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Diabetes Mellitus, Type 2DIASCOPNCT04915339

Pilot Study Among Type 2 Diabetes Patients Investigating the Effects of Computerized Cognitive and Physical Activity Programs Combined or Single (DIASCOP)

A study testing Physical activity, cognitive training and combined physical and cognitive training in people with Diabetes Mellitus, Type 2, run by University Hospital, Clermont-Ferrand at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to assess the cognitive benefits of combined physical activity and cognitive training on cognitive health compare to physical activity or cognitive training programs singly administrated among type 2 diabetes. Read more about this study

Who is it for?
Ages 50 to 70 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
Physical activity, cognitive training and combined physical and cognitive training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
81 participants
Where
1 siteFrance
Study dates
Jun 2021to Jun 2023
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 50 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female aged between 50 and 70 years old, suffering from type 2 diabetes.
  • Normal or corrected sight and audition. Being able to engage in physical activity. Being able to give enlightened consent. Being affiliate to social welfare

Who cannot join

  • Being unable to meet the study conditions or to answer in French to surveys. Any condition considered, by the investigator, as incompatible with the participation in the study.
  • Major incapacities. Refusal of participation.

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU de Clermont-Ferrand

    Clermont-Ferrand, 63000

    Lise Laclautre, +33473754963, promo_interne_drci@chu-clermontferrand.fr

    Frédéric Dutheil

Other trials in France

About this study

Official title: Pilot Study Among Type 2 Diabetes Patients Investigating Effects of Computerized Cognitive and Physical Activity Programs Combined or Single.

The purpose of this study is to assess the cognitive benefits of combined physical activity and cognitive training on cognitive health compare to physical activity or cognitive training programs singly administrated among type 2 diabetes. Two group in cross over will take part in either physical activity only (for the first one) or cognitive training only (for the second one) for one month then the other way around during the second month. A fallow up will be administrated 3 months later.

Read the detailed description

The growing Type 2 diabetes prevalence is associated with health, economic and social consequences. As such, type 2 diabetes is recognized as major health issue. Health care should go on after being discharged from the hospital in order to promote cognitive autonomy. Physical activity and cognitive training are two interventions often recommended individually to benefit cognition among type 2 diabetes patients. Yet, a program combining physical activity and cognitive training might be more effective to favor cognitive health.

In this study, diabetes patient between 50 and 75 years old will be allocated randomly in 3 intervention groups in order to have a homogeneous distribution of the education level, sex and age across the 3 samples. The first group will take part in a physical activity program the first month and in a cognitive training one the second. The second group will be cross-over meaning taking part in a cognitive training program the first month and engaging in the physical activity one the second month. The last group will engage in a program based on resonance frequency breathing the first month (as a control condition), then in a combined physical activity and cognitive training program. Between the 2 interventions, there will be a 15 days break (limiting the transfer of the effect of one intervention onto another). At the beginning of the study, a screening will allow to identify possible exclusion criteria (health factors that could influence the main outcomes). At the beginning (baseline) of the first intervention and after each month, neuropsychological tests assessing cognitive and psychological health as well as well-being. Physiological parameters such as heart rate variability, cortisol and DHEA levels, muscle and lean mass, blood circulation (assessed by Laser speckle contrast imaging). A whole session (psychological and physiological testing) should take 1 h 30. Besides, participants will complete online questionnaires. They have one week after the testing to complete those surveys. If they are late an email will be sent before a phone call in the case the delay goes on.

The main outcome is the increase of the cognitive variables after the intervention. It is expected that the physical activity and cognitive training combined program will benefit cognitive functioning more than either of those programs administrated individually. To investigate to long-term effects of the intervention, a fallow up 3 months later will be conduct

Being tested
Physical activity, cognitive training, combined physical and cognitive training
Keywords
Exercise, Physical fitness, Neuropsychological Tests, Cognition, Diabetes Mellitus, Type 2
Medical subject headings
Diabetes Mellitus, Type 2, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Physical activityBehavioural

    The intervention is administrated through a computerized application as prescribed exercises (cognitive or physical). The specific measures that will be used to determine the effect of the intervention are psychological variables (mood, anxiety, well-being, cognitive variables…) and physical ones (Heart rate variability, stress biomarkers, fat and muscle mass, blood circulation…).

  • cognitive trainingBehavioural

    The intervention is administrated through a computerized application as prescribed exercises (cognitive or physical). The specific measures that will be used to determine the effect of the intervention are psychological variables (mood, anxiety, well-being, cognitive variables…) and physical ones (Heart rate variability, stress biomarkers, fat and muscle mass, blood circulation…).

  • combined physical and cognitive trainingBehavioural

    The intervention is administrated through a computerized application as prescribed exercises (cognitive or physical). The specific measures that will be used to determine the effect of the intervention are psychological variables (mood, anxiety, well-being, cognitive variables…) and physical ones (Heart rate variability, stress biomarkers, fat and muscle mass, blood circulation…).

Study groups in NCT04915339
Study groupRoleWhat they receive
Group 1: physical activity then cognitive trainingExperimentalUsing an online-computerized application, physical activities will be prescribed for one month. After a 15 days break, cognitive training activities will be prescribed the same way. A feedback by the patient will be asked fallowing each activity to control the observance.
Receives: Behavioral: Physical activity; Behavioral: cognitive training
Group 2: Cognitive training then physical activityExperimentalContrary to the first group, the second one starts with cognitive training intervention then engages in physical activity in same way as the first group. A feedback by the patient will also be asked fallowing each activity to control the observance
Receives: Behavioral: Physical activity; Behavioral: cognitive training
Group 3 : resonance frequency breathing then combined physical activity and cognitive trainingExperimentalThe third group takes part in a 1 month breathing exercise program. After a 15 days break (as the groups 1 and 2), a combined physical activity and cognitive training program is administrated for 1 month. As the others arms, a feedback by the patient will be asked fallowing each activity to control the observance
Receives: Behavioral: combined physical and cognitive training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Episodic memory performances

    Scores are obtained from delayed memory recall tests from the logical memory subtest of the Wechsler memory scale. It consists of two short narrative stories with an immediate recall phase after each story and a delayed recall phase after 10 minutes. During the delayed recall, each correct detail was awarded with one score point. On a scale of 0 to 50, a higher score means a better detailed recall.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  2. Episodic memory performances

    Scores are obtained from delayed memory recall tests from the logical memory subtest of the Wechsler memory scale. It consists of two short narrative stories with an immediate recall phase after each story and a delayed recall phase after 10 minutes. During the delayed recall, each correct detail was awarded with one score point. On a scale of 0 to 50, a higher score means a better detailed recall.

    Measured: Month 2 (a week after the second intervention)

  3. Episodic memory performances

    Scores are obtained from delayed memory recall tests from the logical memory subtest of the Wechsler memory scale. It consists of two short narrative stories with an immediate recall phase after each story and a delayed recall phase after 10 minutes. During the delayed recall, each correct detail was awarded with one score point. On a scale of 0 to 50, a higher score means a better detailed recall.

    Measured: Month 3

Secondary outcomes (39)
  1. Heart rate variability

    Time interval between two heart beats assessed by a monitoring watch (Empatica E4) and belt (Zephyr Bioharness 3)

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  2. Heart rate variability

    Time interval between two heart beats assessed by a monitoring watch (Empatica E4) and belt (Zephyr Bioharness 3)

    Measured: Month 2 (a week after the second intervention)

  3. Heart rate variability

    Time interval between two heart beats assessed by a monitoring watch (Empatica E4) and belt (Zephyr Bioharness 3)

    Measured: Month 3

  4. Blood circulation

    Assessed by laser speckle contrast imaging (LSCI).

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  5. Blood circulation

    Assessed by laser speckle contrast imaging (LSCI).

    Measured: Month 2 (a week after the second intervention)

  6. Blood circulation

    Assessed by laser speckle contrast imaging (LSCI).

    Measured: Month 3

  7. Biomarkers of stress

    A salivary sample to test cortisol level and DHEA.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  8. Biomarkers of stress

    A salivary sample to test cortisol level and DHEA.

    Measured: Month 2 (a week after the second intervention)

  9. Biomarkers of stress

    A salivary sample to test cortisol level and DHEA.

    Measured: Month 3

  10. Body Mass index

    The ratio between weight and height will be computed to report BMI in kg/m2.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  11. Body Mass index

    The ratio between weight and height will be computed to report BMI in kg/m2.

    Measured: Month 2 (a week after the second intervention)

  12. Body Mass index

    The ratio between weight and height will be computed to report BMI in kg/m2.

    Measured: Month 3

  13. Life satisfaction scale

    This scale assesses the feeling of satisfaction of one's life. This scale has 5 items. The minimum score is 5 and the maximum score is 35. A higher score means a higher life satisfaction level.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  14. Life satisfaction scale

    This scale assesses the feeling of satisfaction of one's life. This scale has 5 items. The minimum score is 5 and the maximum score is 35. A higher score means a higher life satisfaction level.

    Measured: Month 2 (a week after the second intervention)

  15. Life satisfaction scale

    This scale assesses the feeling of satisfaction of one's life. This scale has 5 items. The minimum score is 5 and the maximum score is 35. A higher score means a higher life satisfaction level.

    Measured: Month 3

  16. Psychological Outcome Profiles

    This survey assesses the patient's satisfaction level before and after the intervention. Five items with a 6-points Likert scale (0 to 5) allow to obtain a score between 0 and 25. A higher score means a better satisfaction level

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  17. Psychological Outcome Profiles

    This survey assesses the patient's satisfaction level before and after the intervention. Five items with a 6-points Likert scale (0 to 5) allow to obtain a score between 0 and 25. A higher score means a better satisfaction level

    Measured: Month 2 (a week after the second intervention)

  18. Psychological Outcome Profiles

    This survey assesses the patient's satisfaction level before and after the intervention. Five items with a 6-points Likert scale (0 to 5) allow to obtain a score between 0 and 25. A higher score means a better satisfaction level

    Measured: Month 3

  19. Interoception awareness questionnaire

    To assess the awareness of both neutral and negative bodily signals, this scale has 19 items with a 5-points Likert scale (1 to 5). The minimum total score is 9 while the maximum is 95. A higher score means a higher perception of bodily signals.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  20. Interoception awareness questionnaire

    To assess the awareness of both neutral and negative bodily signals, this scale has 19 items with a 5-points Likert scale (1 to 5). The minimum total score is 9 while the maximum is 95. A higher score means a higher perception of bodily signals.

    Measured: Month 2 (a week after the second intervention)

  21. Interoception awareness questionnaire

    To assess the awareness of both neutral and negative bodily signals, this scale has 19 items with a 5-points Likert scale (1 to 5). The minimum total score is 9 while the maximum is 95. A higher score means a higher perception of bodily signals.

    Measured: Month 3

  22. BORB Birmingham Object Recognition Battery

    To assess visuospatial processing by asking the participants if two stimuli are orientated the same way.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  23. BORB Birmingham Object Recognition Battery

    To assess visuospatial processing by asking the participants if two stimuli are orientated the same way.

    Measured: Month 2 (a week after the second intervention)

  24. BORB Birmingham Object Recognition Battery

    To assess visuospatial processing by asking the participants if two stimuli are orientated the same way.

    Measured: Month 3

  25. Executive functions

    A battery of 5 tests assessing cognitive inhibition (Stroop and Go/No-Go), cognitive flexibility (Trail Making Test), working memory (Nback) and lexical access (verbal fluency) to reflect executive functioning.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  26. Executive functions

    A battery of 5 tests assessing cognitive inhibition (Stroop and Go/No-Go), cognitive flexibility (Trail Making Test), working memory (Nback) and lexical access (verbal fluency) to reflect executive functioning.

    Measured: Month 2 (a week after the second intervention)

  27. Executive functions

    A battery of 5 tests assessing cognitive inhibition (Stroop and Go/No-Go), cognitive flexibility (Trail Making Test), working memory (Nback) and lexical access (verbal fluency) to reflect executive functioning.

    Measured: Month 3

  28. The emotion regulation questionnaire

    A questionnaire to measure emotion regulation strategies one favors such as emotion suppression or cognitive reappraisal. This questionnaire has 10 items with a 5-points Likert scale (1 to 5). The score ranges from 5 to 50. A higher score means better emotion regulation strategies.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  29. The emotion regulation questionnaire

    A questionnaire to measure emotion regulation strategies one favors such as A questionnaire to measure emotion regulation strategies one favors such as emotion suppression or cognitive reappraisal. This questionnaire has 10 items with a 5-points Likert scale (1 to 5). The score ranges from 5 to 50. A higher score means better emotion regulation strategies.

    Measured: Month 2 (a week after the second intervention)

  30. The emotion regulation questionnaire

    A questionnaire to measure emotion regulation strategies one favors such as emotion suppression or cognitive reappraisal. This questionnaire has 10 items with a 5-points Likert scale (1 to 5). The score ranges from 5 to 50. A higher score means better emotion regulation strategies.

    Measured: Month 3

  31. Beck Depression Scale

    To estimate the level of depression among adults, this scale has 13 items with a 4-points Likert scale (0 to 3). The score ranges from 0 to 39, a higher score means a higher level of depression.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  32. Beck Depression Scale

    To estimate the level of depression among adults, this scale has 13 items with a 4-points Likert scale (0 to 3). The score ranges from 0 to 39, a higher score means a higher level of depression.

    Measured: Month 2 (a week after the second intervention)

  33. Beck Depression Scale

    To estimate the level of depression among adults, this scale has 13 items with a 4-points Likert scale (0 to 3). The score ranges from 0 to 39, a higher score means a higher level of depression.

    Measured: Month 3

  34. Fat/lean mass ratio

    The bio-electrical impedance analysis measurements will include total body fat mass (FM in kg), and total body lean mass (LM in kg). Then the fat/lean mass (F/L) ratio will be calculated.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  35. Fat/lean mass ratio

    The bio-electrical impedance analysis measurements will include total body fat mass (FM in kg), and total body lean mass (LM in kg). Then the fat/lean mass (F/L) ratio will be calculated.

    Measured: Month 2 (a week after the second intervention)

  36. Fat/lean mass ratio

    The bio-electrical impedance analysis measurements will include total body fat mass (FM in kg), and total body lean mass (LM in kg). Then the fat/lean mass (F/L) ratio will be calculated.

    Measured: Month 3

  37. Client satisfaction questionnaire

    This survey assesses the patient's satisfaction level of the intervention. Eight items with a 4-points Likert scale (1 to 4) allow to obtain a score between 8 and 32. A higher score means a better satisfaction level.

    Measured: Month 1 (Between 1 day and a week before and after the first intervention)

  38. Client satisfaction questionnaire

    This survey assesses the patient's satisfaction level of the intervention. Eight items with a 4-points Likert scale (1 to 4) allow to obtain a score between 8 and 32. A higher score means a better satisfaction level.

    Measured: Month 2 (a week after the second intervention)

  39. Client satisfaction questionnaire

    This survey assesses the patient's satisfaction level of the intervention. Eight items with a 4-points Likert scale (1 to 4) allow to obtain a score between 8 and 32. A higher score means a better satisfaction level.

    Measured: Month 3

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jun 2021
  2. Study startJun 2021 (estimated)
  3. Primary completionSep 2022 (estimated)
  4. Study completionJun 2023 (estimated)

Resources

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
Crossover
Model description
* Group 1: physical activity (one month) then cognitive training (one month) * Group 2: Cognitive training (one month) then physical activity (one month) * Group 3 : resonance frequency breathing (one month) then combined physical activity and cognitive (one month) training
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
81 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04915339
Sponsor's protocol ID
RBHP 2020 DUTHEIL
Other IDs
2020-A03228-31
Acronym
DIASCOP
Status last verified
May 2021
First submitted
21 May 2021
Last updated
7 Jun 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Magnon V, Dutheil F, Tauveron I, Mille J, Baker JS, Brusseau V, Silvert L, Izaute M, Vallet GT. Does an increase in physiological indexes predict better cognitive performance: the PhyCog randomised cross-over protocol in type 2 diabetes. BMJ Open. 2022 Jul 1;12(7):e060057. doi: 10.1136/bmjopen-2021-060057.

    PubMed 35777867

Questions about this trial

What is this clinical trial studying?

A study testing Physical activity, cognitive training and combined physical and cognitive training in people with Diabetes Mellitus, Type 2, run by University Hospital, Clermont-Ferrand at 1 site in France.

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 2 inclusion and 2 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 7 Jun 2021. 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 France. 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?

Contact Lise LACLAUTRE (+33473754963, promo_interne_drci@chu-clermontferrand.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Episodic memory performances (time frame: Month 1 (Between 1 day and a week before and after the first intervention)). The study lists 3 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 NCT04915339, which also lists 1 linked publication.

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 7 Jun 2021.

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