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Effectiveness of a Cognitive Training Program (UMAM Method) in Elderly People Without Dementia

25 stycznia 2020 zaktualizowane przez: Madrid Salud

Cognitive Training in Elders Without Dementia Using UMAM Method. Genetic, Brain Volume and Cognitive Reserve Predictors: A Randomized Controlled Study

The study is oriented to analyze the effectiveness of a cognitive training method (UMAM) on cognitive functions, subjective memory and mood state in elderly people without dementia. On the other hand, the study aims to examine whether variables such as cognitive reserve (e.g. educational level), APOE genotype and intracranial volume are related to increased benefit after the intervention. The researchers hope to find that greater cognitive reserve, not having the APOE allele ε4, and a greater volume of memory-related brain areas, are associated with better outcomes after the cognitive intervention.

Przegląd badań

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

199

Faza

  • Nie dotyczy

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

      • Madrid, Hiszpania, 28006
        • Centro de Prevención del Deterioro Cognitivo

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

60 lat i starsze (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Opis

Inclusion Criteria:

  • Being over 60 years old.
  • Having a global cognitive performance > 23 in the Mini Mental State Examination Test.
  • Having no history of neurological or serious psychiatric disorders (severe psycho-affective disorders and psychosis or other psychiatric disorders like alcoholism).

Exclusion Criteria:

  • Chronic use of anxiolytics.
  • Chronic use of neuroleptics.
  • Chronic use of anticonvulsants.
  • Having hearing or vision impairments that would preclude testing.
  • Magnetic Resonance Imaging (MRI) contraindications.

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Zapobieganie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Experimental Group

The experimental group carried out a 30-session multi-factorial group memory training program (UMAM method), with a frequency of three weekly sessions of 90 minutes each. The training program consists of four modules: 1- Stimulation of cognitive processes; learning and practicing internal memory strategies and solving everyday forgetfulness; 2- Instruction in basic concepts about memory; 3- Intervention on daily living and forgetting experiences, using internal and external strategies to solve everyday memory failures; 4- Metacognition or metamemory: the subjects were to reflect about their cognitive failures by analyzing the causes and variables of those failures.

In addition, the experimental group followed the standard activities in which all users attending the Center are involved (planned interviews, dialogue-conferences, general health recommendations, etc.).

Brak interwencji: Control Group
The Control Group followed the standard activities in which all users attending the Center are involved (planned interviews, dialogue-conferences, general health recommendations, etc.).

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Change in general cognition
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in general cognition, assessed with the Mini Mental State Examination Test (MMSE) and the 7 Minutes Test (7M).The score ranges from 0 to 30 points (MMSE) and from 0 to 89 points (7M). In both cases, the higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in verbal memory
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in verbal memory, assessed with the Word List Test of the Wechsler Memory Scale-III. The score ranges from 0 to 48 points. Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in logical memory
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in immediate and delayed logical memory, assessed with the Logical Memory Test (immediate and delayed units) of the Wechsler Memory Scale-III. The score ranges from 0 to 75 points (immediate units) and from 0 to 50 (delayed units). Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in visual memory
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in visual memory, assessed with the Rey memory test (form B). The score ranges from 0 to 22 points. Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in daily memory
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in daily memory, assessed with the Rivermead Behavioral Memory Test. The score ranges from 0 to 24 points. Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in attentional amplitude
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in attentional amplitude, assessed with the Direct Digit Test of the Wechsler Memory Scale-III. The score ranges from 0 to 16 points. Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in attentional control
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in attentional control, assessed with the Inverse Digit Test of the Wechsler Memory Scale-III. The score ranges from 0 to 14 points. Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in attention and processing speed
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in attention, assessed with the Trail Making Test, form A. The score ranges from 0 to 200 points. Higher scores indicate a worse outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in alternating attention and planning
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in alternating attention and planning, assessed with the Trail Making Test, form B. The score ranges from 0 to 400 points. Higher scores indicate a worse outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in naming ability (language)
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in naming ability, assessed with the Boston Naming Test. The score ranges from 0 to 60 points. Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in verbal fluency (language)
Ramy czasowe: This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in phonologic and semantic verbal fluency, assessed with the Phonological Verbal Fluency Test and the Semantic Fluency Test respectively. The score goes from zero onwards (there is no upper limit). Higher scores indicate a better outcome.
This cognitive variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in subjective memory
Ramy czasowe: This variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in Subjective Memory, assessed with the Memory Failures of Everyday Questionnaire.The score ranges from 0 to 56 points. Higher scores indicate a worse outcome.
This variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
Change in mood
Ramy czasowe: This variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The measure of the post-intervention change in mood, assessed with the Geriatric Depression Scale. The score ranges from 0 to 15 points. Higher scores indicate a worse outcome.
This variable was assessed before and after the intervention. The interval between the pre and post-intervention assessment was 6 months.
The Cognitive Reserve as a predictor of change.
Ramy czasowe: Cognitive Reserve was assessed in the pre-intervention assessment.
The Cognitive Reserve was assessed with Rami Test. The score ranges from 0 to 25 points.
Cognitive Reserve was assessed in the pre-intervention assessment.
The Genetic Profile as a predictor of change.
Ramy czasowe: The Genetic Profile was assessed in the pre-intervention assessment.
The Genetic Profile was obtained by genetic analysis employing a blood test. APOE gene has been coded as 1 (meaning no ε4 allele), or 0 (for at least one ε4 allele).
The Genetic Profile was assessed in the pre-intervention assessment.
The Brain Volume as a predictor of change.
Ramy czasowe: The Brain Volume was assessed in the pre-intervention assessment.
The Brain Volume (total gray volume, left hippocampus, right hippocampus and total intracranial volume) was assessed by magnetic resonance imaging. Unit of measure: mm3.
The Brain Volume was assessed in the pre-intervention assessment.

Współpracownicy i badacze

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Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

1 października 2013

Zakończenie podstawowe (Rzeczywisty)

1 maja 2015

Ukończenie studiów (Rzeczywisty)

1 maja 2015

Daty rejestracji na studia

Pierwszy przesłany

22 grudnia 2019

Pierwszy przesłany, który spełnia kryteria kontroli jakości

25 stycznia 2020

Pierwszy wysłany (Rzeczywisty)

29 stycznia 2020

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

29 stycznia 2020

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

25 stycznia 2020

Ostatnia weryfikacja

1 stycznia 2020

Więcej informacji

Terminy związane z tym badaniem

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

Nie

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

produkt wyprodukowany i wyeksportowany z USA

Nie

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