Effects of Adaptive Difficulty Computerized Cognitive Training on Cognitive Function Improvement in Older Adults With Mild Cognitive Impairment
調査の概要
状態
詳細な説明
With the rapid aging of the global population, mild cognitive impairment (MCI) has become a critical stage for dementia prevention and early intervention. Cognitive training is recognized as one of the most effective non-pharmacological interventions for individuals with MCI. Among various approaches, adaptive computerized cognitive training (CCT) can dynamically adjust task difficulty according to an individual's performance, thereby improving training personalization, engagement, and adherence. However, evidence regarding the optimal maintenance training frequency and the long-term sustainability of cognitive benefits remains limited.
This study adopts a quasi-experimental design and will recruit community-dwelling adults aged 60 years and older with MCI from three communities in Shenyang, Liaoning Province, China. All participants will complete a 12-week adaptive computerized cognitive training program using the Heling Brain Planet WeChat mini-program, with training sessions lasting 30 minutes, three times per week. After the initial intervention, participants will be assigned to either a high-frequency maintenance training group, which will continue training three times per week, or a training discontinuation group, which will receive routine community health management only. Follow-up cognitive assessments will be conducted after the intervention and during the follow-up period.
The primary outcome will be global cognitive function assessed by the Montreal Cognitive Assessment (MoCA). Secondary outcomes will include memory (Auditory Verbal Learning Test, AVLT), attention (Trail Making Test Part A, TMT-A), executive function (Stroop Color-Word Test), language (Boston Naming Test, BNT), visuospatial ability (Clock Drawing Test, CDT), and activities of daily living (ADL). The effects of different maintenance training frequencies on cognitive improvement and the persistence of intervention benefits will be compared.
This study is expected to evaluate the effectiveness of adaptive computerized cognitive training for improving cognitive function in community-dwelling older adults with MCI and to determine whether continued maintenance training can prolong cognitive benefits. The findings will provide evidence for optimizing community-based digital cognitive training programs and developing sustainable intervention strategies for the long-term management of older adults with MCI.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Ziyi Zhang
- 電話番号：+8613314010321
- メール：zhangziyi202058@163.com
研究場所
-
-
Liaoning
-
Shenyang、Liaoning、中国、110000
- Ren'ai Changwan Community Elderly Care Service Station, Dadong
-
コンタクト：
- Yu Liu, PhD
- 電話番号：+8618193218315
- メール：2968500699@qq.com
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Age >= 60 years;
- Planning to reside in the community for at least 12 months, with no intention to move into a nursing home;
- No clinical diagnosis of dementia;
- Meeting the diagnostic criteria for mild cognitive impairment (MCI) as defined in the Chinese Expert Consensus on the Diagnosis and Treatment of Alzheimer's Disease-Related Mild Cognitive Impairment (2021), The cut-off scores for the Beijing version of the Montreal Cognitive Assessment (MoCA) were adjusted for educational level: <=13 for junior high school or below, <=19 for high school, and <=24 for college education or above. Mini-Mental State Examination (MMSE) score >= 24; Activities of Daily Living (ADL) score <23.
- Able to use a mobile application (mini program) to perform cognitive training.
Exclusion Criteria:
- Individuals unable to complete the questionnaires due to hearing or visual impairments;
- Those with other organic diseases of the central nervous system, such as brain tumors, epilepsy, or Parkinson's disease;
- Those diagnosed with severe mental disorders, such as schizophrenia, depression, or anxiety disorders.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：High-Frequency Maintenance Training
Participants will receive adaptive computerized cognitive training using the Heling Brain Planet WeChat mini-program.
During the initial intervention phase, participants will complete training sessions three times per week for 30 minutes per session over 12 weeks.
After the initial intervention, participants will continue maintenance training three times per week until the end of the follow-up period.
The training program automatically adjusts task difficulty according to individual performance and includes exercises targeting attention, memory, executive function, language, visuospatial ability, and other cognitive domains.
|
Participants receive adaptive computerized cognitive training delivered through the Heling Brain Planet WeChat mini- program.
The intervention consists of individualized cognitive exercises targeting multiple cognitive domains, including attention, memory, executive function, language, visuospatial ability, perceptual-motor function, and social cognition.
The training difficulty is automatically adjusted according to each participant's performance to provide personalized cognitive stimulation.
During the initial intervention phase, all participants complete 30-minute training sessions three times per week for 3 months.
After the initial intervention, participants choose to continue training receive maintenance adaptive computerized cognitive training.
Participants receive adaptive computerized cognitive training delivered through the Heling Brain Planet WeChat mini- program.
The intervention consists of individualized cognitive exercises targeting multiple cognitive domains, including attention, memory, executive function, language, visuospatial ability, perceptual-motor function, and social cognition.
The training difficulty is automatically adjusted according to each participant's performance to provide personalized cognitive stimulation.
During the initial intervention phase, all participants complete 30-minute training sessions three times per week for 3 months.
After the initial intervention, participants not to continue discontinue the intervention and undergo follow-up assessments only.
|
|
他の：Training Discontinuation Group
Participants will receive the same 12-week adaptive computerized cognitive training program during the initial intervention phase.
After completing the initial intervention, no further computerized cognitive training will be provided.
Participants will continue to receive routine community health management and will complete follow-up cognitive assessments according to the study schedule.
|
Participants receive adaptive computerized cognitive training delivered through the Heling Brain Planet WeChat mini- program.
The intervention consists of individualized cognitive exercises targeting multiple cognitive domains, including attention, memory, executive function, language, visuospatial ability, perceptual-motor function, and social cognition.
The training difficulty is automatically adjusted according to each participant's performance to provide personalized cognitive stimulation.
During the initial intervention phase, all participants complete 30-minute training sessions three times per week for 3 months.
After the initial intervention, participants choose to continue training receive maintenance adaptive computerized cognitive training.
Participants receive adaptive computerized cognitive training delivered through the Heling Brain Planet WeChat mini- program.
The intervention consists of individualized cognitive exercises targeting multiple cognitive domains, including attention, memory, executive function, language, visuospatial ability, perceptual-motor function, and social cognition.
The training difficulty is automatically adjusted according to each participant's performance to provide personalized cognitive stimulation.
During the initial intervention phase, all participants complete 30-minute training sessions three times per week for 3 months.
After the initial intervention, participants not to continue discontinue the intervention and undergo follow-up assessments only.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
Change in global cognitive function assessed by the Montreal Cognitive Assessment (MoCA)
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
二次結果の測定
結果測定 |
時間枠 |
|---|---|
|
Change in cognitive function assessed by the Mini-Mental State Examination (MMSE)
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
|
Change in language function assessed by the Boston Naming Test (BNT)
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
|
Change in attention assessed by the Trail Making Test Part A (TMT-A)
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
|
Change in executive function assessed by the Stroop Color-Word Test
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
|
Change in visuospatial function assessed by the Clock Drawing Test (CDT)
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
|
Change in activities of daily living assessed by the Activities of Daily Living (ADL) scale
時間枠：Baseline, Month 3, Month 4, and Month 6
|
Baseline, Month 3, Month 4, and Month 6
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。