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Metacognitive Intervention in Youth With Oncological Disease - the Mio Study

Not Applicable
Not yet recruiting
Conditions
Cancer
Interventions
Other: Mio-App
Registration Number
NCT06464237
Lead Sponsor
Insel Gruppe AG, University Hospital Bern
Brief Summary

The aim of the Mio-Study is to address the current lack of effective treatment options to reduce cognitive and physical long-term problems in adolescents with cancer. Through the use of the Mio-App, cognitive and physical development will be strengthened and metacognitive thinking and awareness will increase.

The Mio-App for adolescence with cancer will include a combination of cognitive and physical training tasks and prospective as well as retrospective metacognitive questions. In a randomized controlled trial, the App will be analysed for its efficacy on metacognitive thinking and executive functions. In particular, the investigators are interested in factors that affect the efficacy of the training program such as compliance, age, sex or the presence of fatigue. This study will give insight into the role of metacognition in cognitive and physical performance and will foster the development of adolescents with cancer in the long-term.

Detailed Description

In the Mio-Study, the investigators are developing a training app at the interface between neuropsychology and sports science - the Mio-training. The aim of the Mio-training is to strengthen the cognitive and motor development of adolescents after cancer in the long-term. The App contains a combination of cognitive and physical training tasks and metacognitive questions to promote knowledge and awareness of one's own thinking. In order to counteract the shortage of skilled workers and the increasing specialization of individual specialist areas, solutions are needed that can be implemented without a lot of staff. From today's perspective, there are hardly any trainings for adolescents that show long-term effects on cognitive and motor development and can also be transferred to non-trained tasks in school and everyday life.

The investigators are testing the effectiveness of the Mio-training in a randomized clinical trial (RCT) and expect a strengthening of metacognition and core cognitive functions (i.e. executive functions). The Mio-Study will provide information about the role of metacognition in cognitive and physical performance and, ideally, provide evidence for a novel, interdisciplinary rehabilitation strategy for adolescents after cancer.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Informed consent as documented by signature (see Informed Consent Form) of participants and / or parents / legal guardians
  • Age 10-16 years
  • A diagnosis of cancer either with or without central nervous system (CNS) involvement
  • Treatment of cancer including either radiation, chemotherapy and/ or surgical tumor removal
  • Three months before to three months after the end of cancer treatment
  • German or French speaking
Exclusion Criteria
  • Any other instable neurological condition (e.g. epilepsy)
  • A severe psychiatric disease (e.g., eating disorder) or severe learning disability
  • Known or suspected non-compliance
  • Drug or alcohol abuse
  • Inability to follow the procedures of the study, e.g. due to language problems
  • Enrolment of the investigator, his/her family members, employees and other dependent persons

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Training groupMio-AppTraining with Mio-App for 5 weeks, three times per week.
Primary Outcome Measures
NameTimeMethod
Junior Metacognitive Awareness InventoryAt baseline; immediately (up to 1 week) after the training or waiting period; at 3-months follow-up

Change from baseline in Junior Metacognitive Awareness Inventory to 3-months follow-up. Raw values ranging 18-90. Higher scores mean better outcome.

Secondary Outcome Measures
NameTimeMethod
Wechsler Intelligence Scale For Children: 5th Ed (WISC-V)At baseline; immediately (up to 1 week) after the training or waiting period.

Indices ranging from 0 to 155. Higher scores mean better outcome.

Tower of Hanoi (D-KEFS)At baseline; immediately (up to 1 week) after the training or waiting period.

Scaled Scores ranging from 1 to 19. Higher scores mean better outcome.

Pattern learning (Basic-MLT)At baseline; immediately (up to 1 week) after the training or waiting period.

Percentile ranks ranging from 0-100. Higher scores mean better outcome.

German Motor Performance Test (DMT)At baseline; immediately (up to 1 week) after the training or waiting period.

Percentile ranks ranging from 0-100. Higher scores mean better outcome.

Color-Word Interference TestAt baseline; immediately (up to 1 week) after the training or waiting period.

Scaled Scores ranging from 1 to 19. Higher scores mean better outcome.

Verbal learning and memory test (VLMT)At baseline; immediately (up to 1 week) after the training or waiting period.

Percentile ranks ranging from 0-100. Higher scores mean better outcome.

Behaviour Rating Inventory of Executive FunctionAt baseline; immediately (up to 1 week) after the training or waiting period; at 3-months follow-up.

Percentile ranks ranging from 0-100. Higher scores mean better outcome.

Trial Locations

Locations (1)

Insespital, University Hospital Bern

🇨🇭

Bern, Switzerland

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