Exhaustion; SyndromeRECONCT03073772
Rehabilitation for Improved Cognition
A study testing Computer-based cognitive training and Physical fitness training in people with Exhaustion; Syndrome and Burnout Syndrome, run by Umeå University at 1 site in Sweden.
Trial summary
Many patients with exhaustion disorders continue to have significant difficulties with attention and memory function which reduce their work ability. This randomized study investigates whether the addition of a 12-week period of specific cognitive training or physical fitness training could further enhance cognitive… Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Exhaustion; Syndrome, Burnout Syndrome
- What is being tested?
- Computer-based cognitive training and Physical fitness training
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 161 participants
- Where
- 1 siteSweden
- Study dates
- 1 Apr 2010to 31 Dec 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Confirmed exhaustion disorder according to criteria established by the Swedish National Board of Health and Welfare
- 18 - 60 years of age
- Current employment
- Considered suitable for multimodal rehabilitation in group
Who cannot join
- Need of other treatment or rehabilitation
- Abuse of alcohol or drugs
- Participation in another intervention study
Trial locations and contacts
1 site in 1 country.
Sweden1 site
Stress Rehabilitation Clinic, Umeå university hospital, Västerbotten county council
Umeå, 90333
About this study
Official title: Effects on Cognitive Function, Estimated as a Global Brain Score, by Cognitive and Physical Fitness Training Added to a Multimodal Rehabilitation Program for Patients With Exhaustion Disorder
Many patients with exhaustion disorders continue to have significant difficulties with attention and memory function which reduce their work ability. This randomized study investigates whether the addition of a 12-week period of specific cognitive training or physical fitness training could further enhance cognitive function in patients with exhaustion disorder participating in a multimodal rehabilitation program.
Read the detailed description
This study was performed at The Stress Rehabilitation Clinic at the University hospital of Umeå. In total 161 patients with diagnosed exhaustion disorder were recruited consecutively to the study from March 2010 until June 2013. Participants were all in age span 18-60 years old, had an ongoing employment and were assessed as suitable for a 24-week multimodal rehabilitation, which consisted of cognitive behavioural therapy in group (maximum eight persons), prescription of physical activity/exercise (FaR©) and vocational measures with rehabilitation meetings. A randomization by group was performed after 12 weeks of multimodal rehabilitation to one of three conditions; A/ continued multimodal rehabilitation, B/ addition of a computer-based cognitive training, and C/ addition of physical fitness training. The added training was performed during the last 12 weeks of rehabilitation (week 12 to 24) and with three weekly training occasions. Primary endpoint was change in cognitive functioning, estimated as a global brain score. Secondary endpoints were changes in different specific neuropsychological tasks, estimated psychological wellbeing, physical capacity, work ability, health-related quality of life and cost-effectiveness. A long-term follow-up was performed one year after termination of the interventions (at week 76).
- Conditions
- Exhaustion; Syndrome, Burnout Syndrome
- Being tested
- Computer-based cognitive training, Physical fitness training
- Medical subject headings
- Syndrome, Burnout, Psychological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Computer-based cognitive trainingBehavioural
A total of 36 training sessions, approximately 20 minutes long each. Five different tasks were used in training all tapping different aspects of cognitive control such as updating, shifting, visuo-spatial working memory and episodic memory binding.
Physical fitness trainingBehavioural
A total of 36 training sessions, approximately 40 minutes long each, with physical fitness training performed as group indoor cycling. The participants were instructed to attain a load of approximately 65-80% of their maximum heart rate.
| Study group | Role | What they receive |
|---|---|---|
| Continued multimodal rehabilitation | No intervention | No addition of extra training in this group. Only ordinary continued multimodal rehabilitation. |
| Computer-based cognitive training | Active comparator | This arm also consisted of continued multimodal rehabilitation. Receives: Behavioral: Computer-based cognitive training |
| Physical fitness training | Active comparator | This arm also consisted of continued multimodal rehabilitation. Receives: Behavioral: Physical fitness training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Short-term change in global brain score
The global brain score was calculated from ten neuropsychological tasks covering different domains in cognitive functioning
Measured: Week 12 and 24
Long-term change in global brain score
The global brain score was calculated from ten neuropsychological tasks covering different domains in cognitive functioning
Measured: Week 12, 24 and 76, mixed model with several time points used to estimate long-term effects
Secondary outcomes (34)
Short-term change in "letter memory running span task"
A measure of the updating functioning
Measured: Week 12 and 24
Long-term change in "letter memory running span task"
A measure of the updating functioning
Measured: Week 12, 24 and 76, mixed model with several time points used to estimate long-term effects
Short-term change in "3-back task"
A measure of the updating functioning
Measured: Week 12 and 24
Long-term change in "3-back task"
A measure of the updating functioning
Measured: Week 12, 24 and 76, mixed model with several time points used to estimate long-term effects
Short-term change in the "colour word interference test (the Stroop test)"
A measure of the inhibition functioning, from D-KEFS
Measured: Week 12 and 24
Long-term change in the "colour word interference test (the Stroop test)"
A measure of the inhibition functioning, from D-KEFS
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "trail making test"
A measure of attentional shifting, from D-KEFS
Measured: Week 12 and 24
Long-term change in the "trail making test"
A measure of attentional shifting, from D-KEFS
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "digit span forward test"
A measure of the working memory, from WAIS-R
Measured: Week 12 and 24
Long-term change in the "digit span forward test"
A measure of the working memory, from WAIS-R
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "digit span backward test"
A measure of the working memory, from WAIS-R
Measured: Week 12 and 24
Long-term change in the "digit span backward test"
A measure of the working memory, from WAIS-R
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "letter-number sequencing" test
A measure of the working memory, from WAIS-III
Measured: Week 12 and 24
Long-term change in the "letter-number sequencing" test
A measure of the working memory, from WAIS-III
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "recall of concrete nouns" test (Buschke's selective reminding procedure)
A measure of the episodic memory
Measured: Week 12 and 24
Long-term change in the "recall of concrete nouns" test (Buschke's selective reminding procedure)
A measure of the episodic memory
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "digit symbol" test
A measure of perceptual speed, from WAIS-R
Measured: Week 12 and 24
Long-term change in the "digit symbol" test
A measure of perceptual speed, from WAIS-R
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in "Raven's advanced progressive matrices"
A measure of non-verbal reasoning ability
Measured: Week 12 and 24
Long-term change in "Raven's advanced progressive matrices"
A measure of non-verbal reasoning ability
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Shirom Melamed Burnout Questionnaire
A burnout measure
Measured: Week 12 and 24
Long-term change in Shirom Melamed Burnout Questionnaire
A burnout measure
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Short Form 36 item Health Questionnaire
Health-related quality of life estimate
Measured: Week 12 and 24
Long-term change in Short Form 36 item Health Questionnaire
Health-related quality of life estimate
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Checklist Individual Strength Questionnaire
Measure of fatigue
Measured: Week 12 and 24
Long-term change in Checklist Individual Strength Questionnaire
Measure of fatigue
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Hospital Anxiety and Depression Scale, HAD-S
A measure of anxiety and depression
Measured: Week 12 and 24
Long-term change in Hospital Anxiety and Depression Scale, HAD-S
A measure of anxiety and depression
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in aerobic capacity
A submaximal cycle ergometer test performed to estimate maximal oxygen uptake
Measured: Week 12 and 24
Long-term change in aerobic capacity
A submaximal cycle ergometer test performed to estimate maximal oxygen uptake
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in work ability
Work Ability Index questionnaire, short version
Measured: Week 12 and 24
Long-term change in work ability
Work Ability Index questionnaire, short version
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Long-term total sick leave change
Information about sick leave from registers at the Social Insurance Agency in Sweden
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Long-term cost-effectiveness
Estimation of Changes in Quality Adjusted Life Years by using the Short Form-(36) Health Survey
Measured: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2017
- Study start1 Apr 2010
- Primary completion31 Dec 2014
- Study completion31 Dec 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Exhaustion; SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 161 participants (actual)
Sponsor and investigators
- Lead sponsor
- Umeå University
- Sponsor type
- University, hospital or other
- Collaborators
- Västerbotten County Council, Sweden, Swedish Social Insurance Agency
- Responsible party
- Sponsor
- Investigators
- Lisbeth Slunga Järvholm, MD, Ass Prof, Principal investigator, Umeå University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03073772
- Sponsor's protocol ID
- REHSAM 99368-2009/RS09
- Acronym
- RECO
- Status last verified
- Feb 2017
- First submitted
- 22 Feb 2017
- Last updated
- 8 Mar 2017
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Nelson A, Aronsson I, Tillfors M, Neely AS, Gavelin HM. The experienced route to cognitive health: Cognitive recovery in persons with prior stress-related Exhaustion disorder. BMC Psychiatry. 2025 Apr 14;25(1):375. doi: 10.1186/s12888-025-06713-7.
PubMed 40229758Nelson A, Gavelin HM, Boraxbekk CJ, Eskilsson T, Josefsson M, Slunga Jarvholm L, Neely AS. Subjective cognitive complaints in patients with stress-related exhaustion disorder: a cross sectional study. BMC Psychol. 2021 May 18;9(1):84. doi: 10.1186/s40359-021-00576-9.
PubMed 34006315Malmberg Gavelin H, Eskilsson T, Boraxbekk CJ, Josefsson M, Stigsdotter Neely A, Slunga Jarvholm L. Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO - a randomized clinical trial. Stress. 2018 Jul;21(4):279-291. doi: 10.1080/10253890.2018.1461833. Epub 2018 Apr 25.
PubMed 29693483Eskilsson T, Slunga Jarvholm L, Malmberg Gavelin H, Stigsdotter Neely A, Boraxbekk CJ. Aerobic training for improved memory in patients with stress-related exhaustion: a randomized controlled trial. BMC Psychiatry. 2017 Sep 2;17(1):322. doi: 10.1186/s12888-017-1457-1.
PubMed 28865430
Study at a glance
From the registry record, last updated by the sponsor on 8 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects on Cognitive Function, Estimated as a Global Brain Score, by Cognitive and Physical Fitness Training Added to a Multimodal Rehabilitation Program for Patients With Exhaustion Disorder
- ClinicalTrials.gov ID
- NCT03073772
- Acronym / sponsor ID
- RECO / REHSAM 99368-2009/RS09
- Conditions
- Exhaustion; Syndrome, Burnout Syndrome
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 161 participants (actual)
- Lead sponsor
- Umeå UniversityUniversity, hospital or other
- Collaborators
- Västerbotten County Council, Sweden, Swedish Social Insurance Agency
- Study start
- 1 Apr 2010 (actual)
- Primary completion
- 31 Dec 2014 (actual)
- Study completion
- 31 Dec 2014 (actual)
- First posted
- 8 Mar 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Many patients with exhaustion disorders continue to have significant difficulties with attention and memory function which reduce their work ability. This randomized study investigates whether the addition of a 12-week period of specific cognitive training or physical fitness training could further enhance cognitive function in patients with exhaustion disorder participating in a multimodal rehabilitation program.
Detailed description
This study was performed at The Stress Rehabilitation Clinic at the University hospital of Umeå. In total 161 patients with diagnosed exhaustion disorder were recruited consecutively to the study from March 2010 until June 2013. Participants were all in age span 18-60 years old, had an ongoing employment and were assessed as suitable for a 24-week multimodal rehabilitation, which consisted of cognitive behavioural therapy in group (maximum eight persons), prescription of physical activity/exercise (FaR©) and vocational measures with rehabilitation meetings. A randomization by group was performed after 12 weeks of multimodal rehabilitation to one of three conditions; A/ continued multimodal rehabilitation, B/ addition of a computer-based cognitive training, and C/ addition of physical fitness training. The added training was performed during the last 12 weeks of rehabilitation (week 12 to 24) and with three weekly training occasions. Primary endpoint was change in cognitive functioning, estimated as a global brain score. Secondary endpoints were changes in different specific neuropsychological tasks, estimated psychological wellbeing, physical capacity, work ability, health-related quality of life and cost-effectiveness. A long-term follow-up was performed one year after termination of the interventions (at week 76).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Continued multimodal rehabilitation | No intervention | –No addition of extra training in this group. Only ordinary continued multimodal rehabilitation. |
| Computer-based cognitive training | Active comparator | Behavioral: Computer-based cognitive trainingThis arm also consisted of continued multimodal rehabilitation. |
| Physical fitness training | Active comparator | Behavioral: Physical fitness trainingThis arm also consisted of continued multimodal rehabilitation. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Confirmed exhaustion disorder according to criteria established by the Swedish National Board of Health and Welfare
- 18 - 60 years of age
- Current employment
- Considered suitable for multimodal rehabilitation in group
Key exclusion criteria (3 listed)
- Need of other treatment or rehabilitation
- Abuse of alcohol or drugs
- Participation in another intervention study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Computer-based cognitive trainingA total of 36 training sessions, approximately 20 minutes long each. Five different tasks were used in training all tapping different aspects of cognitive control such as updating, shifting, visuo-spatial working memory and episodic memory binding. | Behavioural | Computer-based cognitive training |
| Physical fitness trainingA total of 36 training sessions, approximately 40 minutes long each, with physical fitness training performed as group indoor cycling. The participants were instructed to attain a load of approximately 65-80% of their maximum heart rate. | Behavioural | Physical fitness training |
Primary outcome
Short-term change in global brain score
Time frame: Week 12 and 24
The global brain score was calculated from ten neuropsychological tasks covering different domains in cognitive functioning
Long-term change in global brain score
Time frame: Week 12, 24 and 76, mixed model with several time points used to estimate long-term effects
The global brain score was calculated from ten neuropsychological tasks covering different domains in cognitive functioning
34 secondary outcomes
Short-term change in "letter memory running span task"
Time frame: Week 12 and 24
Long-term change in "letter memory running span task"
Time frame: Week 12, 24 and 76, mixed model with several time points used to estimate long-term effects
Short-term change in "3-back task"
Time frame: Week 12 and 24
Long-term change in "3-back task"
Time frame: Week 12, 24 and 76, mixed model with several time points used to estimate long-term effects
Short-term change in the "colour word interference test (the Stroop test)"
Time frame: Week 12 and 24
Long-term change in the "colour word interference test (the Stroop test)"
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "trail making test"
Time frame: Week 12 and 24
Long-term change in the "trail making test"
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "digit span forward test"
Time frame: Week 12 and 24
Long-term change in the "digit span forward test"
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "digit span backward test"
Time frame: Week 12 and 24
Long-term change in the "digit span backward test"
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "letter-number sequencing" test
Time frame: Week 12 and 24
Long-term change in the "letter-number sequencing" test
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "recall of concrete nouns" test (Buschke's selective reminding procedure)
Time frame: Week 12 and 24
Long-term change in the "recall of concrete nouns" test (Buschke's selective reminding procedure)
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in the "digit symbol" test
Time frame: Week 12 and 24
Long-term change in the "digit symbol" test
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in "Raven's advanced progressive matrices"
Time frame: Week 12 and 24
Long-term change in "Raven's advanced progressive matrices"
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Shirom Melamed Burnout Questionnaire
Time frame: Week 12 and 24
Long-term change in Shirom Melamed Burnout Questionnaire
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Short Form 36 item Health Questionnaire
Time frame: Week 12 and 24
Long-term change in Short Form 36 item Health Questionnaire
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Checklist Individual Strength Questionnaire
Time frame: Week 12 and 24
Long-term change in Checklist Individual Strength Questionnaire
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in Hospital Anxiety and Depression Scale, HAD-S
Time frame: Week 12 and 24
Long-term change in Hospital Anxiety and Depression Scale, HAD-S
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in aerobic capacity
Time frame: Week 12 and 24
Long-term change in aerobic capacity
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Short-term change in work ability
Time frame: Week 12 and 24
Long-term change in work ability
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Long-term total sick leave change
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Long-term cost-effectiveness
Time frame: Week 12, 24 and 76, mixed model with several time points to estimate long-term effects
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Mar 2017.
- Derived from this study: PubMed 40229758Nelson A, Aronsson I, Tillfors M, Neely AS, Gavelin HM. The experienced route to cognitive health: Cognitive recovery in persons with prior stress-related Exhaustion disorder. BMC Psychiatry. 2025 Apr 14;25(1):375. doi: 10.1186/s12888-025-06713-7.
- Derived from this study: PubMed 34006315Nelson A, Gavelin HM, Boraxbekk CJ, Eskilsson T, Josefsson M, Slunga Jarvholm L, Neely AS. Subjective cognitive complaints in patients with stress-related exhaustion disorder: a cross sectional study. BMC Psychol. 2021 May 18;9(1):84. doi: 10.1186/s40359-021-00576-9.
- Derived from this study: PubMed 29693483Malmberg Gavelin H, Eskilsson T, Boraxbekk CJ, Josefsson M, Stigsdotter Neely A, Slunga Jarvholm L. Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO - a randomized clinical trial. Stress. 2018 Jul;21(4):279-291. doi: 10.1080/10253890.2018.1461833. Epub 2018 Apr 25.
- Derived from this study: PubMed 28865430Eskilsson T, Slunga Jarvholm L, Malmberg Gavelin H, Stigsdotter Neely A, Boraxbekk CJ. Aerobic training for improved memory in patients with stress-related exhaustion: a randomized controlled trial. BMC Psychiatry. 2017 Sep 2;17(1):322. doi: 10.1186/s12888-017-1457-1.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lisbeth Slunga Järvholm, MD, Ass Prof principal investigator
Umeå University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Computer-based cognitive training and Physical fitness training in people with Exhaustion; Syndrome and Burnout Syndrome, run by Umeå University at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Short-term change in global brain score (time frame: Week 12 and 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03073772, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Mar 2017.