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Trial registered on ANZCTR
Registration number
ACTRN12611000570987
Ethics application status
Approved
Date submitted
16/05/2011
Date registered
3/06/2011
Date last updated
8/02/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Exploring neuroplasticity associated with a combined computerised cognitive training and psychoeducation program in patients with mild cognitive impairment and /or a lifetime history of depression
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Scientific title
Exploring neuroplasticity with cognitive training: A healthy brain ageing program for older people with depression or mild cognitive impairment
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Secondary ID [1]
1111
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Nil
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Universal Trial Number (UTN)
U1111-1111-0917
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Depression
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mild cognitive impairment
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Mental health
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Condition category
Condition code
Mental Health
252160
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Combined Cognitive Training (CT) and psychoeducation program covering healthy brain ageing. This consists of a two hour group-based (8-10 people) session twice every week for 7 weeks. The psychoeducation sessions are delivered by specialists including clinical neuropsychologists, clinical psychologists, psychogeriatricians, chronobiologists, and experts in diet and exercise. The computer-based cognitive training sessions are facilitated by trained clinical neuropsychologists. The first hour delivers information pertinent to healthy ageing including use of cognitive strategies and information on diet and exercise, vascular risk factors, depression, anxiety and sleep. The second hour is a computer based cognitive training program.
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Intervention code [1]
241382
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Lifestyle
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Intervention code [2]
266697
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Treatment: Other
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Intervention code [3]
266698
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Behaviour
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Comparator / control treatment
Treatment as usual. This includes standard clinical care by usual health care professionals. There is no prescribed intervention administered by the trial. The control arm is a waitlist control arm. It also runs for 7-weeks, and then participants are re-assessed, and offered the opportunity to participate in the cognitive training groups.
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Control group
Active
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Outcomes
Primary outcome [1]
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Formal neuropsychological testing will assess performance in a number of cognitive domains including learning and memory, language, speed of processing, attention and working memory, and executive functioning.
The primary outcome is memory which will be measured using the Rey Auditory Verbal Learning Test and the Logical Memory subtest of the Wechsler Memory Scale-III
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Assessment method [1]
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Timepoint [1]
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Participants are assessed at trial entry, and again after 7 weeks of either 'cognitive training' or 'treatment as usual' (ie. waitlist).
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Secondary outcome [1]
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Depression, as assessed by a Psychogeriatrician using the Structured Clinical Interview for DSM-IV Disorders.
Patients are also asked to complete questionnaires pertaining to their mood (Geriatric Depression Scale; Hospital Anxiety Depression Scale).
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Assessment method [1]
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Timepoint [1]
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Participants are assessed at trial entry, and again after 7 weeks of either 'cognitive training' or 'treatment as usual' (ie. waitlist).
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Secondary outcome [2]
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Evoked related potentials as assessed by neurophysiological testing (EEG).
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Assessment method [2]
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Timepoint [2]
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Participants are assessed at trial entry, and again after 7 weeks of either 'cognitive training' or 'treatment as usual' (ie. waitlist).
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Secondary outcome [3]
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Blood tests to examine genotypes relevant to depression and dementia.
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Assessment method [3]
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Timepoint [3]
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Participants are assessed at trial entry.
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Secondary outcome [4]
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social cognition as measured by eye tracking technology during exposure to emotional facial stimuli
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Assessment method [4]
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Timepoint [4]
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Participants are assessed at trial entry, and again after 7 weeks of either 'cognitive training' or 'treatment as usual' (ie. waitlist).
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Secondary outcome [5]
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Vascular brain changes as measured by Magnetic resonance imaging (MRI)
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Assessment method [5]
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Timepoint [5]
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Participants are assessed at trial entry
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Eligibility
Key inclusion criteria
Cognitive impairment or depression or vascular risk factors
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Minimum age
50
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Stroke, transient ischaemic attack (TIA), poor English skills, unable to attend 10-weeks of therapy, neurological disorder, dementia, psychiatric disorder, medical illness with known cognitive effects, prior head injury.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
After referral, telephone screening for inclusion/exclusion, baseline medical and neuropsychological assessments, participants receive a sealed envelope with a letter informing them about which group they have been allocated to. The envelopes are prepared by a person who is not involved in the intake, assessment or intervention.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
15/08/2009
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Actual
24/08/2009
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Date of last participant enrolment
Anticipated
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Actual
11/01/2012
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Date of last data collection
Anticipated
30/12/2017
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Actual
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Sample size
Target
100
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Accrual to date
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Final
112
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Sharon Naismith
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Address
94 Mallett St, Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Ian Hickie
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Address [1]
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94 Mallett St, Camperdown NSW 2050
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
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Camperdown NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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12/08/2009
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Ethics approval number [1]
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08-2009/11962
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Summary
Brief summary
While many studies have shown that cognitive training in older people is associated with improved cognitive abilities, little is known about the predictors of change, or whether cognitive training is associated with improvements in neurophysiological activity or in ‘real world’ functions such as social relationships. In older individuals ‘at risk’ of cognitive decline, this study therefore aims to determine the neurobiological, clinical and cognitive predictors of ability to benefit from a ‘healthy brain ageing’ cognitive training program. It is expected that those who participate in the treatment will improve in terms of memory functioning.
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Trial website
www.bmri.org.au
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Sharon Naismith
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Address
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Healthy Brain Ageing Program
Brain and Mind Centre
The University of Sydney
94 Mallett St
Camperdown, NSW, Australia 2050
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Country
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Australia
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Phone
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+612 9351 0781
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Loren Mowszowski
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Address
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94 Mallett St, Camperdown NSW 2050
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Country
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Australia
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Phone
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+612 9351 0757
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Fax
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+61 2 9351 0551
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sharon Naismith
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Address
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94 Mallett St, Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 9351 0781
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Fax
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+612 9351 0551
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Cognitive training enhances pre-attentive neurophysiological responses in older adults 'at risk' of dementia.
2014
https://dx.doi.org/10.3233/JAD-131985
Embase
Randomized controlled trial of a healthy brain ageing cognitive training program: Effects on memory, mood, and sleep.
2015
https://dx.doi.org/10.3233/978-1-61499-542-5-355
N.B. These documents automatically identified may not have been verified by the study sponsor.
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