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Cognitive DeclineMTCCPNCT04727450

Effects of Multimodal Training of Combined Cognitive and/or Physical Training on Cognition and Fitness of Older Adults

A study testing Cognitive training, physical training and Combination of cognitive and physical training (CCPT)-BIGMAP in people with Cognitive Decline and Cognitive Impairment, Mild, run by Hong Kong Baptist University at 1 site in Hong Kong.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 elderly population worldwide is expected to increase exponentially. There will be a higher percentage of older adults suffering cognitive decline in the coming decades. Cognitive impairment, being the most common health problem associated with ageing, contributes to possible loss of functional independence and… Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
Conditions the study is for
Cognitive Decline, Cognitive Impairment, Mild
What is being tested?
Cognitive training, physical training and Combination of cognitive and physical training (CCPT)-BIGMAP
Could I receive a placebo?
No, everyone receives an active treatment
How many people
228 participants
Where
1 siteHong Kong
Study dates
1 Apr 2021to 31 Mar 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 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age 60 or above
  • Both gender
  • Willingness and capability to participate in this study and training
  • Willingness and capability to give informed consent to participate in this study
  • Pass the cutting-point of referenced screening tests (cognitive and emotional)
  • Screening tools:
  • MOCA score above 19 (satisfactory basic function)
  • Positive and Negative Syndrome Scale (PANSS) with scores < 19 in positive scale, < 22 in negative scale, and < 38 in general psychopathology scale

Who cannot join

  • A history of systematic cardiovascular diseases, poorly controlled hypertension, stroke, Parkinson's disease
  • Early stages of Alzheimer's Disease, or the use of psychoactive drugs
  • Complicated conditions that preclude regular attendance of the training
  • Currently receiving regular physical (perform aerobic, flexibility and stretching exercises for 3 days per week, 45 minutes per session, for 1 year or longer) and cognitive exercises (such as playing mahjong, chess, bridge and reading for more than 30 minutes per session and 3 times per week, for 1 year or longer ).

Trial locations and contacts

1 site in 1 country.

Bik-Chu CHOW, PhD contact

+85234117007

bchow@hkbu.edu.hk

Jojo JIAO, PhD contact

+85234115758

jojojiao@hkbu.edu

Hong Kong1 site
  • Hong Kong Baptist University

    Hong Kong, 00852

    Bik-Chu CHOW, PhD, +85234117007, bchow@hkbu.edu.hk

    Jojo JIAO, PhD, +85234115758, jojojiao@hkbu.edu.hk

Other trials in Hong Kong

About this study

Official title: Effects of Multimodal Training of Combined Cognitive and Physical and Cognitive or Physical Training Only on Cognition and Physical Fitness of Older Adults: A Cluster Randomized Controlled Trial

The elderly population worldwide is expected to increase exponentially. There will be a higher percentage of older adults suffering cognitive decline in the coming decades. Cognitive impairment, being the most common health problem associated with ageing, contributes to possible loss of functional independence and disability. The purpose of this study is to determine the effectiveness of four mixed modalities of three training programs (combined cognitive and physical training [CCPT], cognitive or physical training only) on cognition and fitness of community-dwelling older adults in Hong Kong. The study hypotheses will be set as the integrated format of all three training will have higher cognition and fitness scores than other combinations of two training modes and all these mixed modalities will have greater positive outcomes than the active control subjects.

Read the detailed description

The study design is a cluster randomized controlled trial. Twenty-four elderly centers as clusters will be randomly selected and assigned to be intervention (n=20) or control groups (n=4) in two study phases. A total of 8-10 older adults (age ≥ 60) from each cluster (total subjects = 228) will be invited to be study participants. Each intervention cluster will receive either an integrated training format or one out of three combinations of two training modes. Each intervention training mode will last for 2-month of 16 sessions in total, 2 sessions per week and 60 min per session, hence, the total intervention will last for 4 months for two training modes or an integrated training format. Assessments will be conducted at pre-test, two post-training tests, and a 2-month follow-up test after completion of all training.

Being tested
Cognitive training, physical training, Combination of cognitive and physical training (CCPT)-BIGMAP
Keywords
Intervention programs, Older adults, Cognitive & Physical Training, Cluster RCT, Multimodal
Medical subject headings
Cognitive Dysfunction

What participants receive

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

  • Cognitive trainingBehavioural

    Involves participants engaging in selected games which require thinking skills to be played in a group of 2-4 people.

  • physical trainingBehavioural

    Involves learning of preselected routines of "line dancing" taught by a line dance instructor.

  • Combination of cognitive and physical training (CCPT)-BIGMAPBehavioural

    Also called "Brain Invigoration Gross Motor Activation Program" (BIGMAP)

    BIGMAP is a program engaging participants in specially designed cognitive/memory games together with physical training (Fu \& Chow, 2019).

Study groups in NCT04727450
Study groupRoleWhat they receive
1. Integrated formatActive comparatorIntegrated or Combination of ABC of A: cognitive training. B: physical training and C: Combined Cognitive and Physical Training (CCPT).
Receives: Behavioral: Cognitive training; Behavioral: physical training; Behavioral: Combination of cognitive and physical training (CCPT)-BIGMAP
2. Cognitive training + Physical Training (A+B)Active comparatorIntervention of A \& B treatments.
Receives: Behavioral: Cognitive training; Behavioral: physical training
3. Physical training + CCPT (B+C)Active comparatorIntervention of B \& C treatments.
Receives: Behavioral: physical training; Behavioral: Combination of cognitive and physical training (CCPT)-BIGMAP
4. CCPT + Cognitive training (C+A)Active comparatorIntervention of C \& A treatments.
Receives: Behavioral: Cognitive training; Behavioral: Combination of cognitive and physical training (CCPT)-BIGMAP
5. Control groupNo interventionNo intervention

What is being measured

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

  1. Cognitive Tests: for executive function (pre-test)

    Wisconsin Card Sorting Test (WCST) for the executive function will be conducted (20-30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: Pre-test (1st test): before intervention

  2. Cognitive Tests: for executive function (2nd test)

    Wisconsin Card Sorting Test (WCST) for the executive function will be conducted (20-30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 2nd test: after 2-month intervention

  3. Cognitive Tests: for executive function (3rd test)

    Wisconsin Card Sorting Test (WCST) for the executive function will be conducted (20-30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 3rd test: after 4-month intervention

  4. Cognitive Tests: for executive function (4th test)

    Wisconsin Card Sorting Test (WCST) for the executive function will be conducted (20-30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 4th test: after 2-month follow up

  5. Cognitive Tests: for attention (pre-test)

    Color Trail Making test (CTMT) for attention will be conducted (5-8 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: Pre-test (1st test): before intervention

  6. Cognitive Tests: for attention (2nd test)

    Color Trail Making test (CTMT) for attention will be conducted (5-8 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 2nd test: after 2-month intervention

  7. Cognitive Tests: for attention (3rd test)

    Color Trail Making test (CTMT) for attention will be conducted (5-8 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 3rd test: after 4-month intervention

  8. Cognitive Tests: for attention (4th test)

    Color Trail Making test (CTMT) for attention will be conducted (5-8 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 4th test: after 2-month follow up

  9. Cognitive Tests: for everyday memory (pre-test)

    Rivermead Behavioral Memory Test (RBMT) for everyday memory will be conducted (30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: Pre-test (1st test): before intervention

  10. Cognitive Tests: for everyday memory (2nd test)

    Rivermead Behavioral Memory Test (RBMT) for everyday memory will be conducted (30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 2nd test: after 2-month intervention

  11. Cognitive Tests: for everyday memory (3rd test)

    Rivermead Behavioral Memory Test (RBMT) for everyday memory will be conducted (30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 3rd test: after 4-month intervention

  12. Cognitive Tests: for everyday memory (4th test)

    Rivermead Behavioral Memory Test (RBMT) for everyday memory will be conducted (30 min, unit on a scale) in four evaluation time frames, respectively. The evaluators at all sessions will be blind to the group membership of participants.

    Measured: 4th test: after 2-month follow up

Secondary outcomes (12)
  1. Fitness Tests: BMI (pre-test)

    Weight and height will be tested and combined to report BMI in kg/m^2 in four evaluation time frames

    Measured: Pre-test (1st test): before intervention

  2. Fitness Tests: BMI (2nd test)

    Weight and height will be tested and combined to report BMI in kg/m^2 in four evaluation time frames

    Measured: 2nd test: after 2-month intervention

  3. Fitness Tests: BMI (3rd test)

    Weight and height will be tested and combined to report BMI in kg/m^2 in four evaluation time frames

    Measured: 3rd test: after 4-month intervention

  4. Fitness Tests: BMI (4th test)

    Weight and height will be tested and combined to report BMI in kg/m^2 in four evaluation time frames

    Measured: 4th test: after 2-month follow up

  5. Fitness Tests: Senior physical fitness test battery (pre-test)

    Senior physical fitness test

    Measured: Pre-test (1st test): before intervention

  6. Fitness Tests: Senior physical fitness test battery (2nd test)

    Senior physical fitness test

    Measured: 2nd test: after 2-month intervention

  7. Fitness Tests: Senior physical fitness test battery (3rd test)

    Senior physical fitness test

    Measured: 3rd test: after 4-month intervention

  8. Fitness Tests: Senior physical fitness test battery (4th test)

    Senior physical fitness test

    Measured: 4th test: after 2-month follow up

  9. Four square step test for dynamic balance (pre-test)

    Four square step test

    Measured: Pre-test (1st test): before intervention

  10. Four square step test for dynamic balance (2nd test)

    Four square step test

    Measured: 2nd test: after 2-month intervention

  11. Four square step test for dynamic balance (3rd test)

    Four square step test

    Measured: 3rd test: after 4-month intervention

  12. Four square step test for dynamic balance (4th test)

    Four square step test

    Measured: 4th test: after 2-month follow up

Timeline

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

  1. First posted27 Jan 2021
  2. Study start1 Apr 2021 (estimated)
  3. Primary completion31 Dec 2022 (estimated)
  4. Study completion31 Mar 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
Factorial
Model description
Cluster RCT. Each elderly center as a cluster will be randomly assigned to be either an intervention group (IG) to receive intervention training modes (A: cognitive training, B: physical training only, C: CCPT) or a control group (CG). IGs will either receive integrated format of ABC or two training modes of AB or BC or CA.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
228 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04727450
Sponsor's protocol ID
12607620
Acronym
MTCCP
Status last verified
Jan 2021
First submitted
17 Jan 2021
Last updated
27 Jan 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: In our application of university human ethics, we have declared non-disclosure of individual data.

Publications

  • Fu F, Chow BC. Brain Invigoration and Gross Motor Activation Programme (BIGMAP). Hong Kong Baptist University, Hong Kong. 2019. ISBN: 9789881542137

  • Chow BC, Jiao J, Man D, Lippke S. Study protocol for 'the effects of multimodal training of cognitive and/or physical functions on cognition and physical fitness of older adults: a cluster randomized controlled trial'. BMC Geriatr. 2022 May 6;22(1):398. doi: 10.1186/s12877-022-03031-5.

    PubMed 35524188

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive training, physical training and Combination of cognitive and physical training (CCPT)-BIGMAP in people with Cognitive Decline and Cognitive Impairment, Mild, run by Hong Kong Baptist University at 1 site in Hong Kong.

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 8 inclusion and 4 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 27 Jan 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 Hong Kong. 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 Bik-Chu CHOW, PhD (+85234117007, bchow@hkbu.edu.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cognitive Tests: for executive function (pre-test) (time frame: Pre-test (1st test): before intervention). The study lists 12 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 NCT04727450, which also lists 2 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 27 Jan 2021.

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