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This study compared two active cognitive interventions to evaluate whether one improved memory more than the other in patients with mild cognitive impairment. Participants were randomized to either memory strategy training or spaced retrieval training and completed memory tests before and after 3 training sessions. Participants returned 1 month after treatment to see how well they remembered the learned information. Brain scans (functional MRI) were collected before and after the interventions to see if training changed the way brain regions were functioning.
Individuals with MCI were randomized to 3 sessions of mnemonic strategy or spaced retrieval training that focused on object location associations. Across these training sessions, each group received 9 training trials for each of the 45 trained stimuli. Task-fMRI was acquired before and after training. Memory was again evaluated 1 month after the last training session. The primary outcome measure was memory for the "trained" stimuli while secondary outcome was accuracy for novel stimuli acquired outside of the MRI environment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mnemonic strategy training | Experimental | Training using mnemonic strategies |
|
| Spaced retrieval training | Active Comparator | Training using spaced retrieval |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mnemonic strategy training | Behavioral | training using mnemonic strategies |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of Correct Object Location Associations Assessed up to 1 Month Post-treatment | Change in memory for 45 trained object location associations | up to 1 month after last training session |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Accuracy (vs. Baseline) on Novel Object Location Associations | Change in accuracy for novel object location associations using a touchscreen task; distance measured in cm from actual location | up to 1 month after last training session |
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Inclusion Criteria:
-Diagnosis of MCI according to Petersen (2004) criteria, right handed
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Benjamin M. Hampstead, PhD | VA Ann Arbor Healthcare System, Ann Arbor, MI | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Ann Arbor Healthcare System, Ann Arbor, MI | Ann Arbor | Michigan | 48105 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Mnemonic Strategy Training | Training using mnemonic strategies mnemonic strategy training: training using mnemonic strategies |
| FG001 | Spaced Retrieval Training | Training using spaced retrieval spaced retrieval training: training using spaced retrieval |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
All diagnosed with amnestic MCI.
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| ID | Title | Description |
|---|---|---|
| BG000 | Mnemonic Strategy Training | Training using mnemonic strategies mnemonic strategy training: training using mnemonic strategies |
| BG001 | Spaced Retrieval Training | Training using spaced retrieval spaced retrieval training: training using spaced retrieval |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | 1 participant in each group was removed due to inability to understand training instructions |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percent of Correct Object Location Associations Assessed up to 1 Month Post-treatment | Change in memory for 45 trained object location associations | Posted | Mean | 95% Confidence Interval | percent correct | up to 1 month after last training session |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Mnemonic Strategy Training | Training using mnemonic strategies mnemonic strategy training: training using mnemonic strategies |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Benjamin Hampstead | VA Ann Arbor Healthcare System; University of Michigan | 734-763-9259 | bhampste@med.umich.edu |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| D003704 | Dementia |
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D001927 | Brain Diseases |
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Randomization to Mnemonic strategy or spaced retrieval training
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Participants were informed they would receive one of two cognition oriented treatments but were unaware of the nature of the other intervention.
| spaced retrieval training |
| Behavioral |
training using spaced retrieval |
|
| BG002 | Total | Total of all reporting groups |
| Count of Participants |
| Participants |
|
| Age, Continuous | 1 participant in each group removed due to inability to understand training instructions | Mean | Standard Deviation | Years |
|
| Sex: Female, Male | 1 participant in each group removed due to inability to understand training instructions | Count of Participants | Participants |
|
| Race (NIH/OMB) | 1 participant in each group removed due to inability to understand training instructions | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Units | Counts |
|---|
| Participants |
|
|
|
| Secondary | Change in Accuracy (vs. Baseline) on Novel Object Location Associations | Change in accuracy for novel object location associations using a touchscreen task; distance measured in cm from actual location | Computer errors resulted in loss of data from the first 15 participants (7 MST, 8 SRT) | Posted | Mean | 95% Confidence Interval | error in centimeters | up to 1 month after last training session |
|
|
|
|
| 0 |
| 29 |
| 0 |
| 29 |
| 0 |
| 29 |
| EG001 | Spaced Retrieval Training | Training using spaced retrieval spaced retrieval training: training using spaced retrieval | 0 | 30 | 0 | 30 | 0 | 30 |
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| D002493 |
| Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |