Cognitive Training to Promote Brain Health: Implementation and Engagement
2018年1月24日 更新者：Rogerio Panizzutti、Universidade Federal do Rio de Janeiro
Cognition encompasses memory, attention, language and other brain capacities that are necessary for good quality of life and independence.
Age-related cognitive decline starts at the third decade of life and in some cases can start to impact daily functioning in the late forties.
Dementia is the most devastating consequence associated with age-related cognitive decline.
Recent studies indicate that improving cognition by means of intensive computerized brain training can mitigate some aspects of agerelated cognitive decline, and may even have a role in preventing or delaying dementia onset.
Critically, the capacity of a given individual to improve their cognitive performance after training is fundamentally related to engagement with the exercises.
Currently, little is known about how to apply intensive computerized cognitive training effectively in the health system, ensuring engagement and best progress.
This project aims to tackle this challenge by developing, applying and testing personalized approaches to implement cognitive training in daily life of older adults that were recently evaluated at Memory Clinics and their care partners.
The community readiness approach will be implemented using semi-structured interviews, conducted with subjects that may be interested in cognitive training, key informant, and key stakeholders.
Using this information, the investigators will design an individualized training program and follow up its application in a feasibility trial.
Twenty participants, recently evaluated at different Memory Clinics in Ireland, will be recruited, interviewed and invited to engage, over the ensuing 2 to 3 months, in computerized cognitive training.
Subjects will be assessed after completion of the intervention for training adherence and individual gains on the computerized exercises.
In order to gain insight about regional specificities of the approach the investigators will perform a parallel project using the same methodology in Brazil.
This project is expected to inform the future implementation of cognitive training in public health policies for older adults.
研究概览
研究类型
介入性
注册 (预期的)
50
阶段
- 阶段2
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Dublin、爱尔兰、D8
- 招聘中
- St James Hospital
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接触：
- Brian Lawlor, M.D.
- 邮箱：BLAWLOR@STJAMES.IE
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Being evaluated at a memory clinic in the last year, or be the care partner of a person evaluated at a memory clinic
- Adequate visual and auditory acuity to allow practice on the computerized training exercises
- Physical ability sufficient to allow performance of the computerized training exercises
- Provide signed and dated informed consent form.
- Willing to comply with all study procedures and be available for the duration of the study.
Exclusion Criteria:
- Any medical condition that precludes performing the computerized training exercises
- Advanced dementia.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：认知训练
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Posit Science Inc. will supply the software for the computerized cognitive training through the platform BrainHQ, which is available on line.
The training program consists of a set of computerized exercises designed to improve the speed and accuracy of sensory information processing while engaging neuromodulatory systems involved in attention and reward.
The rationale is that, in order to understand and remember information, the brain must first generate precise and reliable neurological responses that represent the sensory stimuli.
These exercises continuously adjust the difficulty level to user performance to maintain an approximately 85% rate of correct responses.
Trials with correct responses are rewarded with points and animations.
The goal is to increase the effectiveness with which these stimuli engage and drive plastic changes in brain systems.
Engagement is monitored by electronic data upload following each training session.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Engagement
大体时间：3 months
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will be defined as a continuous variable (number of hours of training completed by the participant).
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3 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Individual gains on the computerized exercises
大体时间：3 months
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The computerized cognitive training platform, called BrainHQ, provided by Posit Science Inc, provides one measure of the individual gains on the computerized exercises with training.
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3 months
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Quantitative measure of motivation with the computerized training exercise
大体时间：3 months
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Motivation will be assessed by the quantitative score provided by the Adapted Ultrech Engagement Scale - UWES.
The Utrecht Engagement Scale has 17 items that are scored on a 7-point Likert scale indicating the frequency with which engagement at a given activity happens in the situations described in each item (0 indicates "never" and 6 "always").
The factors Vigor and Concentration have six items each and the factor Dedication has 5 items.
The final score of the Engagement corresponds to the sum of the scores on the three factors.
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3 months
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Qualitative motivation with the computerized training exercise
大体时间：3 months
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Qualitative motivation will be assessed using semi-structured interview.
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3 months
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Training adherence (dichotomic variable)
大体时间：3 months
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Training adherence will be defined as training more than 10 hours
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3 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2018年1月12日
初级完成 (预期的)
2019年12月31日
研究完成 (预期的)
2019年12月31日
研究注册日期
首次提交
2018年1月12日
首先提交符合 QC 标准的
2018年1月22日
首次发布 (实际的)
2018年1月24日
研究记录更新
最后更新发布 (实际的)
2018年1月26日
上次提交的符合 QC 标准的更新
2018年1月24日
最后验证
2018年1月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Computerized cognitive training的临床试验
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Karolinska InstitutetMinistry of Health and Social Affairs, Sweden完全的
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Southern Methodist UniversityKing's College London完全的
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Mental Health Services in the Capital Region, DenmarkCopenhagen Trial Unit, Center for Clinical Intervention Research; Center for Clinical Intervention...完全的