Computerized Cognitive Training in Epilepsy

Study Overview
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Brief Summary
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The purpose of this randomized uncontrolled single-site trial is to evaluate the efficacy of two novel computerized cognitive enhancing software packages for improving cognitive and behavioral outcomes in patients with epilepsy.

Detailed Description
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The proposed investigation will be the first to pit two software packages against each other to evaluate the relative efficacy and feasibility of their use among patients with epilepsy. Pharmacotherapy fails to control seizures in approximately 30% of patients. Use of non-pharmacologic interventions, such as cognitive rehabilitation, has shown some benefit for improving cognitive functions and reducing mood symptoms. Each of the computer exercises employ a set of stimuli that are generalizable and mimic real-world experiences.

Official Title
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Computerized Cognitive Training in Epilepsy

Conditions
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Epilepsy

Intervention / Treatment
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* Behavioral: Spatial Match Exercise
* Behavioral: Temporal Sequence Reconstruction Exercise
* Behavioral: Token Task Exercise
* Behavioral: Story Recall Exercise
* Behavioral: Sample-Match (Within Modality) Exercise
* Behavioral: Pair-Match (Across-Modality) Exercise
* Behavioral: Triad-FiguresExercise
* Behavioral: Monster Garden Exercise
* Behavioral: Memory Match Exercise
* Behavioral: Memory Matrix Exercise
* Behavioral: Familiar Faces Exercises
* Behavioral: Lost in Migration Exercise
* Behavioral: Playing Koi Exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Documented diagnosis of epilepsy based on medical records. The records will be reviewed by the PI and the approved study personnel to confirm that a diagnosis of epilepsy has been made. Must own a computer or have access to the internet. Exclusion Criteria: Full Scale IQ < 80, as assessed by the WASI-II. History of chronic progressive neurologic or neurodegenerative illnesses (e.g., Parkinson's disease, multiple sclerosis, dementia, primary or metastatic malignancy). Patients with headache or migraine are not excluded. History of Axis I psychiatric illness with psychotic features. (e.g., schizophrenia). Patients with depression or anxiety (treated or untreated) without psychotic features are not excluded. Visual or auditory impairment, which precludes participation in part, or all of the testing. English as a first language will not be required, but participants must have either received some of their schooling in English or used English in their work for >10 years.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Posit Science<br> | Behavioral: Spatial Match Exercise<br> <br> Behavioral: Temporal Sequence Reconstruction Exercise<br> <br> Behavioral: Token Task Exercise<br> <br> Behavioral: Story Recall Exercise<br> <br> Behavioral: Sample-Match (Within Modality) Exercise<br> <br> Behavioral: Pair-Match (Across-Modality) Exercise<br> <br> Behavioral: Triad-FiguresExercise<br> <br> |
| Experimental: Lumosity<br> | Behavioral: Monster Garden Exercise<br> <br> Behavioral: Memory Match Exercise<br> <br> Behavioral: Memory Matrix Exercise<br> <br> Behavioral: Familiar Faces Exercises<br> <br> Behavioral: Lost in Migration Exercise<br> <br> Behavioral: Playing Koi Exercise<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Index Score from the Repeatable Battery for the Assessment of Neurocognitive Status (RBANS) |  | 8 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Everyday Cognition Scale (ECog) |  | 8 Weeks | 
| Perceived cognitive abilities on an index of subjective cognitive abilities (Cognitive Self-Report Questionnaire; CSRQ-25) |  | 8 Weeks | 
| Measure of mood (Geriatric Depression Scale) |  | 8 Weeks |