Cognitive Impairment, MildGAME-ProjectNCT04835909
Board Games Among Mild Cognitive Impairment Patients Experience (GAME Project)
A study testing Modern board and card games group and Paper and pencil tasks group in people with Cognitive Impairment, Mild, run by Brain In Game scientific-technical service at 2 sites in Spain.
Trial summary
Nowadays, on geriatric centres, cognitive decline used to be prevented by pen and paper exercises (Calero García \& Navarro Gonzalez, 2006). However, as Lampit et al. (2014) suggest, studies based on the efficacy and effectiveness of new cognitive-based interventions in order to improve these cognitive processes are… Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Cognitive Impairment, Mild
- What is being tested?
- Modern board and card games group and Paper and pencil tasks group
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 112 participants
- Where
- 2 sitesSpain
- Study dates
- 16 Feb 2021to Mar 2024
- 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 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participation in cognitive disease center
- Amnestic MCI diagnoses (clinical diagnoses following the guidelines of Petersen et al. 2011)
- Global deterioration scale (GDS) 2-3 values
- Participation assessing outcomes of the caregivers in the study
Who cannot join
- Participation in another cognitive training program
- Dementia, neurologic or other disease non-neurodegenerative, which could affect cognitive change over time (medical-reported)
- Severe visual impairment, language impairment or motoric impairment of the upper extremity which significantly affects ability to solve jigsaw puzzles (medical-reported)
Trial locations and contacts
2 sites in 1 country.
Spain2 sites, 2 recruiting
- Recruiting
Faculty of Education, Psychology and Social Work; University of Lleida
Lleida, 25001
Jorge Moya-Higueras, PhD, 973706509 ext. 6509, jorge.moya@udl.cat
Jaume March-Llanes, PhD
- Recruiting
Cognitive disorders unity, Santa Maria's University Hospital, GSS
Lleida, 25198
Beatriu Lara Consuegra, MsC, +34 972727222 ext. 1571, blara@gss.cat
About this study
Official title: Effectiveness on Cognition of a Cognitive Training Intervention Based on Modern Board and Card Games in Mild Cognitive Impairment Patients: a Randomized Controlled Trial
Nowadays, on geriatric centres, cognitive decline used to be prevented by pen and paper exercises (Calero García \& Navarro Gonzalez, 2006). However, as Lampit et al. (2014) suggest, studies based on the efficacy and effectiveness of new cognitive-based interventions in order to improve these cognitive processes are fundamental (Lampit et al., 2014). Cognitive-based interventions are interventions that directly or indirectly try to improve cognitive processes (Chiu et al., 2017). Between the different kinds of cognitive-based interventions, cognitive training permits stablish randomized controlled trials. Cognitive training consists of repeating during a concrete time a standardized set of tasks in order to maintain or improve one or some cognitive processes. Meta-analysis studies have shown that computerized cognitive training can improve in a moderate size some cognitive processes in elderly people with mild cognitive impairment or dementia (Hill et al., 2017) and without those diagnoses (Lampit, Hallock, \& Valenzuela, 2014; Chiu et al., 2017). Although it seems that computerized training is effective, safe and secure, it is important to note the social component of the definition of health (OMS, 1948). Chang, Wray \& Lin (2014) found that social relationships predict the use of leisure activities and this predict a better physical health and wellbeing psychological. In fact, a comparative study found that those elderly people that have played board games have a 15% lower risk of having dementia diagnose and problems related with memory (Dartigues et al., 2013). To sum up, the aim of this research project is to test the effectiveness of a cognitive training based on modern board and card games in elderly people with a diagnose of mild-cognitive impairment in comparison to do cognitive paper and pencil tasks or in a wait-list comparison group.
- Conditions
- Cognitive Impairment, Mild
- Being tested
- Modern board and card games group, Paper and pencil tasks group
- Keywords
- Memory, Executive Functions, Cognitive training, Cognitive enrichment, Modern board and card games
- Medical subject headings
- Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Modern board and card games groupBehavioural
Modern board and card games group
Paper and pencil tasks groupBehavioural
Paper and pencil tasks group
| Study group | Role | What they receive |
|---|---|---|
| Behavioral: modern board and card games | Experimental | Participants will play modern board and card games in groups at medical center 2 times per week for at least 1 hour over a period of 16 weeks. Receives: Behavioral: Modern board and card games group |
| Behavioral: paper and pencil tasks | Active comparator | Participants will do cognitive paper and pencil tasks in groups at medical center 2 times per week for at least 1 hour over a period of 16 weeks. Receives: Behavioral: Paper and pencil tasks group |
| Wait-list | No intervention | Participants will be in a wait-list over a period of 16 weeks. Then, they received the board and card games' or paper and pencil tasks' intervention. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in cognitive impairment from baseline to post intervention
Addenbrooke's Cognitive Examination
Measured: Baseline and post intervention (after 16 weeks)
Change in visuoconstruction, immediate memory and long-term memory from baseline to post intervention
Copy, draw after 3 and after 25 minuts of Rey-Osterrieth Complex Figure Test
Measured: Baseline and post intervention (after 16 weeks)
Change in verbal long-term memory from baseline to post intervention
Rey Auditory Verbal Learning Test (RAVLT)
Measured: Baseline and post intervention (after 16 weeks)
Change in verbal short-term memory from baseline to post intervention
Digit Memory Test Forward
Measured: Baseline and post intervention (after 16 weeks)
Change in verbal working memory from baseline to post intervention
Digit Memory Test Backward
Measured: Baseline and post intervention (after 16 weeks)
Change in visuospatial short-term memory from baseline to post intervention
Visual Memory Test Forward
Measured: Baseline and post intervention (after 16 weeks)
Change in visuospatial working memory from baseline to post intervention
Visual Memory Test Backward
Measured: Baseline and post intervention (after 16 weeks)
Change in visuospatial processing from baseline to post intervention
Trail Making Test A and Symbol Digit Modalities Test (SDMT)
Measured: Baseline and post intervention (after 16 weeks)
Change in flexibility from baseline to post intervention
Trail Making Test B and 5 digits test
Measured: Baseline and post intervention (after 16 weeks)
Change in inhibition from baseline to post intervention
5 digits test
Measured: Baseline and post intervention (after 16 weeks)
Change in phonemic and semantic fluency from baseline to post intervention
Animals category and P, M, R letters, Spanish version
Measured: Baseline and post intervention (after 16 weeks)
Secondary outcomes (3)
Change in neuropsychiatric symptoms from baseline to post intervention
Neuropsychiatric Inventory (NPI), Self-reported and caregivers spanish versions. Higher scores mean higher neuropsychiatric symptomatology.
Measured: Baseline and post intervention (after 16 weeks)
Change in psychological well-being from baseline to post intervention
Euro Quality of Life Scale (EQ-5D), Self-reported and caregivers spanish versions. Higher scores mean higher quality of life. Visual analogue scale: minimum value=0, maximum value=100.
Measured: Baseline and post intervention (after 16 weeks)
Change in depressive symptoms from baseline to post intervention
Geriatric Depression Scale (GDS), Spanish version. Higher scores mean higher depressive symptomatology. Minimum value = 0, maximum value = 15.
Measured: Baseline and post intervention (after 16 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2021
- Study start16 Feb 2021
- Primary completionMar 2024 (estimated)
- Study completionMar 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Cognitive Impairment, MildStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 112 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Brain In Game scientific-technical service
- Sponsor type
- University, hospital or other
- Collaborators
- Hospital Universitari Santa Maria, Spain
- Responsible party
- Principal investigator, jaume march llanes, Brain In Game scientific-technical service
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04835909
- Sponsor's protocol ID
- NCT2021UTC
- Acronym
- GAME-Project
- Status last verified
- Apr 2021
- First submitted
- 22 Mar 2021
- Last updated
- 8 Apr 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Calero García, M. D., & Navarro Gonzalez, E. (2006). Eficacia de un programa de entrenamiento en memoria en el mantenimiento de ancianos con y sin deterioro cognitivo. Clínica y Salud, 17(2), 187-202.
Chang PJ, Wray L, Lin Y. Social relationships, leisure activity, and health in older adults. Health Psychol. 2014 Jun;33(6):516-23. doi: 10.1037/hea0000051.
PubMed 24884905Chiu HL, Chu H, Tsai JC, Liu D, Chen YR, Yang HL, Chou KR. The effect of cognitive-based training for the healthy older people: A meta-analysis of randomized controlled trials. PLoS One. 2017 May 1;12(5):e0176742. doi: 10.1371/journal.pone.0176742. eCollection 2017.
PubMed 28459873Dartigues JF, Foubert-Samier A, Le Goff M, Viltard M, Amieva H, Orgogozo JM, Barberger-Gateau P, Helmer C. Playing board games, cognitive decline and dementia: a French population-based cohort study. BMJ Open. 2013 Aug 29;3(8):e002998. doi: 10.1136/bmjopen-2013-002998.
PubMed 23988362Hill NT, Mowszowski L, Naismith SL, Chadwick VL, Valenzuela M, Lampit A. Computerized Cognitive Training in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis. Am J Psychiatry. 2017 Apr 1;174(4):329-340. doi: 10.1176/appi.ajp.2016.16030360. Epub 2016 Nov 14.
PubMed 27838936Lampit A, Hallock H, Valenzuela M. Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS Med. 2014 Nov 18;11(11):e1001756. doi: 10.1371/journal.pmed.1001756. eCollection 2014 Nov.
PubMed 25405755
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness on Cognition of a Cognitive Training Intervention Based on Modern Board and Card Games in Mild Cognitive Impairment Patients: a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT04835909
- Acronym / sponsor ID
- GAME-Project / NCT2021UTC
- Conditions
- Cognitive Impairment, Mild
- Keywords
- Memory, Executive Functions, Cognitive training, Cognitive enrichment, Modern board and card games
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 112 participants (estimated)
- Lead sponsor
- Brain In Game scientific-technical serviceUniversity, hospital or other
- Collaborators
- Hospital Universitari Santa Maria, Spain
- Study start
- 16 Feb 2021 (actual)
- Primary completion
- Mar 2024 (estimated)
- Study completion
- Mar 2024 (estimated)
- First posted
- 8 Apr 2021 (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.
Nowadays, on geriatric centres, cognitive decline used to be prevented by pen and paper exercises (Calero García \& Navarro Gonzalez, 2006). However, as Lampit et al. (2014) suggest, studies based on the efficacy and effectiveness of new cognitive-based interventions in order to improve these cognitive processes are fundamental (Lampit et al., 2014). Cognitive-based interventions are interventions that directly or indirectly try to improve cognitive processes (Chiu et al., 2017). Between the different kinds of cognitive-based interventions, cognitive training permits stablish randomized controlled trials. Cognitive training consists of repeating during a concrete time a standardized set of tasks in order to maintain or improve one or some cognitive processes. Meta-analysis studies have shown that computerized cognitive training can improve in a moderate size some cognitive processes in elderly people with mild cognitive impairment or dementia (Hill et al., 2017) and without those diagnoses (Lampit, Hallock, \& Valenzuela, 2014; Chiu et al., 2017). Although it seems that computerized training is effective, safe and secure, it is important to note the social component of the definition of health (OMS, 1948). Chang, Wray \& Lin (2014) found that social relationships predict the use of leisure activities and this predict a better physical health and wellbeing psychological. In fact, a comparative study found that those elderly people that have played board games have a 15% lower risk of having dementia diagnose and problems related with memory (Dartigues et al., 2013). To sum up, the aim of this research project is to test the effectiveness of a cognitive training based on modern board and card games in elderly people with a diagnose of mild-cognitive impairment in comparison to do cognitive paper and pencil tasks or in a wait-list comparison group.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Behavioral: modern board and card games | Experimental | Behavioral: Modern board and card games groupParticipants will play modern board and card games in groups at medical center 2 times per week for at least 1 hour over a period of 16 weeks. |
| Behavioral: paper and pencil tasks | Active comparator | Behavioral: Paper and pencil tasks groupParticipants will do cognitive paper and pencil tasks in groups at medical center 2 times per week for at least 1 hour over a period of 16 weeks. |
| Wait-list | No intervention | –Participants will be in a wait-list over a period of 16 weeks. Then, they received the board and card games' or paper and pencil tasks' intervention. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Participation in cognitive disease center
- Amnestic MCI diagnoses (clinical diagnoses following the guidelines of Petersen et al. 2011)
- Global deterioration scale (GDS) 2-3 values
- Participation assessing outcomes of the caregivers in the study
Key exclusion criteria (3 listed)
- Participation in another cognitive training program
- Dementia, neurologic or other disease non-neurodegenerative, which could affect cognitive change over time (medical-reported)
- Severe visual impairment, language impairment or motoric impairment of the upper extremity which significantly affects ability to solve jigsaw puzzles (medical-reported)
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 |
|---|---|---|
| Modern board and card games groupModern board and card games group | Behavioural | Behavioral: modern board and card games |
| Paper and pencil tasks groupPaper and pencil tasks group | Behavioural | Behavioral: paper and pencil tasks |
Primary outcome
Change in cognitive impairment from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Addenbrooke's Cognitive Examination
Change in visuoconstruction, immediate memory and long-term memory from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Copy, draw after 3 and after 25 minuts of Rey-Osterrieth Complex Figure Test
Change in verbal long-term memory from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Rey Auditory Verbal Learning Test (RAVLT)
Change in verbal short-term memory from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Digit Memory Test Forward
Change in verbal working memory from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Digit Memory Test Backward
Change in visuospatial short-term memory from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Visual Memory Test Forward
Change in visuospatial working memory from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Visual Memory Test Backward
Change in visuospatial processing from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Trail Making Test A and Symbol Digit Modalities Test (SDMT)
Change in flexibility from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Trail Making Test B and 5 digits test
Change in inhibition from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
5 digits test
Change in phonemic and semantic fluency from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Animals category and P, M, R letters, Spanish version
3 secondary outcomes
Change in neuropsychiatric symptoms from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Change in psychological well-being from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Change in depressive symptoms from baseline to post intervention
Time frame: Baseline and post intervention (after 16 weeks)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2021.
- BackgroundCalero García, M. D., & Navarro Gonzalez, E. (2006). Eficacia de un programa de entrenamiento en memoria en el mantenimiento de ancianos con y sin deterioro cognitivo. Clínica y Salud, 17(2), 187-202.
- Background: PubMed 24884905Chang PJ, Wray L, Lin Y. Social relationships, leisure activity, and health in older adults. Health Psychol. 2014 Jun;33(6):516-23. doi: 10.1037/hea0000051.
- Background: PubMed 28459873Chiu HL, Chu H, Tsai JC, Liu D, Chen YR, Yang HL, Chou KR. The effect of cognitive-based training for the healthy older people: A meta-analysis of randomized controlled trials. PLoS One. 2017 May 1;12(5):e0176742. doi: 10.1371/journal.pone.0176742. eCollection 2017.
- Background: PubMed 23988362Dartigues JF, Foubert-Samier A, Le Goff M, Viltard M, Amieva H, Orgogozo JM, Barberger-Gateau P, Helmer C. Playing board games, cognitive decline and dementia: a French population-based cohort study. BMJ Open. 2013 Aug 29;3(8):e002998. doi: 10.1136/bmjopen-2013-002998.
- Background: PubMed 27838936Hill NT, Mowszowski L, Naismith SL, Chadwick VL, Valenzuela M, Lampit A. Computerized Cognitive Training in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis. Am J Psychiatry. 2017 Apr 1;174(4):329-340. doi: 10.1176/appi.ajp.2016.16030360. Epub 2016 Nov 14.
- Background: PubMed 25405755Lampit A, Hallock H, Valenzuela M. Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS Med. 2014 Nov 18;11(11):e1001756. doi: 10.1371/journal.pmed.1001756. eCollection 2014 Nov.
- Individual participant dataSharing planned: Undecided
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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.
Faculty of Education, Psychology and Social Work; University of Lleida
Lleida, Spain
Cognitive disorders unity, Santa Maria's University Hospital, GSS
Lleida, Spain
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Modern board and card games group and Paper and pencil tasks group in people with Cognitive Impairment, Mild, run by Brain In Game scientific-technical service at 2 sites in Spain.
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: status not confirmed, as of the sponsor's last update on 8 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Spain. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in cognitive impairment from baseline to post intervention (time frame: Baseline and post intervention (after 16 weeks)). The study lists 11 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 NCT04835909, which also lists 6 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 Apr 2021.