Elucidating the Necessary Active Components of Training

NCT ID: NCT05366023

Last Updated: 2022-05-09

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-21

Study Completion Date

2024-02-29

Brief Summary

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Loss of independence, cognitive decline, and difficulties in everyday function are areas of great concern for older adults and their families. Cognitive training is one low cost, noninvasive training intervention that has repeatedly demonstrated reliable transfer effects to maintained cognition, everyday function, health, and most recently, a 29% reduction in incident dementia. Importantly, many of these everyday function effects are maintained across five to ten years including: maintained driving mobility, 50% reduction in at-fault vehicle crashes, and maintained Instrumental Activities of Daily Living (IADL). Although clearly an important and effective intervention, the moderators and mechanisms underlying this program are unknown.

The overall objective in this planning grant is to lay the conceptual and methodological foundation to explore cognitive, psychosocial, lifestyle behaviors, and biomarker mechanisms and moderators of two forms of conceptually driven cognitive training. Additionally, this study will examine how cognitive and psychosocial factors within daily life account for the transfer of cognitive training to everyday function. We will use a factorial design to randomize adults ages 55-85 to 0, 10, 20, 30, or 40 hours of two forms of cognitive training, a combined training, or an active comparison condition (Phase 1). An additional sample of participants will complete 20 hours of two forms of cognitive training or the active comparison group as well as provide blood samples (Phase 2).

Across the study period, participants will complete cognitive, health, lifestyle, and psychosocial assessments at baseline, posttest, and approximately three month follow-up assessments in person or remotely using a study-provided laptop. Additionally, all participants will be asked to complete daily cognitive, health, lifestyle, and psychosocial measures daily using study-provided smartphones.

This study will allow us to test the feasibility of our enrollment, assessment and training protocols for a future multisite clinical trial. This exploratory study is the first of its kind and will be used to provide important data relevant to a future larger randomized controlled trial examining mediators of cognitive training in a representative sample of adults. This information will assist in the future development of more effective home- and community-based interventions that maintain everyday function.

Detailed Description

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Conditions

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Alzheimer Disease Cognitive Change Cognitive Impairment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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No contact

0 hours of activities during intervention period of study

Group Type NO_INTERVENTION

No interventions assigned to this group

TDD1

10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

TDD2

10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

TDD1 + TDD2

20 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

BUD1

10 hours of bottom-up driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

BUD2

10 hours of bottom-up driven cognitive training games

Group Type EXPERIMENTAL

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

BUD1 + BUD2

20 hours of bottom-up driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

BUD2 + TDD2

10 hours of bottom-up driven cognitive training games plus 10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

BUD1 + TDD1

10 hours of bottom-up driven cognitive training games plus 10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

BUD2 + TDD1

10 hours of bottom-up driven cognitive training games plus 10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

BUD2 + TDD1 + TDD2

10 hours of bottom-up driven cognitive training games plus 20 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

BUD1 + TDD2

10 hours of bottom-up driven cognitive training games plus 10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

BUD1 + TDD1 + TDD2

10 hours of bottom-up driven cognitive training games plus 20 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

BUD1 + BUD2 + TDD2

20 hours of bottom-up driven cognitive training games plus 10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

BUD1 + BUD2 + TDD1

20 hours of bottom-up driven cognitive training games plus 10 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

BUD1 + BUD2 + TDD1 + TDD2

20 hours of bottom-up driven cognitive training games plus 20 hours of top-down driven cognitive training games

Group Type EXPERIMENTAL

BUD1

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

BUD2

Intervention Type BEHAVIORAL

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

TDD1

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

TDD2

Intervention Type BEHAVIORAL

10 hours of top-down driven computerized cognitive training designed to improve executive function

CSA10

10 hours of cognitive stimulating activities

Group Type ACTIVE_COMPARATOR

CSA10

Intervention Type BEHAVIORAL

10 hours of computerized games

CSA20

20 hours of cognitive stimulating activities

Group Type ACTIVE_COMPARATOR

CSA20

Intervention Type BEHAVIORAL

20 hours of computerized games

CSA30

30 hours of cognitive stimulating activities

Group Type ACTIVE_COMPARATOR

CSA30

Intervention Type BEHAVIORAL

30 hours of computerized games

CSA40

40 hours of cognitive stimulating activities

Group Type ACTIVE_COMPARATOR

CSA40

Intervention Type BEHAVIORAL

40 hours of computerized games

Interventions

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BUD1

10 hours of bottom-up driven computerized cognitive training designed to improve processing speed and divided attention

Intervention Type BEHAVIORAL

BUD2

10 hours of bottom-up driven computerized cognitive training designed to improve divided attention

Intervention Type BEHAVIORAL

TDD1

10 hours of top-down driven computerized cognitive training designed to improve multiple object tracking

Intervention Type BEHAVIORAL

TDD2

10 hours of top-down driven computerized cognitive training designed to improve executive function

Intervention Type BEHAVIORAL

CSA10

10 hours of computerized games

Intervention Type BEHAVIORAL

CSA20

20 hours of computerized games

Intervention Type BEHAVIORAL

CSA30

30 hours of computerized games

Intervention Type BEHAVIORAL

CSA40

40 hours of computerized games

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Phase 1:

* Age 55-85 community-dwelling adults
* Written informed consent obtained
* No reported evidence of or diagnosis of dementia/Alzheimer's Disease; score of 5 or greater on the MIS-t administered during phone screening
* Willing and able to participate in the up to 9 months of the study duration
* Is proficient in written and spoken English
* Phase 2:

* All Phase 1 criteria plus willingness and ability to provide two blood samples at baseline and posttest

Exclusion Criteria

* Phase 1 exclusions:

* Failure to meet any of the above eligibility criteria
* Use of video games for more than 2 hours/week over the previous 2 years
* Currently engaged in a cognitive program such as Brain HQ or Lumosity
* Phase 2 exclusion:

In addition to Phase 1 exclusion, also criteria below:

• Inability or unwillingness to travel to Clemson to provide two in-person blood samples at baseline and posttest
Minimum Eligible Age

55 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Penn State University

OTHER

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role collaborator

Clemson University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clemson University Institute for Engaged Aging

Seneca, South Carolina, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lesley Ross, PhD

Role: CONTACT

864-916-6220

Jeremy Shields, MS

Role: CONTACT

864-916-6220

Facility Contacts

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Jeremy Shields, MS

Role: primary

864-916-6220

Other Identifiers

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U01AG062370

Identifier Type: NIH

Identifier Source: secondary_id

View Link

U01AG062370

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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