Clinical trial NCT02667314: The Effect of Solving Jigsaw Puzzles on Visuospatial Cognition in Older Adults: Jigsaw Puzzles As Cognitive Enrichment
Official title: Jigsaw Puzzles As Cognitive Enrichment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cognitive Impairment
Keywords: Cognition
Cognitive Aging
Dementia
Neurocognitive Disorders
Cognitive Therapy
Cognitive Reserve
Cognitive Enrichment
Jigsaw Puzzles
Lead sponsor: University of Ulm
Sponsor class: OTHER
Collaborators: name: Ravensburger Spieleverlag GmbH (RSV), Germany
First posted: 2016-01-28
Enrollment: 100
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Meta-analyses indicate beneficial effects of cognitive training and cognitively challenging video games on cognition. However, cognitive effects of solving jigsaw puzzles - a popular, visuospatial cognitive leisure activity - have not been investigated, yet. Thus, the primary aim of this study is to evaluate the effect of solving jigsaw puzzles on visuospatial cognition. As secondary aims, effects on psychological outcomes (self-efficacy, perceived stress, well-being) and visuospatial everyday functioning (instrumental activities of daily living and self-reported cognitive failures in everyday life) are examined.

Detailed description: see References section below for the study protocol article

Eligibility criteria: Inclusion Criteria:

* No cognitive impairment (Mini-Mental State Examination ≥ 24)
* Commitment to minimum jigsaw puzzle time (1 hour/day, 6 days/week, 5 weeks)
* Interest in jigsaw puzzles
* Low jigsaw puzzle experience (less than 5 completed puzzles within the last 5 years)

Exclusion Criteria:

* Cognitive impairment (Mini-Mental State Examination \< 24)
* Participation in another interventional study
* Self-reported psychiatric, neurologic or other disease, which could affect cognitive change over time
* Self-reported, severe visual impairment or motoric impairment of the upper extremity which significantly affects ability to solve jigsaw puzzles

Primary outcomes:
measure: Change in global visuospatial cognition from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
Secondary outcomes:
measure: Change in visual perception from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in visuoconstruction from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in mental rotation from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in visuospatial processing speed from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in visuospatial flexibility from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in visuospatial working memory from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in visuospatial reasoning from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in visuospatial episodic memory from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in psychological health from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in psychological well-being from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in self-efficacy from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in perceived stress from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in objective everyday functioning from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in self-reported everyday functioning from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Change in jigsaw puzzle performance from baseline to post intervention and to the 1.5-year follow-up
timeFrame: Baseline and post intervention (after 5 weeks and 1.5 years)
measure: Hair cortisol concentration at the 1.5-year follow-up
timeFrame: 1.5-year follow-up
measure: Hair dehydroepiandrosteron concentration at the 1.5-year follow-up
timeFrame: 1.5-year follow-up
measure: Hair brain-derived neurotrophic factor concentration at the 1.5-year follow-up
timeFrame: 1.5-year follow-up
measure: Neurocognitive disorder
timeFrame: 1.5-year follow-up
Other outcomes:
Locations:
city: Ulm
country: Germany
facility: Clinical and Biological Psychology, University of Ulm
Study officials:
affiliation: University of Ulm, Germany
name: Iris-Tatjana Kolassa, Prof.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fissler P, Kuster OC, Loy LS, Laptinskaya D, Rosenfelder MJ, von Arnim CAF, Kolassa IT. Jigsaw Puzzles As Cognitive Enrichment (PACE) - the effect of solving jigsaw puzzles on global visuospatial cognition in adults 50 years of age and older: study protocol for a randomized controlled trial. Trials. 2017 Sep 6;18(1):415. doi: 10.1186/s13063-017-2151-9.
citation: Fissler P, Kuster OC, Laptinskaya D, Loy LS, von Arnim CAF, Kolassa IT. Jigsaw Puzzling Taps Multiple Cognitive Abilities and Is a Potential Protective Factor for Cognitive Aging. Front Aging Neurosci. 2018 Oct 1;10:299. doi: 10.3389/fnagi.2018.00299. eCollection 2018.