A Randomized Controlled Crossover Trial to Assess Efficacy of Virtual Reality Based Cognitive Training Program in Mild Cognitive Impairment
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mild Cognitive Impairment
- Sponsor
- Inha University Hospital
- Enrollment
- 30
- Locations
- 2
- Primary Endpoint
- Change of Short form of Literacy Independent Cognitive Assessment from baseline at 6 weeks
- Last Updated
- 6 years ago
Overview
Brief Summary
This study evaluates efficacy and safety of virtual reality (VR)-based cognitive training program in amnestic mild cognitive impairment.
Detailed Description
This study is a single-blind, randomized, controlled, two-period crossover trial. The intervention is done twice a week for 6 weeks. There are two arms. During the first period, participants were randomized to receive either VR-based cognitive training or usual care. After a 2-week washout period, the groups were crossed over to receive the alternative treatment for 6 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- •A memory complaint by a participant or caregiver
- •Objective memory decline as defined by a delayed recall score of verbal learning test or logical memory worse than 1.0 standard deviations (SD) below age and education-adjusted normative mean
- •MMSE score better than1.5 SD below age and education-adjusted normative means
- •Global Clinical Dementia Rating (CDR) scale of 0.5 and memory score of CDR 0.5 or 1
- •Preserved activities of daily living (ADL), as defined by Korean Instrumental Activities of Daily Living \< 0.4
- •Not demented
- •Hachinski Ischemic Score ≤ 4
- •Can read and write Korean
- •brain MRI or CT showing no other diseases capable of producing cognitive impairment
- •Having a reliable informant who could provide investigators with the requested information.
Exclusion Criteria
- •Participated in another clinical trial within the past 4 weeks
- •Other serious or unstable medical disease such as acute or severe asthma, severe or unstable cardiovascular disease, active gastric ulcer, severe liver disease, or severe renal disease
- •A clinically significant laboratory abnormality, such as an abnormal thyroid function test, abnormal low levels of vitamin B12 or folate, and positive syphilis serology
- •A primary other neurodegenerative disorder
- •Major psychiatric illness such as major depressive disorders
- •Drug or alcohol addiction during the past 10 years
- •Severe loss of vision, hearing, or communicative disability
- •Malignancy within 5 years
- •Any conditions preventing cooperation as judged by the study physician
Outcomes
Primary Outcomes
Change of Short form of Literacy Independent Cognitive Assessment from baseline at 6 weeks
Time Frame: 6 weeks
Measurement of memory, visuospatial function, language, and executive function The range of score is from 0 to 100. The higher score means better cognition.
Secondary Outcomes
- Change of Mini-Mental State Examination from baseline at 6 weeks(6 weeks)
- Change of Clinical Dementia Rating Scale-Sum of Boxes from baseline at 6 weeks(6 weeks)
- Change of Quality of life-Alzheimer's disease from baseline at 6 weeks(6 weeks)
- Change of Geriatric Depression Scale-15 items from baseline at 6 weeks(6 weeks)
- Change of Prospective and Retrospective Memory Questionnaire from baseline at 6 weeks(6 weeks)
- Change of Bayer Activities of Daily Living from baseline at 6 weeks(6 weeks)