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AzTrials

Cognitive AgingMixedWMNCT05672771

The Effects of Mixed Working Memory Training on Subsequent Training Gains Among Older Adults

A study testing Different Mixed Condition (DM) and Different Single Condition (DS) in people with Cognitive Aging, run by University of Illinois at Urbana-Champaign at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

While an intellectually active and socially integrated lifestyle shows promise for promoting cognitive resilience, the mechanisms underlying any such effects are not well understood. Read more about this study

Who is it for?
Ages 60 to 90 yearsHealthy volunteers can take part
Conditions the study is for
Cognitive Aging
What is being tested?
Different Mixed Condition (DM) and Different Single Condition (DS)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
90 participants
Where
1 siteUnited States
Study dates
26 Aug 2020to 30 Jan 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 90 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Native English speakers or acquisition of English before age 6 yrs old
  • Self-report of hearing ability sufficient to engage with lab personnel
  • No stroke in the last 3 years
  • No current cancer treatment involving radiation or chemotherapy - No self-reported learning disability
  • No self-reported psychiatric disorder
  • Willingness to be randomly assigned to training conditions
Show all 9Show fewer
  • No plans that would limit participation during the activity period
  • No participation in a cognitive intervention program in the last year
  • No additional Exclusion Criteria.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Beckman Institute

    Urbana, Illinois, 61801

Other trials in United States

About this study

While an intellectually active and socially integrated lifestyle shows promise for promoting cognitive resilience, the mechanisms underlying any such effects are not well understood. The aim of the current project is test the implications of the "mutualism" hypothesis, which suggests that intellectual function emerges out of the reciprocal influence of growth in abilities as they are exercised in the ecology of everyday life. Such a view implies that improvement in one component will enhance the modifiability of a related component. An additional aim was to test the idea that mutualistic effects will be enhanced by more diverse training in related skills, such as interleaved training of multiple skills, relative to single-component training.

A "successive-enrichment" paradigm was developed to test this with working memory (WM) as the target for training given its centrality in models of attention, intellectual function, and everyday capacities such as reasoning and language comprehension. All participants receive the same target training, but the nature of the training that precedes it is manipulated. Outcome measures include pre- to posttest gains in working memory and episodic memory, as well as the rate of gain in learning the target task. The principle of enhanced mutualism would predict that more diverse experiences related to the target skill will enhance efficiency in acquiring the target skill.

Read the detailed description

Within conventional assessments of transfer that examine the effects of training on measures of function at a single time point, these ideas has not been tested. In this project, a "successive-enrichment" paradigm was used to examine improvement in cognitive skills as a function of different conditions for earlier training. The target for training is working memory (WM) given its centrality in models of attention, intellectual function, and everyday capacities such as reasoning and language comprehension.

In the successive-enrichment paradigm, all participants receive the same target training, but the nature of the training that precedes it is manipulated. Thus, in Phase 2, all participants are trained for 10 days on the reading span task (RdgS), in which the task is to verify sensibility in a set of sentences and retain in memory an alphabetic character presented after each sentence. The set size adapts to the participant's skill (in both accuracy of sensibility decisions and memory for the letter set). In Phase 1, participants are randomly assigned to one of four groups designed to test the assumption that related and diverse experiences with the target skill differentially enhance the rate of learning the new skill. In the Same Task (ST) control, participants train on the RdgS, and were expected to be at ceiling in Phase 2. In the Different Single condition (DS), participants trained on a WM task different from that in Phase 1 (the lexical decision span). In the Different Mixed (DM) condition, participants trained on two different interleaved WM tasks, the lexical decision span and the category span. In the non-WM Placebo Control (PC), participants train on a speeded lexical decision task (matched in materials and verbal decision component to the lexical decision span the but requiring no simultaneous memory.

Outcome measures include pre- to posttest gains in working memory and episodic memory, as well as the rate of gain in learning the RdgS in Phase 2. The PC and ST controls define the lower and upper limits of performance, respectively. The principle of enhanced mutualism would predict that the DM group will show more efficient learning of the RdgS in Phase 2 than the DS group, which will both show more efficient learning than the PC group.

Conditions
Cognitive Aging
Being tested
Different Mixed Condition (DM), Different Single Condition (DS), Same Task (ST) Practice Control, Non-WM Placebo Control (PC)

What participants receive

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

  • Different Mixed Condition (DM)Behavioural

    Participants engage in home-based training on two working memory tasks, both different from those in the target task training. Goal is 10 days of training, with 4 8-min blocks of training each day.

  • Different Single Condition (DS)Behavioural

    Participants engage in home-based training on a working memory task that is different from that in the target task training. Goal is 10 days of training, with 4 8-min blocks of training each day.

  • Same Task (ST) Practice ControlBehavioural

    Participants engage in home-based training on the exact same working memory tasks as that in the target task training. Goal is 10 days of training, with 4 8-min blocks of training each day.

  • Non-WM Placebo Control (PC)Behavioural

    Participants engage in home-based training on speeded verbal decision, which unlike the target task training, has no memory component. Goal is 10 days of training, with 4 8-min blocks of training each day.

Study groups in NCT05672771
Study groupRoleWhat they receive
Different Mixed Condition (DM)ExperimentalTraining in both Lexical Decision Span and Category Span in Phase 1 (which are both different from the target task Reading Span in Phase 2).
Receives: Behavioral: Different Mixed Condition (DM)
Different Single Condition (DS)ExperimentalTraining in the Lexical Decision Span in Phase 1 (which is different from the target task Reading Span in Phase 2).
Receives: Behavioral: Different Single Condition (DS)
Same Task (ST) Practice ControlActive comparatorTraining in Reading Span task in Phase 1 (which is the same as target task in Phase 2).
Receives: Behavioral: Same Task (ST) Practice Control
Non-WM Placebo Control (PC)Placebo comparatorTraining in a speeded Lexical Decision task only (which has no memory component) in Phase 1 prior to Phase 2 training in WM.
Receives: Behavioral: Non-WM Placebo Control (PC)

What is being measured

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

  1. Change in Overall Working Memory

    Average change in working memory from pre- to posttest in z-score units ("standard unit change"). For each working memory measure (Reading Span, Lexical Decision Span, Category Span, Operation Span, and Count Span), the change in z-score units was calculated [(posttest score - pretest score) / standard deviation of the scores at pretest)]. The score reported is the mean of these 5 values. A z-score of 0 represents no change from pretest to posttest; the unit is the standard deviations of the sample at pretest (e.g., a score 0.5 would indicate a half standard deviation improvement in overall working memory). There is no agreed upon standard of clinical significance for improvement in working memory

    Measured: Change from baseline to 5-6 wks after pretest

  2. Change in Reading Span

    Change in Reading Span score from pre- to posttest in z-score units ("standard unit change"). The change in z-score units was calculated [(posttest score - pretest score) / standard deviation of the scores at pretest)]. A z-score of 0 represents no change from pretest to posttest; the unit is the standard deviations of the sample at pretest (e.g., a score 0.5 would indicate a half standard deviation improvement in overall working memory). There is no agreed upon standard of clinical significance for improvement in working memory

    Measured: Change from Baseline to 5-6 weeks after pretest

Secondary outcomes (1)
  1. Training Gains on the Reading Span Task in Phase 2

    In Phase 2, training data on the target task (Reading Span) is collected over 10 days. Training gains are estimated by the coefficients for the condition contrast by training interaction in a linear mixed effects model, in which mean working memory score across training days was modeled as a function of the Phase 1 training condition. Using the lme4 and lmerTest packages for R version 4.2.2, a mixed-effects linear regression model was employed to model the mean daily span score with condition and training day as the fixed factors, and a by-subject random intercept, using the restricted maximum likelihood (REML) method of estimation.

    Measured: 2 weeks

Timeline

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

  1. First posted5 Jan 2023
  2. Study start26 Aug 2020
  3. Primary completion30 Jan 2022
  4. Study completion30 Jan 2022

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
Basic science
Allocation
Randomised
Intervention model
Factorial
Masking
Single blind
Who is masked
Participant
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05672771
Sponsor's protocol ID
Mixed Working Memory Training
Other IDs
R56AG058708
Acronym
MixedWM
Status last verified
Mar 2024
First submitted
16 May 2022
Last updated
28 Mar 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Deidentified data and Analytic Code will be made available on OSF.

Publications

  • Stine-Morrow EAL, Payne BR, Roberts BW, Kramer AF, Morrow DG, Payne L, Hill PL, Jackson JJ, Gao X, Noh SR, Janke MC, Parisi JM. Training versus engagement as paths to cognitive enrichment with aging. Psychol Aging. 2014 Dec;29(4):891-906. doi: 10.1037/a0038244. Epub 2014 Nov 17.

    PubMed 25402337
  • Payne BR, Stine-Morrow EAL. The Effects of Home-Based Cognitive Training on Verbal Working Memory and Language Comprehension in Older Adulthood. Front Aging Neurosci. 2017 Aug 8;9:256. doi: 10.3389/fnagi.2017.00256. eCollection 2017.

    PubMed 28848421
  • Savi AO, Marsman M, van der Maas HLJ, Maris GKJ. The Wiring of Intelligence. Perspect Psychol Sci. 2019 Nov;14(6):1034-1061. doi: 10.1177/1745691619866447. Epub 2019 Oct 24.

    PubMed 31647746
  • van der Maas HL, Dolan CV, Grasman RP, Wicherts JM, Huizenga HM, Raijmakers ME. A dynamical model of general intelligence: the positive manifold of intelligence by mutualism. Psychol Rev. 2006 Oct;113(4):842-61. doi: 10.1037/0033-295X.113.4.842.

    PubMed 17014305
  • Van Der Maas HLJ, Kan KJ, Marsman M, Stevenson CE. Network Models for Cognitive Development and Intelligence. J Intell. 2017 Apr 20;5(2):16. doi: 10.3390/jintelligence5020016.

    PubMed 31162407
  • Daneman M, Merikle PM. Working memory and language comprehension: A meta-analysis. Psychon Bull Rev. 1996 Dec;3(4):422-33. doi: 10.3758/BF03214546.

    PubMed 24213976
  • Stine-Morrow, E. A. L., & Manavbasi, I. (2022). Beyond "Use It or Lose It": The impact of engagement on cognitive aging. Annual Review of Developmental Psychology, 4, 319-352.

  • Brown, P. C., Roediger, H. L., & McDaniel, M. A. (2014). Make it stick: The science of successful learning. Harvard University Press.

  • Engle RW, Tuholski SW, Laughlin JE, Conway ARA. Working memory, short-term memory, and general fluid intelligence: a latent-variable approach. J Exp Psychol Gen. 1999 Sep;128(3):309-331. doi: 10.1037//0096-3445.128.3.309.

    PubMed 10513398
  • Conway AR, Kane MJ, Bunting MF, Hambrick DZ, Wilhelm O, Engle RW. Working memory span tasks: A methodological review and user's guide. Psychon Bull Rev. 2005 Oct;12(5):769-86. doi: 10.3758/bf03196772.

    PubMed 16523997

Questions about this trial

What is this clinical trial studying?

A study testing Different Mixed Condition (DM) and Different Single Condition (DS) in people with Cognitive Aging, run by University of Illinois at Urbana-Champaign at 1 site in United States.

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 9 inclusion and 0 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 28 Mar 2024. 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 United States. 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 28 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change in Overall Working Memory (time frame: Change from baseline to 5-6 wks after pretest). 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 NCT05672771, which also lists 10 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 28 Mar 2024.

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