Social Functions to Promote Home-based Cognitive Training

Not Applicable

Completed

• Conditions: Adherence, Treatment; Social Isolation
• Interventions: Behavioral: Adherence Promotion With Person-centered Technology (APPT) System with Social Functions

• Registration Number: NCT06175299
• Lead Sponsor: Florida State University

Brief Summary

This study will examine whether among older adults social interaction functions in a home-based cognitive training program can better support adherence to training and reduce social isolation.

Detailed Description

The goal of this project is to conduct a pilot study to test the feasibility of two new features, a chat function and a leaderboard function, to encourage social interactions and support adherence to cognitive training protocols (mental exercises delivered via a tablet) over a period of time (2 months), and uncover individual difference factors that can predict poor adherence in the future and social interactions in the game. Even effective cognitive interventions may fail if individuals do not adhere to them for an extended period. This project will compare cognitive training games with chat function and leaderboard in reducing social isolation and improving adherence to the training, compared to an external control group using a generic reminder system delivered via smartphone text messages to promote adherence. The ultimate goal, as effective technology-based interventions to improve cognition become available, is to help support their benefit for older adults by maximizing long-term adherence.

Study Timeline

• Study Start: 2023-09-30
• Study First Submitted: 2023-12-06
• Study First Submitted QC: 2023-12-15
• Study First Posted: 2023-12-18
• Primary Completion: 2024-06-30
• Study Completion: 2024-07-30
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-06
• Last Update Posted: 2024-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 25

Inclusion Criteria

• 65 years of age or older
• Normal or corrected to normal visual acuity
• Must pass a dementia screening.

Exclusion Criteria

• Parkinson's, Alzheimer's disease, or any other neurodegenerative disease
• Terminal illness
• Severe motor impairment
• Not living in the Tallahassee area for the entire 6 month study period

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Cognitive Training with Social Function	Adherence Promotion With Person-centered Technology (APPT) System with Social Functions	To promote adherence and reduce social isolation, participants will be asked to use home-based cognitive training program on a tablet for 30 minutes per day for 5 days a week for 1 month, then use it freely for another month. The cognitive training program has a chat function and a leadership board to allow interaction between participants.

Primary Outcome Measures

Name	Time	Method
Three-Item Loneliness Scale	Assessed at baseline and at the end of the 2-months of training	The Three-Item Loneliness Scale was developed by Hughes et al. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2394670/). The minimum value is 3. The maximum value is 9. Higher scores mean more loneliness.

Secondary Outcome Measures

Name	Time	Method
Adherence (session number)	2 months	Number of sessions over 2 months
Adherence (session length)	2 months	Number of sessions reaching at least 80% of the assigned session duration over 2 months
General Self-Efficacy (predictor of adherence)	Assessed at baseline, predicting adherence variables over 2 months	The 10-item General Self-Efficacy Scale (GSE) was developed by Ralf Schwarzer \& Matthias Jerusalem (http://userpage.fu-berlin.de/\~health/engscal.htm). The minimum value is 10. The minimum value is 40. Higher scores mean higher general self-efficacy.
Perceived Training Efficacy (predictor of adherence)	Assessed at baseline	The 7-item Cognitive Training Belief Scale (NICT scale) measures perceived usefulness of brain training. It was developed by Rabipour \& Davidson in 2015 (https://pubmed.ncbi.nlm.nih.gov/25591472/). The minimum value is 7. The maximum value is 49. High scores mean higher expectations of brain training efficacy.
Self-Efficacy of Cognitive Training (predictor of adherence and training outcome)	Assessed at baseline and at the end of the 2-months of training	The 12-item Self-Efficacy of Cognitive Training is a composite measure of self-efficacy of cognitive training based on the Health Belief Model. The minimum value is 12. The maximum value is 84. Higher scores mean lower confidence in computerized cognitive training.

Trial Locations

Locations (1)

Florida State University; 🇺🇸 Tallahassee, Florida, United States