Understanding Individual Differences in Working Memory Training and Transfer in Older Adults

Northeastern University

Status: Completed

Conditions: Cognitive Change

Treatments: Behavioral: Span; Behavioral: N-back; Behavioral: Multisensory

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05396586

20141547

1R21AG069428-01A1 (U.S. NIH Grant/Contract)

5R21AG069428-02 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The present study investigates how individual differences in cognitive processing contribute to the efficacy of working memory training programs in an older adult population. In a randomized crossover design, different types of working memory training interventions will be evaluated within the same participants.

Adding game-like elements to working memory training programs can increase motivation and engagement, which can increase learning. However this process, termed gamification, adds sensory complexity that can lead to increased mental load and/or distraction in older adults. Investigators hypothesize that gamification of training tasks will be beneficial to some and counterproductive to other participants. The investigators will test two models; the first assumes that participants with difficulty inhibiting distracting information will show better learning and transfer when assigned to non-gamified training, whereas those with more distractor tolerance will show better learning and transfer when assigned to gamified training. The second model states that the outcomes of the intervention will be better predicted by performance on measures of general cognitive ability.

In a separate study, the investigators will compare working memory training that contains rich, multisensory information with a training program that contains only visual information. Here they will also test two models; the first assumes that participants with difficulty binding two stimulus streams will show better learning and transfer when assigned to visual-only working memory training, whereas participants who do not have this difficulty will show better learning and transfer when assigned to multisensory working memory training. The second model states that the outcomes of the intervention will be better predicted by performance on measures of general cognitive ability.

Full description

Three randomized cross-over trials will be conducted to obtain within-subject comparisons of training with enriched (game-like) versions of working memory training tasks compared to basic (non-gamified) versions of these tasks. In the N-back trial, participants will be assigned to Non-Gamified N-back training and Gamified N-back training. In the Span trial, they will be assigned to Non-Gamified Span training and Gamified Span training and in the Multisensory trial, they will be assigned to Non-gamified Unisensory N-back training and Non-gamified Multisensory N-back training.

Each trial involves a total of 50 sessions per participant: the first few sessions consist of completing questionnaires and computerized cognitive assessments (pre-test). Participants then complete 20 sessions of working memory training. After a mid-test, they complete 20 sessions of a different type of working memory training. Post-test is administered upon training completion, and at least a month later, participants complete 3 follow-up sessions. The study can be administered either in person or remotely; however, the investigators anticipate that most participants will complete the study remotely.

Enrollment: 313 patients

Sex: All

Ages: 50 to 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 50-85 years of age
• Able to understand and speak English and follow study procedures
• Does not have a psychological or neurological condition that would prevent being able to give consent to participate
• Not currently involved in any other cognitive or memory training studies

Exclusion criteria

• Formal diagnosis of dementia or other neurological disease, including Mild cognitive impairment.
• A final total score below 17 on Montreal Cognitive Assessment - Blind (telephone) version.
• Score of 10 or more on the Generalized Anxiety Questionnaire (GAD7; Spitzer et al., 2006, Archives of Internal Medicine), indicating presence of moderate or severe anxiety
• Score of 9 or more on Geriatric depression scale (GDS15; Yesavage et al., 1982) indicating presence of moderate or severe depression
• Abnormal visual acuity prohibitive of tablet-based training.
• Physical handicap (motor or perceptual) that would impede training procedures.
• Medical illness requiring treatment and/or significant absences during the study timeline.
• Current evidence or 2-yr history of seizures, focal brain lesion, or head injury with loss of consciousness.
• Current alcohol consumption exceeds 14 drinks per week.
• Self-reported illicit drug use.

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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313 participants in 2 patient groups

Condition 1

Active Comparator group

Description:

Training type 1 will be administered in the first part of the crossover trial and Training type 2 will be administered in the second part of the trial. Each training part consists of 20 twenty-minute long sessions with the recommended frequency of 2 sessions per work day. Thus each training part can be completed in 10 work days (2 weeks).

Treatment:

Behavioral: Multisensory

Behavioral: N-back

Behavioral: Span

Condition 2

Active Comparator group

Description:

Training type 2 will be administered in the first part of the crossover trial and Training type 1 will be administered in the second part of the trial. Each training part consists of 20 twenty-minute long sessions with the recommended frequency of 2 sessions per work day. Thus each training part can be completed in 10 work days (2 weeks).

Treatment:

Behavioral: Multisensory

Behavioral: N-back

Behavioral: Span