Psychiatric Disorder
Conditions
Keywords
Cognitive training, Simulations of instrumental activities of daily living, Tablet-based cognitive training, Kinect-based cognitive training, Psychiatric disorders
Brief summary
This study aims to analyze which cognitive training experimental condition - Tablet versus Kinect - results in greater cognitive, mood, quality of life, and functional gains in a sample of chronic psychiatric patients.
Detailed description
Cognitive deficits are a nuclear feature of several psychiatric disorders, leading to a decrease in functional abilities and quality of life. Besides facilitating the inclusion of more ecologically valid stimuli and training tasks, technology-based cognitive training methods allow more dynamic interactions with the cognitive training content, which can result in an enhancement of patients' motivation and engagement in the therapeutic process. The modality of interaction with the cognitive training content may influence patients' response to cognitive training interventions. For instance, cognitive training through the tablet requires essentially hand movements (e.g., interaction with the training tasks by touching the correct stimuli), while cognitive training through the Kinect involves the performance of wide range movements (e.g., interaction with the training tasks by making specific body movements to select the correct stimuli). This study aims to analyze which cognitive training experimental condition - Tablet versus Kinect - results in greater cognitive, mood, quality of life, and functional gains in a sample of chronic psychiatric patients.
Interventions
PROCEDUREKinect-based cognitive training
The Kinect-based group will be involved in the standard treatment protocol and will perform a 14-sessions cognitive training program that consists of instrumental activities of daily living simulations. The cognitive training content will be projected onto a wall and patients will interact with the content, i.e., the selection of the appropriate response, through movement (kinect).
PROCEDURETablet-based cognitive training
The Tablet-based group will be involved in the standard treatment protocol and will perform a 14-sessions cognitive training program that consists of instrumental activities of daily living simulations. Patients will interact with the cognitive training content through a tablet.
Sponsors
Casa de Saúde Câmara Pestana
Universidade da Madeira
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
No minimum to 75 Years
Healthy volunteers
No
Inclusion criteria
* Psychiatric diagnosis; * Maximum age: 75 years old; * Relatively preserved language abilities (expressive and receptive language); * Being able to read and write; * Having no motor limitations; * Having no medical history of neurological conditions (e.g., stroke, traumatic brain injury, multiple sclerosis, etc.) * Preserved visual and auditory acuity;
Exclusion criteria
* Experiencing an acute psychiatric episode.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Free and Cued Selective Reminding Test (FCSRT) (Verbal Memory) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Free and Cued Selective Reminding Test (FCSRT); Min score immediate recall trials=0; Max score immediate recall trials=48; Min score Delayed recall trials=0; Max score delayed recall trials=16. Higher scores on both trials mean a better outcome. |
| Rey Complex Figure Test (RCFT) (Visuospatial skills and visual memory) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Rey Complex Figure Test (RCFT); Min score=0; Max score=36; Higher scores mean a better outcome. |
| Symbol Search and Coding (WAIS-III) (Processing speed) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Symbol Search and Coding (WAIS-III); Min score=0; Max score dependent on patients' performance in a 120 seconds time frame. Higher scores in both subtests mean a better outcome. |
| Verbal Fluency Tests (semantic and phonemic) (Executive Functions) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Verbal Fluency Tests (semantic and phonemic); Min score=0; Max score dependent on patients' performance during a 1-minute time frame. Higher scores on both verbal fluency tests mean a better outcome. |
| Montreal Cognitive Assessment (MoCA) (Cognitive screening) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Montreal Cognitive Assessment (MoCA); Min score=0; Max score=30; Higher scores mean a better outcome |
| Frontal Assessment Battery (FAB) (Executive functions screening) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Frontal Assessment Battery (FAB). Min score=0; Max score=18; Higher scores mean a better outcome. |
| Toulouse-Piéron Cancellation Test (TP) (Sustained and selective attention) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Toulouse-Piéron Cancellation Test (TP); Min score=0; Max score=dependent on patients' performance during a 10-min time frame; A higher work efficiency index means a better outcome, whereas a higher dispersion index means a worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| World Health Organization Quality of Life - Bref (WHOQOL-Bref) (Quality of life) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the World Health Organization Quality of life-Bref (WHOQOL-Bref); Min score=0; Max score=100; Higher scores mean a better outcome. |
| Adults and Older Adults Functional Assessment Inventory (IAFAI) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the Adults and Older Adults Functional Assessment Inventory; (IAFAI). Min score=0; Max score=100; Higher scores mean a worse outcome. |
| Beck Depression Inventory II (BDI-II) (Depressive symptomatology) | Baseline (1 week before the beginning of the intervention), post-intervention (7 weeks) and follow-up (3-months) | Change from baseline in the BDI-II; Min score=0; Max score=63; Higher scores mean a worse outcome. |
Countries
Portugal
Outcome results
None listed