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This is a non-pharmacological study evaluating the impact of a computerized cognitive stimulation program on verbal learning and on the progression white matter hyperintensities in elderly with mild cognitive impairment.
White matter hyperintensities (WMH) can appear in Mild Cognitive Impairment (MCI) and have been associated to executive, attention and processing speed deficits. Some findings indicate that the presence of WMH may contribute to Alzheimer's disease (AD) in addition to ß-amyloid, suggesting a greater vulnerability of MCI. One important challenge is to prevent or slowing down the progression of WMH. Few studies investigated the effects of computerized cognitive interventions in MCI with WMH, which deserve special attention. This study aim to investigate the effects of an intensive computer-based cognitive stimulation (CCS) program on the verbal learning in episodic memory in MCI with WMH and to explore the effects on the progression of WMH at 1-year interval.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| computerized Cognitive training | Experimental | Experimental group will receive 1 year of a computer-based cognitive stimulation program. |
|
| MCI control group | No Intervention | The control group will receive a usual standard care without engagement in intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Computerized Cognitive training | Behavioral | Experimental group will receive 1 year of a computer-based cognitive stimulation program, first 6 months, 60-minutes twice a week and next 6 months once a week training in group-setting, using a tablet with a software with specific training focused on attention, executive and speed processing functions. |
| Measure | Description | Time Frame |
|---|---|---|
| Change on Rey Auditory Verbal Learning test | Assessment of verbal learning in episodic memory | Baseline assessment in 3-weeks period before intervention, change from baseline at 6-months immediately after the end intervention, and after 3-months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Change on Fazekas scale | Assessment of white matter hyperintentisites severity on MRI | Baseline assessment of WMH severity and evolution at 12 months immediately after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anne-Sophie AR RIGAUD, Professor | Contact | 00 33 1440835 03 | anne-sophie.rigaud@brc.aphp.fr | |
| Leila LD DJABELKHIR, Neuropsychologist | Contact | 00 33 6042305 | leila.djabelkhir@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Anne-Sophie AR RIGAUD, Professor | Broca University Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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Comparison between experimental group and control group.
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