Modulating Neurocognitive Processes of Learning to Trust and Distrust in Aging

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-100
SponsorUniversity of Florida

About this trial

Much of human interaction is based on trust. Aging has been associated with deficits in trust-related decision making, likely further exacerbated in age-associated neurodegenerative disease (Alzheimer's disease/AD), possibly underlying the dramatically growing public health problem of elder fraud. Optimal trust-related decision making and avoiding exploitation require the ability to learn about the trustworthiness of social partners across multiple interactions, but the role that learning plays in determining age deficits in trust decisions is currently unknown.

Aim: Probe the malleability of the underlying neurocircuitry of trust-learning deficits in aging. This study will utilize real-time fMRI neurofeedback to train older adults in brain activity up-regulation toward enhanced trust-related learning in aging and confirm critical mechanisms of experience-dependent social decisions in aging.

Grant R01AG072658 Aim 3: Test the malleability of trust-learning neurocircuitry toward optimized trust-related decision making in aging.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Able to provide verbal and written informed consent

Fluent English speaker

At least 8th grade education

On stable medication regimen

Disqualifiers

Pregnancy

Magnetic resonance imaging contraindications (e.g., certain metallic objects in body, claustrophobia)

Current major depression defined as scores >14 on the Beck Depression Inventory-II

Impaired scores on the Telephone Interview for Cognitive Status (TICS; cut-off of >30)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Contingent rtfMRI neurofeedback training

    Behavioral

    Contingent rtfMRI neurofeedback training will follow an alternating up-regulation/rest block design with screen-color cues. Visual feedback about real-time brain activity in the ROI will be provided (e.g., via a thermometer bar). During resting blocks, the thermometer bar remains static.

  • Non-contingent/sham rtfMRI neurofeedback training

    Behavioral

    Non-contingent/sham rtfMRI neurofeedback training will follow an alternating up-regulation/rest block design with screen-color cues. Visual feedback about non-contingent/sham brain activity in the ROI will be provided (e.g., via a thermometer bar). During resting blocks, the thermometer bar remains static.

Treatment groups

68 Participants
are divided into 2 treatment groups
Group A: Contingent rtfMRI neurofeedback trainingExperimental treatment 1 intervention
Group B: Non-contingent/sham rtfMRI neurofeedback trainingSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Neurofeedback Training Success

Increase in BOLD signal in ROI during up-regulation trials administration of computerized learning tasks, with contrasting groups and conditions

Time frame
at baseline and after training completion about 1 week later
2

Behavioral Benefits

Increase in trust-related learning reflected in greater accuracy (e.g., in percent) on trust learning task

Time frame
at baseline and after training completion about 1 week later

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Florida

Lead sponsor

National Institute on Aging (NIA)

Collaborator