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Os efeitos do treinamento de atividades de ajustes na flexibilidade cognitiva em adultos mais velhos de comunidades

16 de setembro de 2026 atualizado por: National Taiwan University Hospital

Aging has been a serious global-wise concern in public health. In particular, elders face declination of cognitive functions that threaten their quality of life. A good approach to slow down cognitive declination during aging processes is therefore in urgent need. According to the Successful Aging model (Rowe, J.W. and Kahn, R.L) participation in meaningful occupational activity may maintains high cognitive and body function. This sub-project is a part of the larger integrated project that will address the need for cognitive promotion by conducting cognitive training interventions on community older adults, utilizing the National Taiwan Science Education Center (NTSEC) as the public recruiting site as well as intervention site. In this sub-project, a 12-week intervention will be carried out with three protocols: 1) Tinkering activities, 2)Controlled Tinkering Activities, and 3) Board Game intervention. Board games serve as a commonly seen cognitive training, with a growing series of literature continuing to support board games being the medium of cognitive promotion. Tinkering activities are primarily used in fields of education that comprise science, art, and technology. Through a series of themes objectives, participants can involve interestingly, creatively, and flexibly in the activity when the participants fulfill the goal with the materials retrievable at the site. The anticipation is that the elders participating in Tinkering activities may increase their cognitive flexibility as the participants involve in the elements hidden within the core of the training, such as problem exploration, active thinking and inference, trial and error, and problem-solving. The investigators target to obtain pre-and post-intervention behavioral and neurophysiological data, including electroencephalogram data in 40 experimental participants, 40 active control participants, and 40 passive control participants over a period of 3 years.

Visão geral do estudo

Tipo de estudo

Intervencional

Inscrição (Real)

118

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • Taipei, Taiwan, 10051
        • College of Medicine, National Taiwan University
      • Taipei, Taiwan, 11165
        • National Taiwan Science Education Center

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

65 anos e mais velhos (Adulto mais velho)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  • Literate in Mandarin and Taiwanese
  • Willing to participate entirely in this research.
  • Age >65

Exclusion Criteria:

  • Participated in cognitive-related training in the past two months.
  • Severe impairment of visual or auditory abilities.
  • Diagnosed with mild cognitive impairment (MCI), or Dementia
  • Severe psychological or behavioral disorder that would seriously interfere with the progress of activity
  • History of degenerative cognitive disorder (e.g., acute stroke, traumatic brain injury, unconscious), organic mental disorders, brain dysfunction, or other neurology-related diagnoses.

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Ciência básica
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Triplo

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Ajustes

Tinkering activities are activities that comprise elements of science, art, and technology. Through a series of themes objectives, participants can involve interestingly, creatively, and flexibly in the activity when they fulfill the goal with the materials retrievable at the site. Participants will be trained as they involve in the elements hidden within the core of the training, such as problem exploration, active thinking and inference, trial and error, and problem-solving.

Comparador Ativo: Consertos de controle

Controlled Tinkering Activities utilize the themes of Tinkering activities but eliminate the core of Tinkering training, hence implementing a new set of activities that emphasize participants strictly follow procedures to complete the similar objective of Tinkering activities. Each participant will end up with a similar piece of work as Tinkering Activities participants would without problem exploration, active thinking and inference, trial and error, and problem-solving.

Comparador Ativo: Jogos de tabuleiro

Board games are often constructed with concepts of different cognitive components, such as attention, working memory, planning, calculation; therefore serve as a commonly seen cognitive training, while more and more literature continues to support tabletop games being the medium of cognitive promotion.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Changes of Event-related potential component (ERP): P2, N2, P3
Prazo: Week 0, Week 12

The EEG data is recorded while the participants are carrying out the task-switching paradigm. The data will then be analyzed in terms of Event-Related Potential(ERP), where the components' changes will be observed in terms of amplitude and latency.

Week 0, Week 12
Changes of reaction time and accuracy of task-switching paradigm
Prazo: Week 0, Week 12

The task-switching paradigm will ask the participants to judge whether the number(stimulus) presented is 1) even or odd, OR, 2) more than or less than 5. The switching between these rules will induce a switch cost effect (the time when the rule changes, the reaction time will increase to compensate the cognitive process needed to make the change) if the reaction time decreases after intervention, it implies an improvement.

Week 0, Week 12
Changes of Accuracy in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12

Score ranged 0-128, the higher the score, the better the executive function

Week 0, Week 12
Changes of Number of Categories Completed in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12

The number of sequences of 10 consecutive correct matches (maximum = 6), higher the score, the better the executive function

Week 0, Week 12
Changes of Trials to Complete First Category in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12

Total number of trials to complete first category, the less the score, the better the executive function

Week 0, Week 12
Changes of Percent Perseverative Errors in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12

The concentration of perseverative errors in relation to overall test performance (the number of trials given) multiplied by 100. The less the score, the better the executive function.

Week 0, Week 12
Changes of Failure to Maintain Set in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12

When a participant makes five or more consecutive correct matches but then makes an error before successfully completing the category, the less the score, the better the executive function.

Week 0, Week 12

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Changes of University of California, Los Angeles Loneliness Scale
Prazo: Week 0, Week 12

score ranged 20-80, the higher the greater sense of loneliness in the participants.

Week 0, Week 12
Changes of Geriatric Depression Scale
Prazo: Week 0, Week 12

Score ranged 0-15, the higher the score, the severe the depressive symptoms.

Week 0, Week 12
Changes of Flow Scale
Prazo: Week 0, Week 12

Score ranged 1-5, higher the score, the better the flow experience the participant had.

Week 0, Week 12
Changes of Cognitive Flexibility Scale (CFS)
Prazo: Week 0, Week 12

It is a 12-item 6-point scale in Likert format, the higher the score, the higher the participants' cognitive flexibility.

Week 0, Week 12
Changes of Guilford's Alternative Uses Test (GAU)
Prazo: Week 0, Week 12

Scoring in terms of originality, fluency, elaboration and flexibility. The higher the score the better the creativity and divergent thinking.

Week 0, Week 12
Changes of Color Trails Test (CTT)
Prazo: Week 0, Week 12

Measures in time, error, cues, near miss, and color error. The less time, error, cues, near miss and color error the participants take, the better the executive function, alternate and sustain attention.

Week 0, Week 12
Changes of University of California, San Diego Performance-Based Skills Assessment (UPSA-BRIEF)
Prazo: Week 0, Week 12

Score range 0-100, the higher the score, the better the function of activities of daily living.

Week 0, Week 12
Changes of Remote Associates Test
Prazo: Week 0, Week 12

Score range 0-30. The higher the score, the better the ability of remote associate creativity.

Week 0, Week 12
Changes of Neural functional activity during inferential processing
Prazo: Week 0, Week 12

Participants will undergo a Rule Inference functional magnetic resonance imaging task to infer underlying rules that map color configurations of circles in a triangular arrangement to a target color category within as few tries as possible under active or passive conditions. The goal for participants will be to infer the cue-category association rules using as few cues as possible. The primary outcome measure here is the degree of neural response estimate change in blood oxygen level dependent (BOLD) signal pre- and post-intervention.

Week 0, Week 12
Changes of overall accuracy during inferential processing
Prazo: Week 0, Week 12

Changes from pre- to post-intervention in participant overall accuracy in identifying latent rules in the Rule Inference functional magnetic resonance imaging task.

Week 0, Week 12
Changes of learning rate during inferential processing
Prazo: Week 0, Week 12

Changes from pre- to post-intervention in participant number of trials to criterion in the Rule Inference functional magnetic resonance imaging task.

Week 0, Week 12
Changes of strategic performance during inferential processing
Prazo: Week 0, Week 12

Changes from pre- to post-intervention in participant coefficients of expression of modeled response strategies in the Rule Inference functional magnetic resonance imaging task will be assessed.

Week 0, Week 12
Change in Wechsler Memory Scale III Logical Memory I & II
Prazo: Week 0, Week 12

Score range 0 - 75. Higher score indicates better verbal episodic memory.

Week 0, Week 12
Change in Wechsler Memory Scale III Face Memory
Prazo: Week 0, Week 12

Score range 0 - 48. Higher score indicates better visual face memory.

Week 0, Week 12
Change in Wechsler Memory Scale III Verbal Paired Memory
Prazo: Week 0, Week 12

Score range 0 - 32. Higher score indicates better verbal memory and learning.

Week 0, Week 12
Change in Wechsler Memory Scale III Family Pictures I & II
Prazo: Week 0, Week 12

Score range 0 - 64. Higher score indicates better visual memory and learning.

Week 0, Week 12
Change in Wechsler Memory Scale III Word Lists I & II
Prazo: Week 0, Week 12

Score range 0 - 36. Higher score indicates better verbal memory and learning. For II, recall score range is 0 to 8; recognition score range is 0 to 24.

Week 0, Week 12
Change in Wechsler Memory Scale III Visual Reproduction I & II
Prazo: Week 0, Week 12

Score range 0 - 104. Higher score indicates better visual memory. For II, recall score range is 0-104; recognition score range is 0-48.

Week 0, Week 12
Change in Wechsler Memory Scale III Spatial Span
Prazo: Week 0, Week 12

Score range 0 - 32. Higher score indicates better spatial memory.

Week 0, Week 12
Change in Wechsler Memory Scale III Digit Span
Prazo: Week 0, Week 12

Score range 0 - 32. Higher score indicates better auditory memory.

Week 0, Week 12
Change in Wechsler Adult Intelligence Scale III Vocabulary
Prazo: Week 0, Week 12

Score range 0 - 66. Higher score indicates better vocabulary.

Week 0, Week 12
Change in Wechsler Adult Intelligence Scale III Digit Symbol
Prazo: Week 0, Week 12

Score range 0 - 133. Higher score indicates better processing speed.

Week 0, Week 12
Change in Wechsler Adult Intelligence Scale III Block Design
Prazo: Week 0, Week 12

Score range 0 - 68. Higher score indicates better visual processing.

Week 0, Week 12
Change in Wechsler Adult Intelligence Scale III Arithmetic
Prazo: Week 0, Week 12

Score range 0 - 22. Higher score indicates better mathematical computation ability.

Week 0, Week 12
Change in Wechsler Adult Intelligence Scale III Matrix Reasoning
Prazo: Week 0, Week 12

Score range 0 - 26. Higher score indicates better reasoning.

Week 0, Week 12

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

  • Investigador principal: Hui-Fen Mao, M.S., National Taiwan University

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

22 de fevereiro de 2021

Conclusão Primária (Real)

29 de julho de 2024

Conclusão do estudo (Real)

29 de julho de 2024

Datas de inscrição no estudo

Enviado pela primeira vez

6 de abril de 2022

Enviado pela primeira vez que atendeu aos critérios de CQ

27 de abril de 2022

Primeira postagem (Real)

3 de maio de 2022

Atualizações de registro de estudo

Última Atualização Postada (Real)

21 de setembro de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

16 de setembro de 2026

Última verificação

1 de dezembro de 2024

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • 202010050RINB

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

SIM

Descrição do plano IPD

Data that can be shared include anonymized neuropsychological assessment scores, cognitive behavioral performance scores, brain imaging data that have been published.

Prazo de Compartilhamento de IPD

Data will become available 1 year after primary results are published by the central research team. Data are anticipated to be available for sharing for an indefinite period after the above criteria is met.

Critérios de acesso de compartilhamento IPD

Data sharing will be done based direct requests and on case-by-case evaluation for appropriateness. Use of shared data will require agreement on appropriate citation of data sources at least or authorship inclusion or acknowledgement.

Tipo de informação de suporte de compartilhamento de IPD

  • PROTOCOLO DE ESTUDO
  • SEIVA
  • ANALYTIC_CODE

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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