Trial Outcomes & Findings for Project IMPACT: Improving Memory Performance by Applying Cognitive Training (NCT NCT02909101)

NCT ID: NCT02909101

Last Updated: 2019-10-30

Results Overview

Measured by domain deficit score, which is a continuous measure of overall impairment on the domain. 0 means no impairment and 5 means highest possible impairment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

58 participants

Primary outcome timeframe

Baseline; post-training, approximately 8 weeks

Results posted on

2019-10-30

Participant Flow

Participant milestones

Participant milestones
Measure
Active Cognitive Training (ACT)
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Overall Study
STARTED
29
29
Overall Study
COMPLETED
28
28
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Active Cognitive Training (ACT)
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Project IMPACT: Improving Memory Performance by Applying Cognitive Training

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Cognitive Training (ACT)
n=29 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=29 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Total
n=58 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
29 Participants
n=5 Participants
29 Participants
n=7 Participants
58 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
48.97 years
STANDARD_DEVIATION 10.09 • n=5 Participants
48.28 years
STANDARD_DEVIATION 8.28 • n=7 Participants
48.62 years
STANDARD_DEVIATION 9.15 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
12 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
17 Participants
n=7 Participants
41 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=5 Participants
29 Participants
n=7 Participants
58 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
26 Participants
n=5 Participants
24 Participants
n=7 Participants
50 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
29 Participants
n=5 Participants
29 Participants
n=7 Participants
58 Participants
n=5 Participants
Wechsler Test of Adult Reading (WTAR)
81.97 units on a scale
STANDARD_DEVIATION 14.47 • n=5 Participants
83.14 units on a scale
STANDARD_DEVIATION 13.75 • n=7 Participants
82.55 units on a scale
STANDARD_DEVIATION 14.00 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline; post-training, approximately 8 weeks

Measured by domain deficit score, which is a continuous measure of overall impairment on the domain. 0 means no impairment and 5 means highest possible impairment.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=28 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=28 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Working Memory Assessed by Domain Deficit Score
Baseline
.29 Score on a scale
Standard Error .09
.21 Score on a scale
Standard Error .09
Working Memory Assessed by Domain Deficit Score
Post-training
.14 Score on a scale
Standard Error .07
.26 Score on a scale
Standard Error .07

SECONDARY outcome

Timeframe: Baseline; post-training, approximately 8 weeks

Population: One participant from ACT and two participants from CON were excluded because they did not provide valid responses on the MCQ at the post-training follow-up.

The Monetary Choice Questionnaire (MCQ) is a standardized delay discounting task. Because scores are on a logarithmic scale, they were rank ordered for analysis. Ranks range from 1 to 13, with higher ranks meaning higher impulsivity.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=27 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=26 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Delay Discounting, Measured by the Monetary Choice Questionnaire (MCQ)
Baseline
8.70 score on a scale
Standard Error .41
7.97 score on a scale
Standard Error .42
Delay Discounting, Measured by the Monetary Choice Questionnaire (MCQ)
Post-training
8.38 score on a scale
Standard Error .37
8.76 score on a scale
Standard Error .38

SECONDARY outcome

Timeframe: Post-training, approximately 8 weeks

Participants rated how satisfied they found the intervention on a 5 point scale (with 1 being very dissatisfied and 5 being very satisfied). Acceptability was defined a priori of achieving a mean rating of \>3.5 on the 5 point scale.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=28 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=28 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Acceptability as Measured by Participant Ratings
4.04 score on a scale
Standard Deviation 1.32
4.14 score on a scale
Standard Deviation 1.11

SECONDARY outcome

Timeframe: Post-training, approximately 8 weeks

Participants rated how helpful they found the intervention on a 5 point scale (with 1 being very unhelpful and 5 being very helpful). Acceptability was defined a priori of achieving a mean rating of \>3.5 on the 5 point scale for helpfulness.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=28 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=28 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Acceptability as Measured by Participant Perception of Benefits and Barriers to Completing Sessions
4.14 score on a scale
Standard Deviation 1.15
4.04 score on a scale
Standard Deviation 1.02

SECONDARY outcome

Timeframe: Baseline; post-training, approximately 8 weeks

0% indicates no doses of medications were taken, and 100% means all doses were taken.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=28 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=28 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Percent Medication Adherence Across All Antiretroviral Medications
Baseline
96.53 percentage of doses
Standard Error 2.29
88.97 percentage of doses
Standard Error 2.29
Percent Medication Adherence Across All Antiretroviral Medications
Post-training
96.08 percentage of doses
Standard Error 2.19
92.03 percentage of doses
Standard Error 2.19

SECONDARY outcome

Timeframe: Baseline; post-training, approximately 8 weeks

The RAB is a standardized survey. Scores range from 0 to 18, with higher scores meaning greater sexual risk.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=28 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=28 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Sexual Risk Behavior as Measured by the Risk Assessment Battery (RAB)
Baseline
4.53 score on a scale
Standard Error .43
3.68 score on a scale
Standard Error .43
Sexual Risk Behavior as Measured by the Risk Assessment Battery (RAB)
Post-training
4.04 score on a scale
Standard Error .47
4.21 score on a scale
Standard Error .47

SECONDARY outcome

Timeframe: Baseline; post-training, approximately 8 weeks

The Timeline Followback Method involves asking subjects to retrospectively estimate their cocaine use 30 days prior to the interview date. Responses therefore range from 0 to 30 days.

Outcome measures

Outcome measures
Measure
Active Cognitive Training (ACT)
n=28 Participants
Participants will complete computerized games designed to enhance working memory. Participants will complete 48 training sessions over 10 weeks. Active Cognitive Training (ACT): Cognitive training games
Control Training (CON)
n=28 Participants
Participants will complete 48 training sessions over 10 weeks. The control games are not designed to enhance memory. Control Training (CON): Cognitive training games
Number of Days of Cocaine Use as Measured by Timeline Followback Interview Methodology
Post-training
8.49 days
Standard Error 1.72
5.12 days
Standard Error 1.72
Number of Days of Cocaine Use as Measured by Timeline Followback Interview Methodology
Baseline
7.51 days
Standard Error 1.68
6.88 days
Standard Error 1.68

Adverse Events

Active Cognitive Training (ACT)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Training (CON)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sheri Towe

Duke University School of Medicine

Phone: 919-668-4030

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place