NCT06691646

Brief Summary

RECOGNeyes is a computer game developed by members of the research team to improve attention in people who find it hard to "keep their eyes on the task". Players use a small eyetracker to control the game with their eyes, giving their gaze-control system (oculomotor control system) a thorough work-out. This is a "confidence-in-concept" study to see whether RECOGNeyes holds promise as an approach to improving attentional control. It takes the form of a clinical trial, in which three groups of participants will undertake different amounts of RECOGNeyes training. The goals of the study are to find out:

  • Whether RECOGNeyes training changes patterns of brain activity during a challenging gaze-control task.
  • What changes in brain activity participants show when their gaze control improves. Before and after RECOGNeyes training, participants will have two kinds of brain scan:
  • Magnetoencephalography to measure their brain waves while they do a gaze-control task that involves shifting their gaze to look either towards, or away from, an object that suddenly appears on the left or right side of a screen. It takes extra control to look away from the object as they have to actively resist the strong impulse to look towards it.
  • Functional magnetic resonance imaging of the brain while the participants are at rest in the scanner, with their eyes open. This reveals the connection patterns between different parts of the brain when the participant is not doing anything in particular.
  • Measure changes in brain waves and brain connectivity before and after training.
  • Measure improvements in the gaze-control task and how strongly the improvements relate to brain changes.
  • See whether the brain changes relate to how long the participants spent training. If participants who trained for longer show more improved gaze control, as well as greater brain changes, this will provide grounds for confidence in the RECOGNeyes approach to improving inattention.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
35

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2018

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

May 4, 2018

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 10, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 10, 2019

Completed
5.8 years until next milestone

First Submitted

Initial submission to the registry

November 13, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 15, 2024

Completed
Last Updated

November 15, 2024

Status Verified

November 1, 2024

Enrollment Period

8 months

First QC Date

November 13, 2024

Last Update Submit

November 13, 2024

Conditions

Keywords

gaze-control trainingoculomotor controlattention deficit/hyperactivity disorder (ADHD)magnetoencephalographydyslexia/reading disorderresting state brain connectivity

Outcome Measures

Primary Outcomes (3)

  • Change in strength of alpha-beta oscillatory coupling

    Change in strength of coupling between beta amplitude in right dorsolateral prefrontal cortex and high alpha amplitude in frontal eyefields during the cue-target period on anti-saccade trials, relative to prosaccade trials.

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Change in beta-band oscillatory amplitude in dorsolateral pre-frontal cortex

    Changes in beta-band (13-30 Hz) ERSP during the cue-target period of anti-saccade trials, relative to prosaccade trials.

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Changes in alpha-band oscillatory amplitude in frontal eyefields

    Changes in alpha-band (8-12 hz) ERSP during the cue-target period on anti-saccade trials, relative to prosaccade trials.

    From enrolment day visit to second visit following two weeks gaze-control training.

Secondary Outcomes (5)

  • Changes in degree of post-stimulus beta desynchronisation and synchronisation

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Changes in antisaccade task performance

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Changes in event-related pupil dilation and vergence rates

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Changes in tonic pupil diameter and vergence

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Changes in single word reading efficiency

    From enrolment day visit to second visit following two weeks gaze-control training.

Other Outcomes (2)

  • Changes in eye-movment patterns during reading

    From enrolment day visit to second visit following two weeks gaze-control training.

  • Changes in resting state brain connectivity

    From enrolment day visit to second visit following two weeks gaze-control training.

Study Arms (3)

Two training sessions per week

EXPERIMENTAL

Train with RECOGNeyes gaze training game at home twice a week, for between 20 to 30 minutes per training session, for two weeks.

Behavioral: Gaze-control training game

Three training sessions per week

EXPERIMENTAL

Train with RECOGNeyes gaze training game at home three times per week, for between 20 to 30 minutes per training session, for two weeks.

Behavioral: Gaze-control training game

Four training sessions per week

EXPERIMENTAL

Train with RECOGNeyes gaze training game at home four times per week, for between 20 to 30 minutes per training session, for two weeks.

Behavioral: Gaze-control training game

Interventions

An eyetracker-controlled computer game designed to improve attentional control by training inhibitory control over direction of gaze. It includes six mini-games, each designed to train different aspects of oculomotor control, including selective attention, motor inhibition, motor timing, and spatial working memory.

Also known as: RECOGNeyes
Four training sessions per weekThree training sessions per weekTwo training sessions per week

Eligibility Criteria

Age18 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Age range 18-30 years
  • Ability to give informed consent
  • We will prioritise recruiting volunteers who have ADHD, dyslexia, dyspraxia or dyscalculia
  • Normal or corrected-to-normal vision

You may not qualify if:

  • Partial sight or visual field deficit

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Medicine and Health Sciences, University of Nottingham, Queen's Medical Centre

Nottingham, Nottinghamshire, NG7 2UH, United Kingdom

Location

Related Publications (5)

  • Braun V, Clarke, V:Using thematic analysis in psychology. Qualitative Research in Psychology. 2006 3:2, 77-101.

    BACKGROUND
  • Hwang K, Ghuman AS, Manoach DS, Jones SR, Luna B. Frontal preparatory neural oscillations associated with cognitive control: A developmental study comparing young adults and adolescents. Neuroimage. 2016 Aug 1;136:139-48. doi: 10.1016/j.neuroimage.2016.05.017. Epub 2016 May 10.

    PMID: 27173759BACKGROUND
  • Hwang K, Ghuman AS, Manoach DS, Jones SR, Luna B. Cortical neurodynamics of inhibitory control. J Neurosci. 2014 Jul 16;34(29):9551-61. doi: 10.1523/JNEUROSCI.4889-13.2014.

    PMID: 25031398BACKGROUND
  • Goldberg DP, Williams P: A user's guide to the General Health Questionnaire. 1988, Basingstoke NFER-Nelson

    BACKGROUND
  • Conners CK, Ehrhard D, Sparrow D. CAARS Adult ADHD Rating Scales. New York: Multi-Health Systems; 1999.

    BACKGROUND

MeSH Terms

Conditions

Attention Deficit Disorder with HyperactivityDyslexia

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior DisordersNeurodevelopmental DisordersMental DisordersLanguage DisordersCommunication DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSpecific Learning DisorderLearning DisabilitiesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Elizabeth B Liddle, PhD

    University of Nottingham

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
All researchers involved in data collection are masked until after data collection and preprocessing is complete.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Participants randomly assigned to undertake 2, 3 or 4 training sessions at home, per week, for 20 to 30 minutes per session over a period of two weeks. Total achieved training time is recorded and will be correlated with outcomes.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor in Translational Mental Health

Study Record Dates

First Submitted

November 13, 2024

First Posted

November 15, 2024

Study Start

May 4, 2018

Primary Completion

January 10, 2019

Study Completion

January 10, 2019

Last Updated

November 15, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

At the time of the study start, the implications of new data protection legislation was unclear, and protocols for IDP anonymisation were still being developed.

Locations