intervention group compared to the control group.
Délai: approximately 15 months
The health status is measured by a patient-reported survey called the The Short Form (36) Health Survey (SF-36) questionnaire
approximately 15 months
The difference in depression severity from baseline to 3 months follow-up in the intervention group compared to the control group.
Délai: approximately nine months
The depression severity is measured by Hamilton Rating Scale for Depression (17-items)
approximately nine months

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chercheur principal: Bent Nielsen, Prof.MD, University of Southern Denmark

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 décembre 2015

Achèvement primaire (Anticipé)

1 octobre 2017

Achèvement de l'étude (Anticipé)

1 octobre 2017

Dates d'inscription aux études

Première soumission

6 juin 2016

Première soumission répondant aux critères de contrôle qualité

29 juin 2016

Première publication (Estimation)

4 juillet 2016

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

4 juillet 2016

Dernière mise à jour soumise répondant aux critères de contrôle qualité

29 juin 2016

Dernière vérification

1 juin 2016

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • Cognex-depression

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

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