Mild Cognitive Impairment
Conditions
Keywords
Mild Cognitive Impairment, white matter hyperintensities, computerized cognitive training, brain plasticity
Brief summary
This is a non-pharmacological study evaluating the impact of a computerized cognitive stimulation program on verbal learning and on the progression white matter hyperintensities in elderly with mild cognitive impairment.
Detailed description
White matter hyperintensities (WMH) can appear in Mild Cognitive Impairment (MCI) and have been associated to executive, attention and processing speed deficits. Some findings indicate that the presence of WMH may contribute to Alzheimer's disease (AD) in addition to ß-amyloid, suggesting a greater vulnerability of MCI. One important challenge is to prevent or slowing down the progression of WMH. Few studies investigated the effects of computerized cognitive interventions in MCI with WMH, which deserve special attention. This study aim to investigate the effects of an intensive computer-based cognitive stimulation (CCS) program on the verbal learning in episodic memory in MCI with WMH and to explore the effects on the progression of WMH at 1-year interval.
Interventions
Experimental group will receive 1 year of a computer-based cognitive stimulation program, first 6 months, 60-minutes twice a week and next 6 months once a week training in group-setting, using a tablet with a software with specific training focused on attention, executive and speed processing functions.
Sponsors
Study design
Intervention model description
Comparison between experimental group and control group.
Eligibility
Inclusion criteria
* Clinical diagnosis of Mild Cognitive Impairment * With and without with matter hyperintensities * MRI data available or accept to perform one * No engagement in other cognitive intervention program
Exclusion criteria
* Psychiatric and neurological disorders * History of alcohol or other substance consumption * Sensory and or motor deficit that could interfere with the use of computer tool * Refusal MRI.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change on Rey Auditory Verbal Learning test | Baseline assessment in 3-weeks period before intervention, change from baseline at 6-months immediately after the end intervention, and after 3-months follow-up | Assessment of verbal learning in episodic memory |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change on Fazekas scale | Baseline assessment of WMH severity and evolution at 12 months immediately after intervention | Assessment of white matter hyperintentisites severity on MRI |