NCT04439591

Brief Summary

This study aims to evaluate the implementation and effectiveness of a group-based brain-computer interface cognitive training among community dwelling older adults in Singapore. A 12-week bi-weekly programme was conducted in community centres. During these sessions, participants played games targeting cognitive domains such as attention, memory, and decision making, using a mobile application (Memorie). Selected games were paired with an electroencephalography headset (Senzeband) which quantified participants' attention level into scores that affected the participants' in-game avatar control or game performance. Each participant paid a subsidized fee of SGD$20 for the programme.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
94

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2017

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

August 1, 2017

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 9, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 9, 2018

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

June 17, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 19, 2020

Completed
Last Updated

June 22, 2020

Status Verified

June 1, 2020

Enrollment Period

1.3 years

First QC Date

June 17, 2020

Last Update Submit

June 18, 2020

Conditions

Keywords

Computerised cognitive trainingHealthy older adults

Outcome Measures

Primary Outcomes (2)

  • Change in cognition from baseline at 12 weeks

    Repeated Battery for the Assessment of Neuropsychological Status (RBANS). The maximum score that an individual can get is 160, and higher scores indicate better performance. The tests consists of 12 subtests grouped into 5 domains of cognition.

    Baseline and 12 weeks

  • Change in attention from baseline at 12 weeks

    Colour Trails Test. Time taken to complete the actual trial was recorded, along with the number of near-misses, prompts, number sequence errors, and color sequence errors.

    Baseline and 12 weeks

Secondary Outcomes (2)

  • Change in balance from baseline at 12 weeks

    Baseline and 12 weeks

  • Change in walking gait from baseline at 12 weeks

    Baseline and 12 weeks

Study Arms (2)

Intervention group

EXPERIMENTAL

Intervention group undergoes computerised brain training programme first.

Other: Computerised cognitive training

Control group

OTHER

Waitlist control group: control group undergoes programme after intervention group has completed it in a crossover design.

Other: Computerised cognitive training

Interventions

A 12-week bi-weekly group-based computerised cognitive training programme conducted in community centres

Control groupIntervention group

Eligibility Criteria

Age55 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Above or equal to 55 years old
  • Sedentary lifestyle (exercise less than or equal to once week)
  • Literate in English/Chinese
  • Able to travel to study site independently

You may not qualify if:

  • Had significant cognitive impairment (Mini Mental State Examination score \<=23) or presence of known neuropsychiatric disorders
  • Geriatric Depression Scale \>9
  • Presence of a severe walking or balance impairments
  • Previously completed a cognitive training program within the last year
  • Color-blindness
  • Plans to begin a balance program during the study period
  • Self-reported presence of vertigo
  • Visual acuity of less than 20/80
  • Currently using psychotropic medications

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Geriatric Education and Research Institute

Singapore, 768024, Singapore

Location

Related Publications (21)

  • Shah TM, Weinborn M, Verdile G, Sohrabi HR, Martins RN. Enhancing Cognitive Functioning in Healthly Older Adults: a Systematic Review of the Clinical Significance of Commercially Available Computerized Cognitive Training in Preventing Cognitive Decline. Neuropsychol Rev. 2017 Mar;27(1):62-80. doi: 10.1007/s11065-016-9338-9. Epub 2017 Jan 14.

    PMID: 28092015BACKGROUND
  • Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer's disease and vascular dementia. Cochrane Database Syst Rev. 2013 Jun 5;2013(6):CD003260. doi: 10.1002/14651858.CD003260.pub2.

    PMID: 23740535BACKGROUND
  • Raz N, Lindenberger U. Life-span plasticity of the brain and cognition: from questions to evidence and back. Neurosci Biobehav Rev. 2013 Nov;37(9 Pt B):2195-200. doi: 10.1016/j.neubiorev.2013.10.003. Epub 2013 Oct 15.

    PMID: 24140011BACKGROUND
  • Buonomano DV, Merzenich MM. Cortical plasticity: from synapses to maps. Annu Rev Neurosci. 1998;21:149-86. doi: 10.1146/annurev.neuro.21.1.149.

    PMID: 9530495BACKGROUND
  • Anderson-Hanley C, Arciero PJ, Brickman AM, Nimon JP, Okuma N, Westen SC, Merz ME, Pence BD, Woods JA, Kramer AF, Zimmerman EA. Exergaming and older adult cognition: a cluster randomized clinical trial. Am J Prev Med. 2012 Feb;42(2):109-19. doi: 10.1016/j.amepre.2011.10.016.

    PMID: 22261206BACKGROUND
  • Vinogradov S, Fisher M, Holland C, Shelly W, Wolkowitz O, Mellon SH. Is serum brain-derived neurotrophic factor a biomarker for cognitive enhancement in schizophrenia? Biol Psychiatry. 2009 Sep 15;66(6):549-53. doi: 10.1016/j.biopsych.2009.02.017. Epub 2009 Apr 15.

    PMID: 19368899BACKGROUND
  • Buschert V, Bokde AL, Hampel H. Cognitive intervention in Alzheimer disease. Nat Rev Neurol. 2010 Sep;6(9):508-17. doi: 10.1038/nrneurol.2010.113. Epub 2010 Aug 17.

    PMID: 20717104BACKGROUND
  • Lampit A, Hallock H, Valenzuela M. Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS Med. 2014 Nov 18;11(11):e1001756. doi: 10.1371/journal.pmed.1001756. eCollection 2014 Nov.

    PMID: 25405755BACKGROUND
  • Lee TS, Goh SJ, Quek SY, Phillips R, Guan C, Cheung YB, Feng L, Teng SS, Wang CC, Chin ZY, Zhang H, Ng TP, Lee J, Keefe R, Krishnan KR. A brain-computer interface based cognitive training system for healthy elderly: a randomized control pilot study for usability and preliminary efficacy. PLoS One. 2013 Nov 18;8(11):e79419. doi: 10.1371/journal.pone.0079419. eCollection 2013.

    PMID: 24260218BACKGROUND
  • Lee TS, Quek SY, Goh SJ, Phillips R, Guan C, Cheung YB, Feng L, Wang CC, Chin ZY, Zhang H, Lee J, Ng TP, Krishnan KR. A pilot randomized controlled trial using EEG-based brain-computer interface training for a Chinese-speaking group of healthy elderly. Clin Interv Aging. 2015 Jan 9;10:217-27. doi: 10.2147/CIA.S73955. eCollection 2015.

    PMID: 25624754BACKGROUND
  • Muir SW, Gopaul K, Montero Odasso MM. The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. Age Ageing. 2012 May;41(3):299-308. doi: 10.1093/ageing/afs012. Epub 2012 Feb 27.

    PMID: 22374645BACKGROUND
  • Holtzer R, Friedman R, Lipton RB, Katz M, Xue X, Verghese J. The relationship between specific cognitive functions and falls in aging. Neuropsychology. 2007 Sep;21(5):540-8. doi: 10.1037/0894-4105.21.5.540.

    PMID: 17784802BACKGROUND
  • Kearney FC, Harwood RH, Gladman JR, Lincoln N, Masud T. The relationship between executive function and falls and gait abnormalities in older adults: a systematic review. Dement Geriatr Cogn Disord. 2013;36(1-2):20-35. doi: 10.1159/000350031. Epub 2013 May 23.

    PMID: 23712088BACKGROUND
  • Persad CC, Jones JL, Ashton-Miller JA, Alexander NB, Giordani B. Executive function and gait in older adults with cognitive impairment. J Gerontol A Biol Sci Med Sci. 2008 Dec;63(12):1350-5. doi: 10.1093/gerona/63.12.1350.

    PMID: 19126848BACKGROUND
  • Rosano C, Brach J, Studenski S, Longstreth WT Jr, Newman AB. Gait variability is associated with subclinical brain vascular abnormalities in high-functioning older adults. Neuroepidemiology. 2007;29(3-4):193-200. doi: 10.1159/000111582. Epub 2007 Nov 27.

    PMID: 18043004BACKGROUND
  • Watson NL, Rosano C, Boudreau RM, Simonsick EM, Ferrucci L, Sutton-Tyrrell K, Hardy SE, Atkinson HH, Yaffe K, Satterfield S, Harris TB, Newman AB; Health ABC Study. Executive function, memory, and gait speed decline in well-functioning older adults. J Gerontol A Biol Sci Med Sci. 2010 Oct;65(10):1093-100. doi: 10.1093/gerona/glq111. Epub 2010 Jun 25.

    PMID: 20581339BACKGROUND
  • Smith-Ray RL, Hughes SL, Prohaska TR, Little DM, Jurivich DA, Hedeker D. Impact of Cognitive Training on Balance and Gait in Older Adults. J Gerontol B Psychol Sci Soc Sci. 2015 May;70(3):357-66. doi: 10.1093/geronb/gbt097. Epub 2013 Nov 5.

    PMID: 24192586BACKGROUND
  • Verghese J, Mahoney J, Ambrose AF, Wang C, Holtzer R. Effect of cognitive remediation on gait in sedentary seniors. J Gerontol A Biol Sci Med Sci. 2010 Dec;65(12):1338-43. doi: 10.1093/gerona/glq127. Epub 2010 Jul 19.

    PMID: 20643703BACKGROUND
  • Blackwood J, Shubert T, Fogarty K, Chase C. The Impact of a Home-Based Computerized Cognitive Training Intervention on Fall Risk Measure Performance in Community Dwelling Older Adults, a Pilot Study. J Nutr Health Aging. 2016 Feb;20(2):138-45. doi: 10.1007/s12603-015-0598-5.

    PMID: 26812509BACKGROUND
  • Billingham SA, Whitehead AL, Julious SA. An audit of sample sizes for pilot and feasibility trials being undertaken in the United Kingdom registered in the United Kingdom Clinical Research Network database. BMC Med Res Methodol. 2013 Aug 20;13:104. doi: 10.1186/1471-2288-13-104.

    PMID: 23961782BACKGROUND
  • Yeo PS, Nguyen TN, Ng MPE, Choo RWM, Yap PLK, Ng TP, Wee SL. Evaluation of the Implementation and Effectiveness of Community-Based Brain-Computer Interface Cognitive Group Training in Healthy Community-Dwelling Older Adults: Randomized Controlled Implementation Trial. JMIR Form Res. 2021 Apr 27;5(4):e25462. doi: 10.2196/25462.

Study Officials

  • Shiou Liang Wee, PhD

    Geriatric Education and Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
CROSSOVER
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 17, 2020

First Posted

June 19, 2020

Study Start

August 1, 2017

Primary Completion

November 9, 2018

Study Completion

November 9, 2018

Last Updated

June 22, 2020

Record last verified: 2020-06

Data Sharing

IPD Sharing
Will not share

Due to confidentiality issues, IPD will not be published. However, de-identified data will be made available upon request.

Locations