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Trial registered on ANZCTR
Registration number
ACTRN12614001100684
Ethics application status
Approved
Date submitted
23/09/2014
Date registered
16/10/2014
Date last updated
9/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessing the cognitive impact of booster brain training in older adults attending day care centres or residing in retirement villages.
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Scientific title
A single-blind, randomised equivalence clinical trial of cognitive changes in response to computerised cognitive training in older adults attending day care centres or residing in retirement villages, as measured by a battery of neuropsychological tests.
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Secondary ID [1]
285218
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Nil
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Universal Trial Number (UTN)
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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:
Dementia
292843
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Mild Cognitive Impairment
292844
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Condition category
Condition code
Neurological
293145
293145
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0
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Alzheimer's disease
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Neurological
293496
293496
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0
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Dementias
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Mental Health
293497
293497
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Computer-assisted Cognitive Training (CCT):
The intervention will be conducted over a period of 6 months. All training session will be approximately 40 minutes in duration and conducted by an experienced trainer in a group setting in the computer rooms of day centres/retirement villages. Training sessions will become part of regular activities at the day care centres/retirement village. Times will be discussed in advanced, and every effort will be made to keep training sessions the same time each week. Participants who do not show up for a session are contacted to enquire about their absence, and a make-up session will be scheduled.
The CCT intervention will use Captain’s Log MindPower Bulider. This suite of cognitive training exercises was developed in collaboration with clinical staff and is largely based upon well-established neuropsychological tests and principles, and has been used extensively in neuropsychiatric research. It has been used in numerous studies, and was shown to to be effective in preserving cognition/preventing further decline in older adults with cognitive impairments. Multiple exercises will be used to target a range of cognitive domains and will include both verbal and visual modalities. This helps to ensure that exercises remain novel, challenging and fun. The intervention will be adapted for difficulty levels, and some can involve use of a touchscreen. A pre-training session will be provided to all participants.
Both groups will initially undergo 24 sessions of CCT over 3 months (2/week for 12 weeks). For the following 3 months, one group will undergo monthly training, whilst the other will undergo fortnightly training. There will be a no contact period for the remaining 3 months.
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Intervention code [1]
290092
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Treatment: Other
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Comparator / control treatment
This trial is comparing two doses or schedules of treatment.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
293001
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Alzheimer’s Disease Assessment Scale-Cognitive-Plus (ADAS-Cog-Plus)
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Assessment method [1]
293001
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Timepoint [1]
293001
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Baseline
3 month follow-up
6 month follow-up
9 month follow-up
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Secondary outcome [1]
310119
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Neurotrax - a validated computer-based neuropsychological assessment system which tests Verbal Memory, Non Verbal Memory, Staged Information Processing Speed, Visual-Spatial Processing, Stroop Interference.
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Assessment method [1]
310119
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Timepoint [1]
310119
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Baseline
3 month follow-up
6 month follow-up
9 month follow-up
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Secondary outcome [2]
310120
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Stockings of Cambridge - a validated computerized test for executive functioning designed by CANTAB
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Assessment method [2]
310120
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Timepoint [2]
310120
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Baseline
3 month follow-up
6 month follow-up
9 month follow-up
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Secondary outcome [3]
310121
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Bayer Activities of Daily Living Scale
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Assessment method [3]
310121
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Timepoint [3]
310121
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Baseline
6 month follow-up
9 month follow-up
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Secondary outcome [4]
310122
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Observed Task of Daily Living
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Assessment method [4]
310122
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Timepoint [4]
310122
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Baseline
6 month follow-up
9 month follow-up
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Eligibility
Key inclusion criteria
1. Age of 60 years or above
2. Ability to read, write and communicate in English
3. Sufficient physical ability (motor, eyesight, hearing) to use a computer.
4. Mini Mental State Examination (MMSE) score >23
5. Regularly attend day care centres or resident of retirement village
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Minimum age
60
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Cognitive training in the past 6 months.
2. MMSE < 24
3. Severe depression as indicated by the depression score (greater than or equal to 21) from the Depression Anxiety and Stress Scale (DASS)
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Study design
Purpose of the study
Treatment
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
20/10/2014
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Actual
13/11/2014
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Date of last participant enrolment
Anticipated
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Actual
30/05/2016
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Date of last data collection
Anticipated
30/03/2017
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Actual
24/04/2017
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Sample size
Target
80
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Accrual to date
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Final
34
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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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Self funded/Unfunded
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Name [1]
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Associate Professor Michael Valenzuela
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Address [1]
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Regenerative Neuroscience Group,
Brain and Mind Research Institute
94 Mallett St, Camperdown
NSW 2050, Australia
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
NSW 2006, Australia
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Country
Australia
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Secondary sponsor category [1]
288523
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None
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Name [1]
288523
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Address [1]
288523
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Country [1]
288523
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee - The University of Sydney
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Ethics committee address [1]
291566
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71/79 Arundel St The University of Sydney Forest Lodge NSW 2037
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Ethics committee country [1]
291566
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Australia
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Date submitted for ethics approval [1]
291566
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Approval date [1]
291566
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30/07/2014
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Ethics approval number [1]
291566
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2014/176
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Summary
Brief summary
No study has yet investigated the therapeutic impact of computerized cognitive training (CCT) in frail or cognitively impaired daycare centre (DCC) clients or residents of retirement vilages, nor the relative merits of any particular booster training schedule. DCCs and retirement villages are an ideal health care setting to test CCT for primary and secondary prevention as they engage ultra high risk frail and old-old individuals and routinely deliver activities to their clients. This study will therefore compare two different booster training schedules in these settings with the aim of determining whether monthly booster sessions are equally effective at maintaining CCT gains as fortnightly booster sessions over a 3-month period. Specifically we aim to: 1. Compare the efficacy of monthly vs fortnightly booster sessions, by measuring cognitive function 3-months post-training; 2. Test the impact of the two booster schedules on everyday functional activities; If booster sessions can be spaced out like this without major loss in efficacy, then this will have significant ramifications for the practical and widespread implementation of computerized cognitive training in DCCs and retirement villages. Positive findings may also result in delaying the onset of cognitive impairment or loss of functional independence. In turn, these outcomes may benefit individuals, carers, communities and the health system.
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Trial website
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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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A/Prof Michael Valenzuela
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Address
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Regenerative Neuroscience Group,
Brain and Mind Research Institute
94 Mallett St, Camperdown
NSW 2050, Australia
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Country
50898
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Australia
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Phone
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+61 2 9114 4135
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Fax
50898
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Email
50898
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[email protected]
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Contact person for public queries
Name
50899
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Michael Valenzuela
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Address
50899
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Regenerative Neuroscience Group,
Brain and Mind Research Institute
94 Mallett St, Camperdown
NSW 2050, Australia
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Country
50899
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Australia
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Phone
50899
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+61 2 9114 4135
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Fax
50899
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Email
50899
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[email protected]
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Contact person for scientific queries
Name
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Michael Valenzuela
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Address
50900
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Regenerative Neuroscience Group,
Brain and Mind Research Institute
94 Mallett St, Camperdown
NSW 2050, Australia
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Country
50900
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Australia
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Phone
50900
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+61 2 9114 4135
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Fax
50900
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Email
50900
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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
No additional documents have been identified.
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