Clinical trial NCT03940079: Efficacy of Computer-Based Cognitive Game Training for Healthy Elderly
Official title: Efficacy of Computer-Based Cognitive Game Training on Motor and Cognitive Functions for Healthy Elderly
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Aging
Cognitive Function
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2019-05-07
Enrollment: 16
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The declination on cognitive and motor functions in older adults increases the difficulty to achieve successful aging. Previous studies had reported that contrast to the traditional cognitive training methods, computer cognitive training (CCT) is comparable or has better effect on the cognitive function improvement with elders.On the other hand, some researchers claimed motor-cognitive dual-task training may possess greater effects than single cognitive training on cognitive functions. However, it is still on debate. Therefore, the research aims to investigate cognitive and motor benefits to healthy older adults over 65s trained by our computer-based cognitive game with high and low level of motor engagements.The research questions include: (1) Is CCT beneficial of cognitive functions? (2) Does CCT with high level of motor engagements (i.e. motor-cognitive dual-task training) have greater effects than single cognitive training on cognitive functions? (3) Can the training effect remain?

Detailed description: Quasi-experimental design was adapted in our research.There are four time-series assessments during the experiment: baseline, pretest, posttest, and follow-up. After the baseline assessment, participants were randomized to two groups: gross-motor group (GMG) and fine-motor group (FMG). The intervals between baseline and pretest as well as between pretest and posttest were both 4 weeks, while the interval between posttest and follow-up was 8 weeks.

The investigators developed a computer-based cognitive game and compared the efficacy of cognitive and motor functions between computer-based cognitive game combining two different demands on motor control. Investigators hypothesized: All participants who take part in the computer-based cognitive game training don't have learning effects on pretest and are able to improve cognitive functions including short-term memory, divided attention and inhibitory function after intervention; Gross-motor group make more progress than fine-motor group on cognitive and motor functions after intervention. Furthermore, gross-motor group maintained more training effect over cognitive and motor functions at follow-up than fine-motor group.

Eligibility criteria: Inclusion Criteria:

1. ≥ 65 years old
2. Montreal Cognitive Assessment (MoCA) score ≥ 18
3. clear eyesight and hearing
4. both upper and lower limbs are functional
5. normal communication

Exclusion Criteria:

1. injury, fracture, and breathing problem
2. surgery during the research
3. severe disease affecting cognitive functions.

Primary outcomes:
measure: Change from Baseline Montreal Cognitive Assessment (MoCA) Taiwan Version at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
measure: Change from Baseline Digit Span Task-forward (DS-forward) at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
measure: Change from Baseline Color Trails Test-2 (CTT-2) at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
measure: Change from Baseline Stroop Color Word Test (SCWT) at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
measure: Change from Baseline Nine Hole Peg Test (NHPT) at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
measure: Change from Baseline Get-Up and Go Test (GUG) at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
measure: Change from Baseline Five-Times-Sit-to-Stand Test (FTSST) at the 4th, 8th and 16th weeks
timeFrame: baseline, 4th weeks pretest, 8th weeks posttest, 16th weeks follow-up
Secondary outcomes:
measure: Change from 4th weeks Game1 (first scenario) evaluated the performance of short-term memory at 8th weeks
timeFrame: 4th weeks pretest, 8th weeks posttest
measure: Change from 4th weeks Game2 (second scenario) evaluated divided attention at 8th weeks
timeFrame: 4th weeks pretest, 8th weeks posttest
measure: Change from 4th weeks Game3 (third scenario) evaluated inhibitory function at 8th weeks
timeFrame: 4th weeks pretest, 8th weeks posttest
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hospital
Study officials:
affiliation: National Taiwan University Hospital
name: Central Contact Backup Mao
role: PRINCIPAL_INVESTIGATOR
References: