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This study is designed to evaluate the preliminary effectiveness and safety of a digitally based multidomain intervention in patients with MCI. In addition, a portion of cognitively normal subjects and caregivers of patients with MCI will also be recruited as an exploratory cohort. We hope that the digital platform will improve the overall cognition and quality of life in patients with MCI.
3 groups of participants will be recruited. For the participants in the MCI (group A) and cognitively normal subjects (group B), they will be provided with a digital tablet and a wearable device. The digital tablet will be pre-loaded with 10 modules, 1 module per week (1 hour) for 10 weeks to be completed at home. The wearable device will be used to track and collect physiological data.
For the caregivers of the patients with MCI (group C), they will be asked to complete a questionnaire during screening visit and follow-up visit, and to use the caregiver app during the intervention period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with MCI | Experimental |
| |
| Cognitively Normal Subjects | Experimental |
| |
| Caregivers of Patients with MCI | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Digitally based multidomain intervention | Device | Education (5-10 mins). This session is to educate patients on instrumental activities of daily living such as the importance of companionship, medication, finance, home, travel, and kitchen safety. The content will be delivered using video and text-based material in English. Physical Activity (10 mins). This session includes activities such as brisk walking and yoga. Participants will be allowed to choose their preferred exercise option from the menu. Reminiscence Therapy (20 mins). This session includes recollection of events using directed questions, and a collection of photos from the past. Participants will be asked to share about any aspect related to the given topics using text or audio. Cognitive Games (20 mins). Participants will be asked to play games using their fingers to control characters on the screen to achieve goals. These games are designed to train different cognitive abilities, including attention, memory, executive functioning, and processing speed. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in processing speed | Using Neuropsychological Test Battery (NTB) Processing Speed domain items (symbol digit modalities test, trail making test A, and Stroop test (condition 1 and 2) in patients with MCI | Baseline compared to Week 11 |
| Change from baseline in executive functioning | Using the NTB Executive Function domain items (digit span test, verbal fluency test, similarities test from Wechsler Adult Intelligence Scale IV (WAIS-IV) and trail making test B) in patients with MCI | Baseline compared to Week 11 |
| Change from baseline in mood using the Depression Anxiety Stress Scales (DASS-21) in patients with MCI | The Depression, Anxiety and Stress Scale - 21 Items (DASS-21) is a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress. Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content. The scoring ranges from 0 to 3 per item. The higher the score, the greater the sense of depression, anxiety or stress. | Baseline compared to Week 11 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in overall cognition in patients with MCI | Overall cognition is tested using the Neuropsychological Test Battery (NTB). Higher scores demonstrates better performance. | Baseline compared to Week 11 |
| Change from baseline in QoL |
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Patients with MCI Thirty (30) patients with MCI of the amnestic type (single or multi domain) will be recruited. MCI will be diagnosed using the Petersen's criteria and/or the NIA-AA criteria by cognitive neurologists.
Inclusion criteria:
Exclusion criteria:
Cognitively Normal Subjects Ten (10) cognitively normal subjects will be recruited.
Inclusion criteria:
Exclusion criteria:
Caregivers of Patients with MCI Fifteen (15) caregivers of the 30 patients with MCI will be recruited.
Inclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kok-Pin Ng, MBBS | National Neuroscience Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Neuroscience Institute | Singapore | 308433 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39089109 | Derived | Rykov YG, Ng KP, Patterson MD, Gangwar BA, Kandiah N. Predicting the severity of mood and neuropsychiatric symptoms from digital biomarkers using wearable physiological data and deep learning. Comput Biol Med. 2024 Sep;180:108959. doi: 10.1016/j.compbiomed.2024.108959. Epub 2024 Jul 31. |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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This study comprises three study populations: patients with MCI, cognitively normal subjects, and caregivers of the patients with MCI.
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|
Using QOL-AD questionnaire in patients with MCI
| Baseline compared to Week 11 |