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- Ensaio Clínico NCT05358145
Os efeitos do treinamento de atividades de ajustes na flexibilidade cognitiva em adultos mais velhos de comunidades
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
Status
Condições
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Taipei, Taiwan, 10051
- College of Medicine, National Taiwan University
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Taipei, Taiwan, 11165
- National Taiwan Science Education Center
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
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
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 |
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Experimental: Ajustes
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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. |
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Comparador Ativo: Consertos de controle
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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. |
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Comparador Ativo: Jogos de tabuleiro
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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 |
|---|---|---|
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Changes of Event-related potential component (ERP): P2, N2, P3
Prazo: Week 0, Week 12
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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
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Changes of reaction time and accuracy of task-switching paradigm
Prazo: Week 0, Week 12
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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
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Changes of Accuracy in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12
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Score ranged 0-128, the higher the score, the better the executive function |
Week 0, Week 12
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Changes of Number of Categories Completed in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12
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The number of sequences of 10 consecutive correct matches (maximum = 6), higher the score, the better the executive function |
Week 0, Week 12
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Changes of Trials to Complete First Category in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12
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Total number of trials to complete first category, the less the score, the better the executive function |
Week 0, Week 12
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Changes of Percent Perseverative Errors in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12
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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
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Changes of Failure to Maintain Set in Wisconsin Card Sorting Test
Prazo: Week 0, Week 12
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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
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Changes of University of California, Los Angeles Loneliness Scale
Prazo: Week 0, Week 12
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score ranged 20-80, the higher the greater sense of loneliness in the participants. |
Week 0, Week 12
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Changes of Geriatric Depression Scale
Prazo: Week 0, Week 12
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Score ranged 0-15, the higher the score, the severe the depressive symptoms. |
Week 0, Week 12
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Changes of Flow Scale
Prazo: Week 0, Week 12
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Score ranged 1-5, higher the score, the better the flow experience the participant had. |
Week 0, Week 12
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Changes of Cognitive Flexibility Scale (CFS)
Prazo: Week 0, Week 12
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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
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Changes of Guilford's Alternative Uses Test (GAU)
Prazo: Week 0, Week 12
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Scoring in terms of originality, fluency, elaboration and flexibility. The higher the score the better the creativity and divergent thinking. |
Week 0, Week 12
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Changes of Color Trails Test (CTT)
Prazo: Week 0, Week 12
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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
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Changes of University of California, San Diego Performance-Based Skills Assessment (UPSA-BRIEF)
Prazo: Week 0, Week 12
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Score range 0-100, the higher the score, the better the function of activities of daily living. |
Week 0, Week 12
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Changes of Remote Associates Test
Prazo: Week 0, Week 12
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Score range 0-30. The higher the score, the better the ability of remote associate creativity. |
Week 0, Week 12
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Changes of Neural functional activity during inferential processing
Prazo: Week 0, Week 12
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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
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Changes of overall accuracy during inferential processing
Prazo: Week 0, Week 12
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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
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Changes of learning rate during inferential processing
Prazo: Week 0, Week 12
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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
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Changes of strategic performance during inferential processing
Prazo: Week 0, Week 12
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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
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Change in Wechsler Memory Scale III Logical Memory I & II
Prazo: Week 0, Week 12
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Score range 0 - 75. Higher score indicates better verbal episodic memory. |
Week 0, Week 12
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Change in Wechsler Memory Scale III Face Memory
Prazo: Week 0, Week 12
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Score range 0 - 48. Higher score indicates better visual face memory. |
Week 0, Week 12
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Change in Wechsler Memory Scale III Verbal Paired Memory
Prazo: Week 0, Week 12
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Score range 0 - 32. Higher score indicates better verbal memory and learning. |
Week 0, Week 12
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Change in Wechsler Memory Scale III Family Pictures I & II
Prazo: Week 0, Week 12
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Score range 0 - 64. Higher score indicates better visual memory and learning. |
Week 0, Week 12
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Change in Wechsler Memory Scale III Word Lists I & II
Prazo: Week 0, Week 12
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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
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Change in Wechsler Memory Scale III Visual Reproduction I & II
Prazo: Week 0, Week 12
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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
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Change in Wechsler Memory Scale III Spatial Span
Prazo: Week 0, Week 12
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Score range 0 - 32. Higher score indicates better spatial memory. |
Week 0, Week 12
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Change in Wechsler Memory Scale III Digit Span
Prazo: Week 0, Week 12
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Score range 0 - 32. Higher score indicates better auditory memory. |
Week 0, Week 12
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Change in Wechsler Adult Intelligence Scale III Vocabulary
Prazo: Week 0, Week 12
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Score range 0 - 66. Higher score indicates better vocabulary. |
Week 0, Week 12
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Change in Wechsler Adult Intelligence Scale III Digit Symbol
Prazo: Week 0, Week 12
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Score range 0 - 133. Higher score indicates better processing speed. |
Week 0, Week 12
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Change in Wechsler Adult Intelligence Scale III Block Design
Prazo: Week 0, Week 12
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Score range 0 - 68. Higher score indicates better visual processing. |
Week 0, Week 12
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Change in Wechsler Adult Intelligence Scale III Arithmetic
Prazo: Week 0, Week 12
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Score range 0 - 22. Higher score indicates better mathematical computation ability. |
Week 0, Week 12
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Change in Wechsler Adult Intelligence Scale III Matrix Reasoning
Prazo: Week 0, Week 12
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Score range 0 - 26. Higher score indicates better reasoning. |
Week 0, Week 12
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Hui-Fen Mao, M.S., National Taiwan University
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Outros números de identificação do estudo
- 202010050RINB
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
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
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