Development, Validity, and Reliability of the Reactive Skill Test in Older Adults

NCT07103837 | Completed

• 1 other identifier: 2024/22
• Study Type: interventional
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Aging is associated with cognitive and physical decline, leading to an increased risk of falls in older adults. Recent evidence highlights the critical role of cognitive functions-such as attention, memory, and executive functioning-in postural control and fall risk. This study aims to develop and validate a novel Reactive Skill Test (RST) that simultaneously assesses cognitive (reaction time, visual attention, short-term memory) and motor responses in older adults. The test involves matching colored stimuli to targets using a color-coded pod and cone setup controlled via the ReactionX system. The validity of RST will be examined through correlations with established cognitive and fall risk measures, while test-retest reliability will be assessed across separate sessions. This tool may provide early detection of cognitive-motor impairments contributing to fall risk in aging populations.

Conditions

Aging; Cognitive Performance

Keywords

Cognitive-motor testing; Reaction time; Reactive skill

Outcome Measures

Primary Outcomes (1)

• Development of the Reactive Skills Test

  The Reactive Skill Test will be conducted using a setup consisting of four pods, white cones, and balls that match the colors of the light signals. During the test, a ReactionX device configured with four distinct light colors (red, green, blue, and yellow) will be used. The test protocol is programmed via the ReactionX mobile application to control the sequence and display of lights. Each LED light is illuminated in a randomized order with zero delay time. Upon illumination, the participant is required to select the ball corresponding to the color of the light, place it on the matching cone, and then deactivate the LED light of the same color as the last placed ball. The test concludes once this sequence is completed for all four lights. Performance is evaluated based on parameters such as reaction time, accuracy, and total completion time. This protocol is specifically designed to assess cognitive skills such as color recognition, reaction speed, motor coordination and attention.

  For the reliability of RBT, the test will be performed again one week later at the same time of day.

Secondary Outcomes (4)

• Mini-Mental State Examination (MMSE)

  the first day of inclusion in the study, once

• Five Times Sit-to-Stand Test (FTSST)

  the first day of inclusion in the study, once

• International Physical Activity Questionnaire (Short Form)

  the first day of inclusion in the study, once

• Hand Reaction Time Test

  the first day of inclusion in the study, once

Study Arms (1)

Reactive Skill Test

EXPERIMENTAL

Other: Reactive Skill Test

Interventions

Reactive Skill Test OTHER

The Reactive Skill Test will be conducted using a setup consisting of four pods, white cones, and balls that match the colors of the light signals During the test, a ReactionX device configured with four distinct light colors (red, green, blue, and yellow) will be used. The test protocol is programmed via the ReactionX mobile application to control the sequence and display of lights. Each LED light is illuminated in a randomized order with zero delay time. Upon illumination, the participant is required to select the ball corresponding to the color of the light, place it on the matching cone, and then deactivate the LED light of the same color as the last placed ball. The test concludes once this sequence is completed for all four lights. Performance is evaluated based on parameters such as reaction time, accuracy, and total completion time. This protocol is specifically designed to assess cognitive skills such as color recognition, reaction time, motor coordination, and attention.

Reactive Skill Test

Eligibility Criteria

• Age: 60 Years - 90 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being over 60 years of age
• Scoring at least 10 points on the Mini-Mental State Examination (MMSE)
• Ability to ambulate independently
• Being literate
• Providing informed consent to participate in the study

You may not qualify if:

• Inability to ambulate independently
• Scoring below 10 points on the Mini-Mental State Examination (MMSE)

Sponsors & Collaborators

• Balikesir University: lead

Study Sites (1)

Balikesir University

Balıkesir, Bigadiç, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Pamukkale University

Study Record Dates

• First Submitted: July 29, 2025
• First Posted: August 5, 2025
• Study Start: December 25, 2024
• Primary Completion: March 20, 2025
• Study Completion: June 12, 2025
• Last Updated: August 5, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)