Attention-based Binocular Training for Impaired Stereopsis (BRAVE) (BRAVE)
Binocular Recovery Through Attention-based Visual Enhancement: A Randomized Controlled Trial (BRAVE Trial)
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Jeffrey TW Leung, PhD
- Numero di telefono: +852-64080394
- Email: jeffrey.tw.leung@polyu.edu.hk
Backup dei contatti dello studio
- Nome: Benjamin Thompson, PhD
- Numero di telefono: +852-31699631
- Email: ben.thompson@cevr.hk
Luoghi di studio
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Hong Kong SAR
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Hong Kong, Hong Kong SAR, Hong Kong, HKG
- Centre for Eye and Vision Research Limited
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Sub-investigatore:
- Tingni Li, PhD
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Sub-investigatore:
- Yu Yang
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Investigatore principale:
- Benjamin Thompson, PhD
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Contatto:
- Benjamin Thompson, PhD
- Numero di telefono: +852-31699631
- Email: ben.thompson@cevr.hk
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Contatto:
- Tingni Li, PhD
- Numero di telefono: +852-31699631
- Email: tingni.li@cevr.hk
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Sub-investigatore:
- Krista Kelly, PhD
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Sub-investigatore:
- Lisa Christian, PhD
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Sub-investigatore:
- Xiaofei Hu, PhD
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Sub-investigatore:
- Ken WS Tan, PhD
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Hong Kong, Hong Kong SAR, Hong Kong, HKG
- The Hong Kong Polytechnic University
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Sub-investigatore:
- Allen MY Cheong, PhD
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Contatto:
- Jeffrey TW Leung, PhD
- Numero di telefono: +852-64080394
- Email: jeffrey.tw.leung@polyu.edu.hk
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Investigatore principale:
- Jeffrey TW Leung, PhD
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Aged 18-39 years (inclusive).
- Deficient or anomalous stereoscopic vision with a stereoacuity >= 70 sec arc or unmeasurable stereoacuity.
- Best corrected visual acuity (BCVA) of < 0.80 logMAR in both eyes, with at least one eye having a visual acuity of <= 0.1 logMAR (uncorrected or corrected-to-normal with glasses or contact lenses).
- Normal colour vision.
- Good general health.
Exclusion Criteria:
- Previous history of ocular surgery (except for refractive correction surgery, where appropriate).
- Pre-existing ocular conditions or medications that affect vision or visual function.
- Pre-existing conditions or medications that affect neuropsychological function.
- Presence of strabismus over 10 prism diopters at distance in current refractive correction measured by simultaneous prism and cover test, or large eccentric fixation.
- Previous history of experiencing double vision (diplopia).
- Identified at risk of developing diplopia due to binocular state and/or poor binocular control.
- Inability to comprehend psychophysical test instructions given and/or consent for themselves.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: Active Training Group
Participants complete a dichoptic visual search task where the search target is uniquely paired with crossed binocular disparity under balanced interocular contrast.
The training consists of 5 sessions (5 blocks of 192 trials per session) over 5-6 weeks with adaptive disparity adjustment.
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A computer-based dichoptic training paradigm in which visual stimuli are presented separately to each eye under balanced interocular contrast .
Participants search for conjunction-defined targets across 5 sessions (5 blocks of 192 trials per session).
The target stimulus is uniquely paired with crossed binocular disparity to provide depth-based attentional guidance, with target disparity adaptively reduced based on search performance.
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Comparatore attivo: Active Control Group
Participants perform an identical computer-based dichoptic visual search task with the same geometric stimuli, trial structure (5 blocks of 192 trials per session), and interocular contrast balancing, but with zero binocular disparity.
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An active control dichoptic task identical in visual stimuli, trial structure (5 sessions; 5 blocks of 192 trials per session), and interocular contrast balancing to the training arm, but presented with zero binocular disparity (all stimuli appear in the same depth plane without depth cues).
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Change in Local Stereoacuity
Lasso di tempo: Baseline (T0) and Immediately Post-Training (T1, within 7 days after Session 5, approximately 5-6 weeks from baseline).
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Measured using the Randot Stereotest - Circles test (graded disparities from 400 to 20 arcsec, 10 levels) under standardized lighting at 40 cm.
The score is recorded as the finest disparity correctly identified (in log arcseconds).
Nil stereopsis is assigned 3000 arcsec (3.477 log arcsec).
The primary metric is the between-group difference in the change score.
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Baseline (T0) and Immediately Post-Training (T1, within 7 days after Session 5, approximately 5-6 weeks from baseline).
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Retention of Local Stereoacuity Gains
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Measured using the Randot Stereotest - Circles test under crossed disparity (log10 arcsec; nil stereopsis assigned 3000 arcsec) to evaluate long-term maintenance of training effects
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Uncrossed Local Stereoacuity
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Measured using the Randot Stereotest - Circles test with the test booklet rotated 180 degrees (log10 arcsec; nil stereopsis assigned 3000 arcsec).
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Global Stereoacuity
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Measured with the Randot Preschool Stereotest (random-dot stereograms, 800 to 40 arcsec, 6 levels) under both crossed and uncrossed disparity conditions (log10 arcsec; nil stereopsis assigned 3000 arcsec).
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Laboratory-Based Stereoacuity Threshold
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Psychophysical stereoacuity threshold (75% threshold in log10 arcsec) measured using a 4-alternative forced-choice staircase ring test administered dichoptically.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Best-Corrected Visual Acuity (BCVA)
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Monocular (affected/dominant eyes) and binocular distance visual acuity measured using an electronic ETDRS logMAR chart at 4 meters (recorded in logMAR units).
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Interocular Suppression Status
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Binocular status classified into categorical states (fusion, suppression, or diplopia) using the Worth 4-dot test at near (40 cm) and distance (3 m).
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Interocular Suppression Strength (Contrast Balance Ratio)
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Effective suppression depth quantified by the interocular contrast ratio at the perceptual balance point measured via a dichoptic letter-polarity task.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Visual Evoked Potentials (VEPs)
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Peak latencies (ms) and amplitudes (μV) of the transient pattern-reversal VEP N75-P100-N135 complex across high-contrast and isoluminant red-green conditions, alongside harmonic amplitudes/phases (2F, 4F) from steady-state VEPs, recorded via a 64-channel EEG system.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Electrophysiological Marker of Attentional Selection (N2pc Component)
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Mean amplitude (μV) of the posterior contralateral-minus-ipsilateral difference wave (N2pc) extracted across predefined parieto-occipital electrodes (P7, PO7, P8, PO8) during a modified spatial cueing task.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Behavioral Selective Attention
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Spatial cueing effects on mean reaction time (ms) and response accuracy (%) derived from the modified spatial cueing task.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Visual Search Efficiency
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Visual search slope (reaction time as a function of set size, in ms/item) measured from a 192-trial zero-disparity dichoptic visual search task.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Visuomotor Coordination Completion Time and Kinematic Parameters
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Visuomotor dexterity and kinematic performance are assessed using the Grooved Pegboard Test separately for dominant and non-dominant hands.
Hand movements during the task are video recorded for detailed kinematic tracking.
The primary quantitative metric for this outcome is the total completion time (in seconds) required to successfully place all 25 grooved pegs (shorter duration indicates better motor speed and coordination).
Secondary kinematic metrics extracted from video analyses include mean peg-insertion duration (seconds), inter-peg temporal variability across the 25 trials (coefficient of variation, CV), and total drop/error counts.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Change in Quality of Life Scores
Lasso di tempo: Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Domain scores assessed via the World Health Organization Quality of Life Instrument-Short Form (WHO QoL-BREF) and the Amblyopia and Strabismus Questionnaire (A&SQ).
Higher scores indicate superior functional visual ability and quality of life.
For both questionnaires, domain and composite scores are linearly transformed to a standardized 0 to 100 scale, where higher scores represent superior functional visual ability, fewer daily limitations, and better overall quality of life.
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Baseline (T0), Immediately Post-Training (T1), and 12-Week Follow-Up (T2).
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Collaboratori e investigatori
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Collaboratori
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Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
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Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Manifestazioni neurologiche
- Malattie del cervello
- Malattie del sistema nervoso centrale
- Malattie del sistema nervoso
- Malattie degli occhi
- Errori di rifrazione
- Disturbi della vista
- Disturbi della sensibilità
- Malattie dei nervi cranici
- Disturbi della motilità oculare
- Condizioni patologiche, segni e sintomi
- Segni e sintomi
- Ambliopia
- Strabismo
- Anisometropia
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- RP1.4_BRAVE
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
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