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Board Games Among Mild Cognitive Impairment Patients Experience (GAME Project)

Not Applicable
Conditions
Cognitive Impairment, Mild
Interventions
Behavioral: Paper and pencil tasks group
Behavioral: Modern board and card games group
Registration Number
NCT04835909
Lead Sponsor
Brain In Game scientific-technical service
Brief Summary

Nowadays, on geriatric centres, cognitive decline used to be prevented by pen and paper exercises (Calero García \& Navarro Gonzalez, 2006). However, as Lampit et al. (2014) suggest, studies based on the efficacy and effectiveness of new cognitive-based interventions in order to improve these cognitive processes are fundamental (Lampit et al., 2014). Cognitive-based interventions are interventions that directly or indirectly try to improve cognitive processes (Chiu et al., 2017). Between the different kinds of cognitive-based interventions, cognitive training permits stablish randomized controlled trials. Cognitive training consists of repeating during a concrete time a standardized set of tasks in order to maintain or improve one or some cognitive processes. Meta-analysis studies have shown that computerized cognitive training can improve in a moderate size some cognitive processes in elderly people with mild cognitive impairment or dementia (Hill et al., 2017) and without those diagnoses (Lampit, Hallock, \& Valenzuela, 2014; Chiu et al., 2017). Although it seems that computerized training is effective, safe and secure, it is important to note the social component of the definition of health (OMS, 1948). Chang, Wray \& Lin (2014) found that social relationships predict the use of leisure activities and this predict a better physical health and wellbeing psychological. In fact, a comparative study found that those elderly people that have played board games have a 15% lower risk of having dementia diagnose and problems related with memory (Dartigues et al., 2013). To sum up, the aim of this research project is to test the effectiveness of a cognitive training based on modern board and card games in elderly people with a diagnose of mild-cognitive impairment in comparison to do cognitive paper and pencil tasks or in a wait-list comparison group.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
112
Inclusion Criteria
  • Participation in cognitive disease center
  • Amnestic MCI diagnoses (clinical diagnoses following the guidelines of Petersen et al. 2011)
  • Global deterioration scale (GDS) 2-3 values
  • Participation assessing outcomes of the caregivers in the study
Exclusion Criteria
  • Participation in another cognitive training program
  • Dementia, neurologic or other disease non-neurodegenerative, which could affect cognitive change over time (medical-reported)
  • Severe visual impairment, language impairment or motoric impairment of the upper extremity which significantly affects ability to solve jigsaw puzzles (medical-reported)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Behavioral: paper and pencil tasksPaper and pencil tasks groupParticipants will do cognitive paper and pencil tasks in groups at medical center 2 times per week for at least 1 hour over a period of 16 weeks.
Behavioral: modern board and card gamesModern board and card games groupParticipants will play modern board and card games in groups at medical center 2 times per week for at least 1 hour over a period of 16 weeks.
Primary Outcome Measures
NameTimeMethod
Change in visuospatial short-term memory from baseline to post interventionBaseline and post intervention (after 16 weeks)

Visual Memory Test Forward

Change in visuospatial processing from baseline to post interventionBaseline and post intervention (after 16 weeks)

Trail Making Test A and Symbol Digit Modalities Test (SDMT)

Change in cognitive impairment from baseline to post interventionBaseline and post intervention (after 16 weeks)

Addenbrooke's Cognitive Examination

Change in visuoconstruction, immediate memory and long-term memory from baseline to post interventionBaseline and post intervention (after 16 weeks)

Copy, draw after 3 and after 25 minuts of Rey-Osterrieth Complex Figure Test

Change in verbal long-term memory from baseline to post interventionBaseline and post intervention (after 16 weeks)

Rey Auditory Verbal Learning Test (RAVLT)

Change in visuospatial working memory from baseline to post interventionBaseline and post intervention (after 16 weeks)

Visual Memory Test Backward

Change in flexibility from baseline to post interventionBaseline and post intervention (after 16 weeks)

Trail Making Test B and 5 digits test

Change in phonemic and semantic fluency from baseline to post interventionBaseline and post intervention (after 16 weeks)

Animals category and P, M, R letters, Spanish version

Change in inhibition from baseline to post interventionBaseline and post intervention (after 16 weeks)

5 digits test

Change in verbal short-term memory from baseline to post interventionBaseline and post intervention (after 16 weeks)

Digit Memory Test Forward

Change in verbal working memory from baseline to post interventionBaseline and post intervention (after 16 weeks)

Digit Memory Test Backward

Secondary Outcome Measures
NameTimeMethod
Change in neuropsychiatric symptoms from baseline to post interventionBaseline and post intervention (after 16 weeks)

Neuropsychiatric Inventory (NPI), Self-reported and caregivers spanish versions. Higher scores mean higher neuropsychiatric symptomatology.

Change in psychological well-being from baseline to post interventionBaseline and post intervention (after 16 weeks)

Euro Quality of Life Scale (EQ-5D), Self-reported and caregivers spanish versions. Higher scores mean higher quality of life. Visual analogue scale: minimum value=0, maximum value=100.

Change in depressive symptoms from baseline to post interventionBaseline and post intervention (after 16 weeks)

Geriatric Depression Scale (GDS), Spanish version. Higher scores mean higher depressive symptomatology. Minimum value = 0, maximum value = 15.

Trial Locations

Locations (2)

Cognitive disorders unity, Santa Maria's University Hospital, GSS

🇪🇸

Lleida, Spain

Faculty of Education, Psychology and Social Work; University of Lleida

🇪🇸

Lleida, Spain

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