Cognitive Remediation for Memory and Thinking Difficulties

JB
HE
Overseen ByHolly Eddy, Ph.D., LMFT-S
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a brain training program called Computerized Cognitive Remediation to determine its effectiveness for older adults with memory or thinking problems after recovering from COVID-19. Researchers aim to discover if this program can improve daily life and cognitive function over time. Participants will be compared to those engaged in different computer activities to assess effectiveness. Suitable candidates are adults aged 60 or older who have experienced memory or thinking issues for at least 12 weeks following a confirmed COVID-19 infection. As an unphased trial, this study provides a unique opportunity for participants to contribute to research that could enhance cognitive health in older adults.

Will I have to stop taking my current medications?

The trial requires that if you are on psychiatric medication, you must be on a stable dose for at least 8 weeks before participating. Other medications are not specifically mentioned, so it's best to discuss with the trial team.

What prior data suggests that this computerized cognitive remediation is safe for older adults with postviral neurocognitive dysfunction?

Research has shown that computerized cognitive exercises are generally easy for participants to handle. In one study, these exercises had a small to moderate positive impact on attention and memory. Participants reported no major side effects, indicating safety for most people. Another review found that similar brain training activities might improve overall brain function in individuals with mild memory problems. This suggests these exercises could safely boost memory and thinking skills in older adults.12345

Why are researchers excited about this trial?

Researchers are excited about computerized cognitive remediation because it offers a novel approach to addressing memory and thinking difficulties. Unlike traditional treatments that may rely on medication or in-person therapy sessions, this method uses interactive computer-based exercises designed to enhance cognitive function through regular practice. This approach is accessible and adaptable, allowing users to engage with the treatment at their own pace and in their preferred environment. Additionally, the use of technology in treatment delivery is promising for its potential to reach a broader audience, making cognitive remediation more widely available.

What evidence suggests that this computerized cognitive remediation is effective for postviral neurocognitive dysfunction?

Research has shown that computerized brain training can improve thinking and memory, particularly for individuals with mild memory problems. In this trial, participants will receive either Computerized Cognitive Remediation or an Active Computer-Based Control. Studies have found small but meaningful improvements in overall brain function for users of these programs compared to non-users. Participants using these tools have demonstrated faster thinking and enhanced planning and problem-solving skills. Although the benefits for those with more severe memory issues are less pronounced, the results are promising for those with mild concerns. Overall, these programs provide helpful support for older adults needing a little extra assistance with their mental skills.25678

Who Is on the Research Team?

CL

Cutter Lindbergh, Ph.D.

Principal Investigator

UConn Health

Are You a Good Fit for This Trial?

This trial is for English-speaking adults aged 60 or older who have had COVID-19, confirmed by testing, and are experiencing lasting cognitive issues like memory or thinking problems for at least 12 weeks. Participants should show signs of cognitive decline but not be affected by severe psychiatric illnesses, dementia, substance abuse in the last two years, significant neurological disorders, sensory impairments that affect tablet use, or a history of neurodevelopmental conditions.

Inclusion Criteria

Fluent in English language
Prior history of COVID-19 that was confirmed with viral testing (e.g., positive laboratory test or positive at-home rapid test)
Clinically meaningfully subjective cognitive concerns (i.e., T-score < 40) on the PROMIS-Cognitive Function Scale
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Exclusion Criteria

Alcohol or other substance use disorder within the past 2 years
History of dementia and/or dementia range performance on the Mini-Mental State Examination (i.e., score of less than or equal to 23)
Performance that is below expectation on a test of effort and validity
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-3 hours
1 visit (in-person)

Treatment

Participants engage in computerized cognitive remediation activities for approximately 5 hours per week over 6 weeks, with weekly remote check-ins and two blood draw sessions.

6 weeks
6 weekly remote check-ins, 2 blood draw sessions

Post-Treatment Assessment

Participants undergo assessments of cognitive, emotional, and daily functioning.

2-3 hours
1 visit (in-person)

Follow-up

Participants are monitored for cognitive performance and other outcomes at a 6-month follow-up visit.

6 months
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Computerized Cognitive Remediation
Trial Overview The study tests if computerized 'brain training' can improve cognition in older adults with postviral cognitive dysfunction. It compares brain exercises to other computer activities over several months to see if there's an improvement in thinking skills and daily function and a decrease in inflammation markers. The program includes weekly sessions on a provided tablet and regular check-ins.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Computerized Cognitive RemediationExperimental Treatment1 Intervention
Group II: Active Computer-Based ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Cutter Lindbergh

Lead Sponsor

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

Citations

Effectiveness of Computerized Cognitive Training in ...According to the meta-analysis, CCT intervention provided a significant but small increase in global cognitive function compared to that in the global cognitive ...
Study Details | NCT07171450 | Cognitive RemediationThe goal of this project is to determine the potential of a neuroplasticity-based computerized cognitive remediation (CCR) intervention for ...
Effectiveness of Computerized Cognitive Training in ...This systematic review suggests that CCT interventions could improve global cognitive function in patients with MCI.
Review Controversies in Computerized Cognitive TrainingCognitive performance improved in the CR group compared with the IPS alone group, with significant improvements in processing speed/executive functioning, ...
a systematic review with meta-analyses - BMC GeriatricsThe results demonstrated that CCIs have beneficial effects on domain-specific cognition in people with MCI but no significant effects on people with dementia.
Impact of cognitive rehabilitation interventions on memory ...Cognitive impairment is a major cause of disability in patients who have suffered from a stroke, and cognitive rehabilitation interventions show promise for ...
Does Computerized Cognitive Training Improve Executive ...Computerized CT: RehaCom is a computer program that was designed to assist cognitive rehabilitation. The program targets attention, concentration, memory, ...
Effect of computerized cognitive remediation therapy on ...One study found that CCRT had a small to moderate effect on attention, working memory, positive symptoms, and depressive symptoms (13). The ...
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