Cognitive Enhancement Through Computerized Training

NCT ID: NCT04244032

Last Updated: 2024-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-28

Study Completion Date

2024-09-15

Brief Summary

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Alcohol use disorder is characterized by widespread neurocognitive impairments, however despite substantial advances in the intervention and treatment of alcohol use disorders, exceptionally few studies have been directed to improving these deficits. This project leverages computerized cognitive training, applied as an adjunct to inpatient treatment, to enhance neurocognitive recovery. This project informs public health and future intervention efforts by interrogating factors critical to intervention efficacy and clarifying relationships between neurocognitive recovery and treatment outcomes, including post-discharge alcohol consumption.

Detailed Description

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Programmatic investigation of neurocognitive functioning in alcohol use disorder (AUD) has revealed widespread and sustained impairments. Despite conceptual relevance to treatment efficacy, few AUD interventions have been directed to the remediation of these impairments. This project is responsive to this gap. It will answer critical questions regarding the potential of cognitive training (CT), applied as an adjunct to inpatient treatment, to improve cognitive recovery and post-discharge functional outcomes in AUD.

The current project will investigate the efficacy of two experimental cognitive training interventions in a sample of inpatients in treatment for AUD. While the effectiveness of CT to enhance function is supported by diverse literatures, it remains largely unexamined in AUD. The current project will interrogate the degree to which cognitive training interventions can "transfer" cognitive gains to untrained tasks/domains, and improve overall executive functioning. It will apply conceptual models from the CT and alcohol literatures to identify factors associated with CT efficacy. The impact of cognitive training on functional outcomes, including post-discharge drinking, will be investigated. Finally, relationships between cognitive recovery during treatment and post-discharge adaptation will be examined. Thus, the current work will be of substantial import to public health, alcohol science, and will inform future intervention efforts.

Conditions

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Alcohol Use Disorder

Keywords

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Cognitive Training Alcohol Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Working Memory Training (WM)

Participants complete training in a working memory task designed to utilize individually-adapted difficulty levels.

Group Type EXPERIMENTAL

Working Memory Training

Intervention Type BEHAVIORAL

Participants complete up to 12 sessions of computerized training (30-45 min each) in a working memory task designed to utilize individually-adapted difficulty levels.

Inhibitory Control Training (IC)

Participants complete training in an inhibitory control task designed to utilize individually-adapted difficulty levels.

Group Type EXPERIMENTAL

Inhibitory Control Training

Intervention Type BEHAVIORAL

Participants complete up to 12 sessions of computerized training (30-45 min each) in an inhibitory control task designed to utilize individually-adapted difficulty levels.

Bias Modification Training (BM)

Participants complete training in an active comparator task designed to weaken approach responses to alcohol-associated cues.

Group Type ACTIVE_COMPARATOR

Bias Modification Training

Intervention Type BEHAVIORAL

Participants complete up to 12 sessions of computerized training (30-45 min each) in a bias modification task designed to utilize individually-adapted difficulty levels.

Non-Trained control (NTC)

No active intervention is delivered beyond typical care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Working Memory Training

Participants complete up to 12 sessions of computerized training (30-45 min each) in a working memory task designed to utilize individually-adapted difficulty levels.

Intervention Type BEHAVIORAL

Inhibitory Control Training

Participants complete up to 12 sessions of computerized training (30-45 min each) in an inhibitory control task designed to utilize individually-adapted difficulty levels.

Intervention Type BEHAVIORAL

Bias Modification Training

Participants complete up to 12 sessions of computerized training (30-45 min each) in a bias modification task designed to utilize individually-adapted difficulty levels.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Minimum of 10 years of education
* Meet DSM-5 criteria for alcohol use disorder

Exclusion Criteria

* Medical histories confounding interpretation regarding change in neuropsychological functioning (e.g., stroke)
* Meet DSM-5 criteria for current/unremitted psychotic, panic, or bipolar disorders
Minimum Eligible Age

25 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

University of Florida

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ben Lewis, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

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University of Florida

Gainesville, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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K01AA026893

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB201901330

Identifier Type: -

Identifier Source: org_study_id