About this trial
The study would investigate the effect of a cognitive digital therapeutics system. The intervention group would receive three digital therapeutics sessions per week for 8 weeks, while the control group would receive usual care. Evaluations would be done at baseline, week 8, and week 16.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age at least 50 years old.
Clinical Dementia Rating from 0.5-1
Physician diagnosed mild neurocognitive disorder or dementia (according to ICD-11 diagnostic criteria)
Disqualifiers
Mini-mental state examination score below 18
If receiving an approved Alzheimer's disease treatment such as acetylcholinesterase inhibitor (AChEIs) or memantine or both for Alzheimer's disease, must be on a stable dose for at least 4 weeks prior to Baseline.
Any neurological condition that may be contributing to cognitive impairment above and beyond that caused by the participant's mild neurocognitive disorder or dementia.
History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of Screening.
Trial design
Parallel
Treatments tested in this trial
Digital therapeutics session
DeviceDuring the digital therapeutics session, the patient performs tasks by handling objects according to instructions displayed by the device. A camera records the task performance, and the system analyzes the task performance.
Treatment groups
Trial outcomes
Primary outcomes
Instrumental Activities of Daily Living (IADL)
e.g., K-IADL (Korean Instrumental Activities of Daily Living): range from 0 to 33; Higher scores = worse outcomes, lower scores = better independence.
Secondary outcomes
The Montreal Cognitive Assessment (MoCA)
Range: 0 to 30; Higher scores indicate better cognitive function.
Mini-Mental State Examination score (MMSE)
Range: 0 to 30; Higher scores indicate better cognitive function.
Clinical Dementia Rating score (CDR)
Range: 0 to 3; Higher scores indicate greater severity of dementia.
Executive Function Performance Test score (EFPT)
Range: 0 to 100; Higher scores indicate worse executive functioning.
Other outcomes
Geriatric Depression Scale (GDS-15)
Range: 0 to 15; Higher scores indicate greater levels of depressive symptoms.
The Family Confusion Assessment Method (FAM-CAM)
Range: Scored as present or absent; Presence indicates delirium.
Activities of Daily Living (ADL) score
Higher scores indicate greater independence: e.g., Katz ADL--range from 0 to 6; Barthel Index--range from 0 to 100.
WAIS-III Digit span forward, backward, and sequencing
Range: Variable (raw scores depend on the total number of correct trials, typically ranging from 0 to \~30, depending on individual performance). Standardized Scoring: Raw scores are converted to age-specific scaled scores, typically ranging from 1 to 19. Interpretation: Higher scores indicate better short-term memory, working memory, and cognitive processing capacity.
Locations
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Sponsors and contacts
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