Amnestic Mild Cognitive Impairment Clinical Trial
— mSIMOfficial title:
Mobile Technology-Based Simultaneous Aerobic Exercise and Memory Training Intervention for Older Adults With Mild Cognitive Impairment
Verified date | August 2023 |
Source | Saint John's Cancer Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The mSIM study involves developing and conducting feasibility testing of a web-based application that will deliver mobile-based simultaneous exercise and memory skills training program (mSIM) for amnesic Mild Cognitive Impairment (aMCI) patients. The randomized control trial (RCT) will evaluate the efficacy of mSIM on memory performance and everyday functioning using 2 study arms (Group 1 activity monitoring control (via Fitbit) (CON) vs Group 2 mSIM intervention plus activity monitoring via Fitbit). mSIM treatment response will be evaluated using neuropsychological and functional evaluation. Concentration levels of peripheral biomarkers Brain-derived neurotrophic factor (BDNF) and norepinephrine (NE) also be assessed.
Status | Completed |
Enrollment | 12 |
Est. completion date | April 17, 2023 |
Est. primary completion date | April 17, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years to 80 Years |
Eligibility | Inclusion Criteria - Subjects must be age 50 to 80 at time of informed consent. - Subjects must confirm an aMCI diagnosis either by providing records from a clinical assessment within 6 months of enrollment in this study or through a brief memory assessment by study staff at screening. - Subjects must be proficient in spoken and written English for consenting as well as for study participation since the intervention in this study is currently only available in English. - Subjects with medical conditions must be stable for these conditions. Stable control on medication is acceptable. - Subjects, with or without assistance, must be able to use a computer and web interface. If assistance is needed, it must be readily available to them. - Subjects are required to have internet with Wi-Fi at the location of their mSIM training. - Subject must have normal visual acuity (or corrected to normal) and normal color vision as indicated by self-report. - Subject must have adequate hearing acuity as indicated by self-report. - Subject must have adequate motor capacity to use a mobile phone/iPad/computer as indicated by self-report. - Subjects must be able to provide medical clearance to participate in an unsupervised, moderate intensity exercise program from a physician. Exclusion Criteria - Subjects must not have an existing diagnosis of a neurodegenerative disorder (e.g., Alzheimer's Disease, Lewy Body Dementia, Frontal-Temporal Dementia). - Subjects must not have a prior diagnosis that might impact cognition and movement abilities including: significant cardiovascular disease, significant respiratory disease, illness or injury, substance abuse, schizophrenia, bipolar disorder, or other neurological diseases. - Subjects must not have a previous Mini Mental State Exam (MMSE) score below 19. - Subjects must not have a previous Clinical Dementia Rating (CDR) global score of =2. - Subjects must not have a Montreal Cognitive Assessment (MoCA)43 score of below 18 previously or during their screening evaluation. - Subjects must not demonstrate a progression of aMCI to dementia at screening based on the best judgement of a study Clinical Neuropsychologist. - Subjects must not currently participate in a high level of physical activity prior to study start as assessed by the International Physical Activity Questionnaire (IPAQ) at screening. - Subjects must not endorse that they are unable to participate in moderate intensity aerobic activities, such as fast walking or passing/kicking a ball to a partner at screening. |
Country | Name | City | State |
---|---|---|---|
United States | Pacific Brain Health Center | Santa Monica | California |
Lead Sponsor | Collaborator |
---|---|
Jennifer Bramen | National Institute on Aging (NIA), National Institutes of Health (NIH) |
United States,
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* Note: There are 48 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Memory Function Composite Score | Global Z-Score including results from RAVLT (Rey's Auditory Verbal Learning Test), Wechsler Memory Scale Fourth Edition (WMS-IV) Logical Memory and Visual Reproduction tests. | Baseline, approximately 3 months and approximately 6 months | |
Primary | Functional Abilities | Assessed using the Multifactorial Memory Questionnaire (MMQ) | Baseline, approximately 3 months and approximately 6 months | |
Secondary | Resting brain-derived neurotrophic factor (BDNF) | Resting level of serum-derived BDNF | Baseline and approximately 6 months | |
Secondary | Resting norepinephrine (NE) | Resting level of plasma-derived norepinephrine (NE) | Baseline and approximately 6 months |
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