NCT02780739

Brief Summary

Adaptive reasoning and problem-solving are critical skills that allow for accurate decisions to be made based on varying levels of information. In many situations these decisions must be made and communicated under stressful, time-sensitive conditions. In such contexts, an ability to apply inductive and deductive reasoning to complex, ambiguous, and/or novel problems is critical. The objective of the INSIGHT project is to establish a comprehensive and rigorous brain training protocol to significantly improve adaptive reasoning and problem solving. We will examine a variety of interventions (cognitive training, physical fitness training, physiological stimulation, , and combinations thereof) to assess their ability to improve adaptive reasoning and problem solving abilities. Multimodal interventions are hypothesized to act synergistically to significantly enhance fluid intelligence (Gf) and underlying brain structure and function.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
521

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2014

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2014

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2014

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

May 16, 2016

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 23, 2016

Completed
Last Updated

May 23, 2016

Status Verified

May 1, 2016

Enrollment Period

8 months

First QC Date

May 16, 2016

Last Update Submit

May 19, 2016

Conditions

Keywords

Psychological TestsNeuropsychological TestsTranscranial Direct Current StimulationExerciseCircuit-Based ExerciseVideo GamesMagnetic Resonance ImagingMagnetic Resonance SpectroscopyCognitionExecutive FunctionLearningProblem SolvingTransfer (Psychology)Decision MakingBrainGray MatterWhite Matter

Outcome Measures

Primary Outcomes (1)

  • Change in Bochum Matrices Test

    BOMAT is a non-verbal, one-dimensional neuropsychological test of Gf. The test consists of a series of 5x3 matrices of patternswith each matrix missing one field. The participant selects one of six possible answers that complete the matrix. The problems range from simple to complex and are all in black-and-white. Participants complete a 15-min practice and have 45 min to complete as many problems as they can (29 total).

    2 administrations: within a week before beginning and after finishing the 16-week intervention period

Secondary Outcomes (39)

  • Change in Letter Sets

    2 administrations: within a week before beginning and after finishing the 16-week intervention period

  • Change in Number Series

    2 administrations: within a week before beginning and after finishing the 16-week intervention period

  • Change in Rotation Span

    2 administrations: within a week before beginning and after finishing the 16-week intervention period

  • Change in Symmetry Span

    2 administrations: within a week before beginning and after finishing the 16-week intervention period

  • Change in Reading Span

    2 administrations: within a week before beginning and after finishing the 16-week intervention period

  • +34 more secondary outcomes

Study Arms (5)

Cognitive Training - 48 sessions

EXPERIMENTAL

56 hours of video game training with Mind Frontiers adaptive cognitive training software (48 70-min sessions distributed over 16 weeks)

Behavioral: Cognitive Training - 48 sessions

Fitness, Cognitive Training, sham tDCS

EXPERIMENTAL

32 hours and 40 min of high-intensity cardiorespiratory fitness training (28 70-min sessions distributed over 16 weeks); 23 hours and 20 min of video game training with Mind Frontiers adaptive cognitive training software with simultaneous sham tDCS (20 70-min sessions distributed over weeks 5-16)

Behavioral: FitnessDevice: sham tDCSBehavioral: Cognitive Training - 20 sessions

Fitness, Cognitive Training, active tDCS

EXPERIMENTAL

32 hours and 40 min of high-intensity cardiorespiratory fitness training (28 70-min sessions distributed over 16 weeks); 23 hours and 20 min of video game training with Mind Frontiers 1.0 adaptive cognitive training software with simultaneous active tDCS for a total of 10 hrs (20 70-min sessions distributed over weeks 5-16)

Behavioral: FitnessDevice: active tDCSBehavioral: Cognitive Training - 20 sessions

Active Control

ACTIVE COMPARATOR

56 hours of video game training with visual search and change detection tasks using open sesame software (48 70-min sessions distributed over 16 weeks)

Behavioral: Active Control

No Contact Control

NO INTERVENTION

Completed no study activities for 16 weeks after pre-assessment, then returned for post-assessment

Interventions

Mind Frontiers cognitive training software (Aptima Inc.) is a Wild West-themed Android application played on Nexus 10 tablets. This intervention includes 20 70-min sessions (23.33 hrs) completed over 12 weeks: 1/wk weeks 5-8, 2/wk weeks 9-16. The 6 mini-games, played in random order for 10 min each session, are Ante Up (Tower of London, executive functioning); Irrigator (visuospatial reasoning); Pen 'Em Up (dual task switching, executive function); Supply Run (Keep Track, working memory updating); Riding Shotgun (visuospatial working memory); and Sentry Duty (dual n-back, working memory). There is also a meta-game in which players build a town using resources earned from the mini-games, played for 5 min each session.

Also known as: Mind Frontiers adaptive cognitive training - 48 sessions
Cognitive Training - 48 sessions
FitnessBEHAVIORAL

Based on high intensity cardiovascular resistance training (HICRT), this intervention includes a combination of aerobic and strength training. Sessions are conducted in a group of ≤20 participants per class, with ≤5 participants per trainer. This intervention includes 28 70-min sessions (32.67 hrs) completed over 16 weeks: 3/wk weeks 1-4, 2/wk weeks 5-8, 1/wk weeks 9-16. At the first and last session, participants complete the Army Physical Readiness Test. All other sessions consist of: Warm-up; Walk/Run; 2 HICRT circuits with 3 sets of 3-4 exercises; 1-2 min jump rope and 4-min power series between HICRT segments; Drills \& Skills; and Cool-down/stretch.

Also known as: high intensity cardiovascular resistance training, aerobic and strength training
Fitness, Cognitive Training, active tDCSFitness, Cognitive Training, sham tDCS
Active ControlBEHAVIORAL

The active control condition consists of 2 tasks (change detection and visual search) with 3 variants each. This intervention includes 48 70-min sessions (56 hrs) completed over 16 weeks: 3/wk. The 6 tasks are played in random order for 10 min each session.

Also known as: Adaptive Visual Search/Change Detection
Active Control

Active HD-tDCS is administered during the first 30 minutes of each Mind Frontiers session. Therefore, the schedule is 20 30-min sessions (10 hrs) completed over 12 weeks: 1/wk weeks 5-8, 2/wk weeks 9-16. The HD-tDCS devices are Soterix Medical 2x2 models, using 4 electrodes (2 anodal and 2 cathodal). Electrodes are held in place with custom, 3D-printed electrode holders inserted into EEG caps, using EEG gel. Participants receive 2.0 mA current for 30 min, split over the 2 anodal electrodes, each drawing ≤1.0 mA. Stimulation is ramped up and ramped down over 30 sec at the beginning and end of the 30-min stimulation period.

Also known as: active high-def transcranial direct current stimulation
Fitness, Cognitive Training, active tDCS
sham tDCSDEVICE

Sham HD-tDCS is administered during the first 30 minutes of each Mind Frontiers session. Therefore, the schedule is 20 30-min sessions (10 hrs) completed over 12 weeks: 1/wk weeks 5-8, 2/wk weeks 9-16. The HD-tDCS devices are Soterix Medical 2x2 models, using 4 electrodes (2 anodal and 2 cathodal). Electrodes are held in place with custom, 3D-printed electrode holders inserted into EEG caps, using EEG gel. Participants do not receive sustained stimulation; it is ramped up and ramped down over 30 sec at the beginning and end of the 30-min stimulation period to elicit the sensation of simulation and make the sham condition more convincing.

Also known as: sham high-definition transcranial direct current stimulation
Fitness, Cognitive Training, sham tDCS

Mind Frontiers cognitive training software (Aptima Inc.) is a Wild West-themed Android application played on Nexus 10 tablets. This intervention includes 20 70-min sessions (23.33 hrs) completed over 12 weeks: 1/wk weeks 5-8, 2/wk weeks 9-16. The 6 mini-games, played in random order for 10 min each session, are Ante Up (Tower of London, executive functioning); Irrigator (visuospatial reasoning); Pen 'Em Up (dual task switching, executive function); Supply Run (Keep Track, working memory updating); Riding Shotgun (visuospatial working memory); and Sentry Duty (dual n-back, working memory). There is also a meta-game in which players build a town using resources earned from the mini-games, played for 5 min each session.

Also known as: Mind Frontiers adaptive cognitive training - 20 sessions
Fitness, Cognitive Training, active tDCSFitness, Cognitive Training, sham tDCS

Eligibility Criteria

Age18 Years - 44 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • English fluency
  • US citizen, US permanent resident, or student/work visa sponsored by UIUC
  • Available for 18-20 weeks
  • Ages 18 - 44
  • Normal or corrected-to-normal vision
  • Normal or corrected-to-normal hearing

You may not qualify if:

  • Previous participant in studies with similar protocols
  • Currently taking any medication affecting CNS
  • Has taken medication affecting CNS in past 2 months
  • Current or planned pregnancy
  • Recurrent migraines
  • Concussion in past 2 years
  • History of stroke
  • History of epilepsy/seizures
  • Any medical condition affecting CNS (e.g., history of thyroid cancer)
  • Any medical condition affecting capability to exercise (e.g., paralysis)
  • Reading disability/dyslexia
  • Prior brain surgery
  • Known brain malformation
  • Colorblindness
  • Heart condition that requires physician approval for physical activity
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Illinois at Urbana-Champaign

Urbana, Illinois, 61801, United States

Location

Related Publications (68)

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    BACKGROUND
  • Watson PD, Paul EJ, Cooke GE, Ward N, Monti JM, Horecka KM, Allen CM, Hillman CH, Cohen NJ, Kramer AF, Barbey AK. Underlying sources of cognitive-anatomical variation in multi-modal neuroimaging and cognitive testing. Neuroimage. 2016 Apr 1;129:439-449. doi: 10.1016/j.neuroimage.2016.01.023. Epub 2016 Jan 22.

  • Greenlee, T, Greene, DR, Ward, NJ, Reeser, GE, Allen, CM, Baumgartner, NW, Cohen, NJ, Kramer, AF, Barbey, AK, Hillman, CH. Effectiveness of a 16-Week High Intensity Cardio-Resistance Training (HICRT) Program in young and middle aged adults. Poster session presented at: American College of Sports Medicine 2016 Conference; 2016 Jun 3; Boston, MA.

    RESULT
  • Baumgartner, NW, Covello, AR, Reeser, GE, Cohen, NJ, Kramer, AF, Barbey, AK, Hillman, CH, Khan, NA. Moderate to vigorous physical activity influences aerobic capacity independent of body composition. Poster session presented at: American College of Sports Medicine 2016 Conference; 2016 Jun; Boston, MA.

    RESULT
  • Covello, A, Baumgartner, NW, Curran, MR, Reeser, GE, Cohen, NJ, Kramer, AF, Hillman, CH, Barbey, AK, Khan, NA. The sexual dimorphic relationship between dietary fiber intake and visceral adipose tissue. Abstract accepted to: Experimental Biology 2016 Meeting; 2016 Apr; San Diego, CA.

    RESULT

MeSH Terms

Conditions

Motor Activity

Interventions

Resistance Training

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Exercise TherapyRehabilitationAftercareContinuity of Patient CarePatient CareTherapeuticsPhysical Therapy ModalitiesPhysical Conditioning, HumanExerciseMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Aron K Barbey, Ph.D.

    University of Illinois at Urbana-Champaign

    PRINCIPAL INVESTIGATOR
  • Arthur F Kramer, Ph.D.

    Northeastern University

    PRINCIPAL INVESTIGATOR
  • Neal J Cohen, Ph.D.

    University of Illinois at Urbana-Champaign

    PRINCIPAL INVESTIGATOR
  • Charles H Hillman, Ph.D.

    University of Illinois at Urbana-Champaign

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 16, 2016

First Posted

May 23, 2016

Study Start

March 1, 2014

Primary Completion

November 1, 2014

Study Completion

November 1, 2014

Last Updated

May 23, 2016

Record last verified: 2016-05

Locations