Effects of Adaptive Difficulty Computerized Cognitive Training on Cognitive Function Improvement in Older Adults With Mild Cognitive Impairment

NCT07753382 | Not Yet Recruiting DMC

• 1 other identifier: China Medical University
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effectiveness of adaptive computerized cognitive training (CCT) in improving cognitive function among community-dwelling older adults with mild cognitive impairment (MCI) and to compare the maintenance effects of different training frequencies after the initial intervention. A quasi-experimental study will be conducted in three communities in Shenyang, Liaoning Province, China. All participants will receive a 12-week adaptive CCT program. Participants will be assigned to either a high-frequency maintenance training group or a training discontinuation group. Cognitive assessments will be performed at baseline, immediately after the intervention, and during follow-up. The primary outcome is global cognitive function, while secondary outcomes include memory, attention, executive function, language, visuospatial ability, and activities of daily living. The findings of this study are expected to provide evidence for optimizing computerized cognitive training programs and long-term management strategies for older adults with MCI in community settings.

Conditions

Cognitive Dysfunction, Cognitive Disorder; Cognitive Training

Outcome Measures

Primary Outcomes (1)

• Change in global cognitive function assessed by the Montreal Cognitive Assessment (MoCA)

  Baseline, Month 3, Month 4, and Month 6

Secondary Outcomes (6)

• Change in cognitive function assessed by the Mini-Mental State Examination (MMSE)

  Baseline, Month 3, Month 4, and Month 6

• Change in language function assessed by the Boston Naming Test (BNT)

  Baseline, Month 3, Month 4, and Month 6

• Change in attention assessed by the Trail Making Test Part A (TMT-A)

  Baseline, Month 3, Month 4, and Month 6

• Change in executive function assessed by the Stroop Color-Word Test

  Baseline, Month 3, Month 4, and Month 6

• Change in visuospatial function assessed by the Clock Drawing Test (CDT)

  Baseline, Month 3, Month 4, and Month 6

Study Arms (2)

High-Frequency Maintenance Training

EXPERIMENTAL

Participants will receive adaptive computerized cognitive training using the Heling Brain Planet WeChat mini-program. During the initial intervention phase, participants will complete training sessions three times per week for 30 minutes per session over 12 weeks. After the initial intervention, participants will continue maintenance training three times per week until the end of the follow-up period. The training program automatically adjusts task difficulty according to individual performance and includes exercises targeting attention, memory, executive function, language, visuospatial ability, and other cognitive domains.

Behavioral: Adaptive Computerized Cognitive Training

Training Discontinuation Group

OTHER

Participants will receive the same 12-week adaptive computerized cognitive training program during the initial intervention phase. After completing the initial intervention, no further computerized cognitive training will be provided. Participants will continue to receive routine community health management and will complete follow-up cognitive assessments according to the study schedule.

Behavioral: Adaptive Computerized Cognitive Training

Interventions

Adaptive Computerized Cognitive Training BEHAVIORAL

Participants receive adaptive computerized cognitive training delivered through the Heling Brain Planet WeChat mini- program. The intervention consists of individualized cognitive exercises targeting multiple cognitive domains, including attention, memory, executive function, language, visuospatial ability, perceptual-motor function, and social cognition. The training difficulty is automatically adjusted according to each participant's performance to provide personalized cognitive stimulation. During the initial intervention phase, all participants complete 30-minute training sessions three times per week for 3 months. After the initial intervention, participants choose to continue training receive maintenance adaptive computerized cognitive training.

High-Frequency Maintenance Training

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age \>= 60 years;
• Planning to reside in the community for at least 12 months, with no intention to move into a nursing home;
• No clinical diagnosis of dementia;
• Meeting the diagnostic criteria for mild cognitive impairment (MCI) as defined in the Chinese Expert Consensus on the Diagnosis and Treatment of Alzheimer's Disease-Related Mild Cognitive Impairment (2021), The cut-off scores for the Beijing version of the Montreal Cognitive Assessment (MoCA) were adjusted for educational level: \<=13 for junior high school or below, \<=19 for high school, and \<=24 for college education or above. Mini-Mental State Examination (MMSE) score \>= 24; Activities of Daily Living (ADL) score \<23.
• Able to use a mobile application (mini program) to perform cognitive training.

You may not qualify if:

• Individuals unable to complete the questionnaires due to hearing or visual impairments;
• Those with other organic diseases of the central nervous system, such as brain tumors, epilepsy, or Parkinson's disease;
• Those diagnosed with severe mental disorders, such as schizophrenia, depression, or anxiety disorders.

Sponsors & Collaborators

• China Medical University, China: lead

Study Sites (1)

Ren'ai Changwan Community Elderly Care Service Station, Dadong

Shenyang, Liaoning, 110000, China

Location

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Central Study Contacts

Ziyi Zhang

CONTACT

+8613314010321; zhangziyi202058@163.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Graduate Student Researcher

Study Record Dates

• First Submitted: August 4, 2026
• First Posted: August 7, 2026
• Study Start (Estimated): August 10, 2026
• Primary Completion (Estimated): January 10, 2027
• Study Completion (Estimated): January 10, 2027
• Last Updated: August 7, 2026

Record last verified: 2026-08

Locations

CN (1)