Cognitive Regulation Training and Exercise (CORTEX)

University of Illinois at Urbana-Champaign

Status: Completed

Conditions: Patient Compliance

Treatments: Behavioral: CORTEX

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01837004

1R21HL11341001A1

Details and patient eligibility

About

The purpose of this study is to compare CORTEX (Cognitive Regulation Training and Exercise), a multi-faceted, general and exercise-specific cognitive training program plus a 4-month exercise program, to an attention-control condition involving health and wellness informational lectures plus videos. The proposed exercise program will involve both aerobic and resistive exercises. The investigators hypothesize that pre-intervention cognitive training will enhance self-regulation and self-efficacy and in turn, increase exercise adherence. The investigators also expect more positive improvements in cognitive and psychosocial function among participants in the CORTEX condition as compared to the Control condition immediately following the cognitive booster training, and across time.

Full description

Primary Aim 1: To determine the efficacy of pre-intervention cognitive training for improving exercise adherence and engagement. We hypothesize that class participation rates, physical activity counts, and self-reported exercise participation levels will be higher at 4 months for participants in the CORTEX condition relative to the Control condition. We also predict that pre-intervention training will demonstrate high feasibility/acceptability, as indicated by a thorough process evaluation.

Primary Aim 2: To determine if integrated general and exercise-specific cognitive training improves facets of executive function and exercise-related efficacy judgments. We hypothesize that participants in the CORTEX condition will show faster reaction times and greater accuracy for trained and untrained-domain-relevant tasks, including dual task performance, reasoning, and thought-stopping at post-booster testing and 4-month follow-up. Furthermore, we hypothesize that CORTEX participants will show significantly higher levels of exercise efficacy judgments, and exhibit greater automaticity (faster reaction times) in making those judgments, at post-booster testing, 1 month and 4-month follow-up.

Secondary Aim 1: We will use longitudinal mediation analyses to examine mechanisms of change brought about by the cognitive training effects on exercise adherence and engagement. We hypothesize that changes in efficacy and use of self-regulatory strategies will mediate cognitive training effects on exercise adherence over 4-months.

Enrollment: 133 patients

Sex: All

Ages: 45 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• men and women
• between 45-64 years old at time of study
• physically inactive for the past 3 months
• have reliable access to internet
• do NOT own or play exergames (Xbox Kinect, Playstation Move, or Nintendo Wii) regularly
• do NOT engage in "brain-training" regularly
• are NOT enrolled in another exercise program or cognitive training study
• willing to be randomized
• able to participant in the full length of the 5-month study with no more than 2 consecutive weeks of vacation

Exclusion criteria

• <45 or >64 years of age at time of study
• physically active (i.e., planned 30-min walking or exercise >2 days/wk)
• do not have reliable access to internet
• own and/or play exergames regularly (e.g., 1 day/wk)
• engage in "brain-training" regularly (e.g., Sudoku or computer game-play 1 day/wk)
• enrolled in another exercise program or cognitive training study
• cognitive impairment as defined by TICS score <21
• depression as defined by Geriatric Depression Scale score >5

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: Triple Blind

---

133 participants in 1 patient group

CORTEX

Experimental group

Description:

The CORTEX group will attend 10, 2-hour sessions for a period of four weeks prior to the initial exercise program start. One hour will be devoted to computerized training (stationary dual-task \& cognitive control training, self-priming, certainty training) whereas the other hour will be devoted to exergaming involving non-stationary, dual-task training.

Treatment:

Behavioral: CORTEX