Impact of Intensive Computerized Cognitive Training

NCT ID: NCT06130735

Last Updated: 2025-11-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2026-03-01

Brief Summary

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To investigate factors that predict cognitive enhancement following engagement in an intensive Computerized Cognitive Training Protocol.

Detailed Description

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To investigate factors that predict cognitive enhancement following engagement in an intensive 6-month, 5 days per week training use the ABI Wellness BEARS platform and Brainex Software Symbol Relations Module.

The study will examine the impact of intensive working memory training on neurocognitive markers of brain plasticity (intervention-related changes) in 1) performance on neuropsychological tests, 2) BDNF levels in blood and salivary, 3) ERP measures of working memory, and 4) resting state fMRI and structural MRI.

Conditions

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Acquired Brain Injury Mild Cognitive Impairment Mild Neurocognitive Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Clinical trials with a single arm.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Computerized Cognitive Training

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Group Type EXPERIMENTAL

Cognitive Computerized Training

Intervention Type BEHAVIORAL

Participants will log into ABI Wellness Platform five days per week (M-T-W-Th-F) and train using the Symbol Relations module for 45 to 60 minutes. Every other week, participants will meet with their training facilitator via zoom to review training progress and troubleshoot any training-related questions.

Interventions

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Cognitive Computerized Training

Participants will log into ABI Wellness Platform five days per week (M-T-W-Th-F) and train using the Symbol Relations module for 45 to 60 minutes. Every other week, participants will meet with their training facilitator via zoom to review training progress and troubleshoot any training-related questions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patient of the Mass General Brigham Health System with primary attention and executive functioning difficulties and/or a diagnosis of mild cognitive disorder or mild neurocognitive disorder (non-amnestic profile), due to an acquired brain injury (ABI) sustained at least 12 months prior to study contact.
* Ages 25-65 years old
* Proficiency in English
* Willing and able to complete all study-related activities for 12 months, including travel to Brigham and Women's Hospital (Boston) for four in-person assessment visits and two serum and saliva sample collections.
* Access to a computer with webcam and stable internet.
* A reliable study informant who can complete one questionnaire about participant's cognition/daily functioning, at four time points.

Exclusion Criteria

* History of alcohol or substance abuse, or dependence, within the past 2 years, as per DSM-5 criteria.
* High likelihood of an underlying progressive neurodegenerative disorder.
* Evidence of moderate to severe cognitive disorder, based on a score of 21 or less on the Mini-Mental Status Examination (MMSE) (Tombaugh \& McIntyre, 1992).
* Patient Health Questionnaire (PHQ)-9 (Kroenke et al., 2010) Score ≥ 19, unless deemed by treating provider not to have active depression (e.g., adjustment disorder, grief reaction).
* Active psychotic symptoms.
* Severe sensory losses such that participants would unlikely be able to participate in the study training, even with substantial accommodations (self-report of extreme difficulty reading ordinary newspaper print or a performance-tested corrected vision test score of worse than 20/30).
* Communication difficulties that prevent the participant from effectively participating in this highly interactive study protocol (based on interviewer's rating of a person's ability to be understood and to understand others).
* Current participation in a pharmacological, or other interventional research trial.
* Life expectancy of \< 2 years.
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fujifilm

INDUSTRY

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kirk Daffner, MD

Chief, Division of Cognitive and Behavioral Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kim C Willment, PhD

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Kirk R Daffner, MD

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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George-Ryan Ghorayeb, MA

Role: CONTACT

347-714-2577

Kayla M Riera, BS

Role: CONTACT

781-520-0799

References

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Related Links

Access external resources that provide additional context or updates about the study.

https://pubmed.ncbi.nlm.nih.gov/35244507/

Experiences of individuals with acquired brain injury and their families interacting with community services: a systematic scoping review

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4397164/

Tracking early decline in cognitive function in older individuals at risk for Alzheimer's disease dementia: the Alzheimer's Disease Cooperative Study Cognitive Function Instrument

https://pubmed.ncbi.nlm.nih.gov/33157347/

Capacity-limited resources are used for managing sensory degradation and cognitive demands: Implications for age-related cognitive decline and dementia

https://pubmed.ncbi.nlm.nih.gov/22326802/

Resting state fMRI: a personal history

https://pubmed.ncbi.nlm.nih.gov/23799476/

Opportunities and limitations of intrinsic functional connectivity MRI

https://pubmed.ncbi.nlm.nih.gov/14613563/

The Flanagan Quality Of Life Scale: evidence of construct validity

https://pubmed.ncbi.nlm.nih.gov/31759568/

Resting-State Functional Connectivity: Signal Origins and Analytic Methods

https://pubmed.ncbi.nlm.nih.gov/19801063/

Group physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 physiotherapy: a sequential cohort study

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076134/

Mechanisms Underlying Age- and Performance-related Differences in Working Memory

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263919/

National Institutes of Health Toolbox Cognition Battery

https://pubmed.ncbi.nlm.nih.gov/11299130/

Neuropsychological functioning during the year following severe traumatic brain injury

https://journal.ilpnetwork.org/articles/10.31389/jltc.20

The Experiences of Relatives of People with Acquired Brain Injury (ABI) of the Condition and Associated Social and Health Care Services

https://pubmed.ncbi.nlm.nih.gov/20419563/

That which doesn't kill us can make us stronger (and more satisfied with life): the contribution of personal and social changes to well-being after acquired brain injury

https://pubmed.ncbi.nlm.nih.gov/11485609/

Psychosocial functioning during the year following severe traumatic brain injury

https://pubmed.ncbi.nlm.nih.gov/5341016/

Group dynamics in the rehabilitation of hemiplegic patients

https://pubmed.ncbi.nlm.nih.gov/31498125/

Differential Effects of Physical Exercise, Cognitive Training, and Mindfulness Practice on Serum BDNF Levels in Healthy Older Adults: A Randomized Controlled Intervention Study

https://pubmed.ncbi.nlm.nih.gov/36089933/

BDNF mediates improvement in cognitive performance after computerized cognitive training in healthy older adults

https://pubmed.ncbi.nlm.nih.gov/20633738/

The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review

https://pubmed.ncbi.nlm.nih.gov/28795168/

Changes in brain-behavior relationships following a 3-month pilot cognitive intervention program for adults with traumatic brain injury

https://pubmed.ncbi.nlm.nih.gov/21667095/

Resting-state brain networks: literature review and clinical applications

https://pubmed.ncbi.nlm.nih.gov/30103334/

Is Computerized Working Memory Training Effective in Healthy Older Adults? Evidence from a Multi-Site, Randomized Controlled Trial

https://pubmed.ncbi.nlm.nih.gov/7636775/

The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue

https://pubmed.ncbi.nlm.nih.gov/24385638/

The ACTIVE study: study overview and major findings

https://pubmed.ncbi.nlm.nih.gov/1512391/

The mini-mental state examination: a comprehensive review

https://pubmed.ncbi.nlm.nih.gov/1904685/

A comparison of the cost-effectiveness of two types of occupational therapy services

https://pubmed.ncbi.nlm.nih.gov/31020904/

The measurement of participant-reported memory across diverse populations and settings: a systematic review and meta-analysis of the Multifactorial Memory Questionnaire

https://pubmed.ncbi.nlm.nih.gov/34756875/

Overview of the Spinal Cord Injury-Functional Index (SCI-FI): Structure and Recent Advances

https://pubmed.ncbi.nlm.nih.gov/27877122/

Changes in Neural Activity Underlying Working Memory after Computerized Cognitive Training in Older Adults

https://pubmed.ncbi.nlm.nih.gov/8300877/

Rey Auditory-Verbal Learning Test: structure analysis

https://pubmed.ncbi.nlm.nih.gov/16050922/

Cost-effectiveness of cognitive-behavioural therapy and drug interventions for major depression

https://pubmed.ncbi.nlm.nih.gov/25211210/

Acquired brain injury: combining social psychological and neuropsychological perspectives

https://pubmed.ncbi.nlm.nih.gov/8437031/

The Physical Activity Scale for the Elderly (PASE): development and evaluation

https://pubmed.ncbi.nlm.nih.gov/23527770/

Group therapy utilization in inpatient spinal cord injury rehabilitation

Other Identifiers

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2022P003401

Identifier Type: -

Identifier Source: org_study_id

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