Sickle Cell Disease Clinical Trial
— ACTOfficial title:
Feasibility and Efficacy of Attentional-Control Training in Sickle Cell Disease
Children with sickle cell disease (SCD) exhibit significantly reduced cognitive functioning (often difficulties with attention) compared to peers and siblings without SCD. EndeavorRx (Akili Interactive Labs: Boston, MA) is an FDA-approved home-based, electronic attentional-control training program designed to treat attention problems in youth. Users access EndeavorRx on a tablet device for 25-30 minutes each day, 5 days per week, for 4 weeks. The program involves training in a game-like environment that repeatedly challenges attentional-control abilities and adapts to user performance, becoming more difficult over time as performance improves. This pilot study is examining the feasibility, acceptability, and preliminary efficacy of EndeavorRx in a sample of 20 children with SCD ages 8-16 who are being treated with chronic blood transfusion therapy.
Status | Recruiting |
Enrollment | 20 |
Est. completion date | December 2023 |
Est. primary completion date | December 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 8 Years to 16 Years |
Eligibility | Inclusion Criteria: - diagnosis of SCD - ages 8-16 years - maintained on monthly blood transfusions consistently for at least 3 months. - patients will be proceed to the intervention phase only if they have a T-score > 75th percentile for Omission Errors on the Conners' Continuous Performance Test, 3rd Edition (CPT-3) or a T-score > 75th percentile for the Inattention subscale of the ADHD Rating Scale, Fifth Edition (ADHD-RS-V). Exclusion Criteria: - estimated Intelligence Quotient < 70 - motor, visual, or auditory impairment that prevents computer use - known diagnosis of a mental health condition that precludes, or takes treatment precedence over, participation in cognitive training - history of photosensitive seizures - insufficient English fluency. |
Country | Name | City | State |
---|---|---|---|
United States | Children's National Hospital | Washington | District of Columbia |
Lead Sponsor | Collaborator |
---|---|
Children's National Research Institute |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | EndeavorRx feasibility assessed by patient/family interest | Feasibility will be determined by examining the proportion of eligible patients/families approached about the study who enroll. | Approximately 10 months | |
Primary | EndeavorRx feasibility assessed by program completion rates | Feasibility will be evaluated by examining the proportion of the sample that completes at least 60 EndeavorRx missions (50%). | Approximately 4 weeks per participant | |
Primary | EndeavorRx feasibility assessed by reports of technical ease-of-use and satisfaction | Feasibility will be determined by examining parent and child reports of technical ease-of-use and satisfaction. | Approximately 4 weeks from start of intervention | |
Secondary | Inattention assessed by change in Omission Errors on the Conners' Continuous Performance Test, 3rd Edition (CPT-3) | EndeavorRx efficacy will be evaluated by examining change in Omission Errors on the CPT-3 computerized assessment after completing EndeavorRx. | Approximately 4 weeks from start of intervention | |
Secondary | Inattention assessed by change in the Inattention subscale of the ADHD Rating Scale, Fifth Edition (ADHD-RS-V) | EndeavorRx efficacy will be evaluated by examining change in the Inattention subscale of the parent-reported ADHD-RS-V after completing EndeavorRx. | Approximately 4 weeks from start of intervention |
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