Can playing Neuro-World mobile games improve cognitive function in people who have had a stroke 2 years or more previously?

ISRCTN ISRCTN10613029
DOI https://doi.org/10.1186/ISRCTN10613029
Secondary identifying numbers 2018-4728
Submission date
22/03/2019
Registration date
30/03/2019
Last edited
08/01/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Rehabilitation games have the potential to enable stroke survivors to repeatedly practice and improve their cognitive function. However, there are no mobile game solutions that are specifically developed for cognitive rehabilitation and clinically tested. The aim of this study is to test Neuro-World, six mobile games developed for cognitive rehabilitation.

Who can participate?
Stroke survivors with mild cognitive function in their chronic stage (1 year or longer since their last onset)

What does the study involve?
Participants are randomly allocated to one of two groups. One group play Neuro-World games for 30 minutes (5 minutes for each game) a day, 2 days a week for 12 weeks in addition to their medical care, while the other group receive only medical care. Participants are assessed before and after the treatment (12 weeks).

What are the possible benefits and risks of participating?
Study subjects may improve their cognitive function by participating in the study. Playing the games may cause eye and mental fatigue.

Where is the study run from?
Heeyeon Rehabilitation Hospital (South Korea)

When is the study starting and how long is it expected to run for?
September 2017 to October 2018

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Mr Hee-Tae Jung
hjung@cs.umass.edu

Contact information

Mr Hee-Tae Jung
Public

College of Information and Computer Sciences
University of Massachusetts Amherst
Amherst
01003
United States of America

ORCiD logoORCID ID 0000-0001-8921-570X
Phone +1 (0)4135452744
Email hjung@cs.umass.edu

Study information

Study designSingle-center randomized controlled study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleEffectiveness of self-administered cognitive rehabilitation games in chronic stroke survivors with mild-to-moderate cognitive impairment: a randomized controlled trial
Study acronymNeuro-World Clinical Study
Study hypothesisSelf-administration of Neuro-World, mobile cognitive rehabilitation games, can improve cognitive function of chronic-stage stroke patients.
Ethics approval(s)Approved 06/05/2018, University of Massachusetts Amherst Institutional Review Board (Research Compliance Human Research Protection Office (HRPO), 108 Research Administration Building, 70 Butterfield Terrace, Amherst, MA 01003-9242; Tel: +1 (0)413-545-3428; Email: ncswett@ora.umass.edu), Protocol ID: 2018-4728
ConditionStroke survivors with mild-to-moderate cognitive impairment (18 points or greater in K-MMSE) in their chronic stage (2 years or longer since their last onset)
InterventionParticipants were randomized using a random number generator. An experimental group self-administered 24 30-minute sessions of Neuro-World, six mobile games for cognitive rehabilitation, twice a week for 12 weeks in addition to their medical care while the control group received only medical care.
Intervention typeDevice
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)
Primary outcome measureOverall cognitive function and impairment level measured using Korean Mini-Mental State Examination (K-MMSE) assessed before (baseline) and after the treatment (12 weeks)
Secondary outcome measuresAssessed before (baseline) and after the treatment (12 weeks):
1. Overall cognitive function and impairment level measured using Digit Forward Span (DFS), Digit Backward Span (DBS)
2. Overall depression level measured using Geriatric Depression Scale (GDS)
Overall study start date15/09/2017
Overall study end date30/10/2018

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants50 in 2 clusters (1 experimental group, 1 passive control group), and 25 participants for each cluster
Participant inclusion criteriaCurrent inclusion criteria as of 06/01/2020:
Stroke survivors with mild-to-moderate cognitive impairment (18 points or greater in K-MMSE) in their chronic stage (2 years or longer since their last onset)

Previous inclusion criteria:
Stroke survivors with mild cognitive function (18 points or greater in K-MMSE) in their chronic stage (1 year or longer since their last onset)
Participant exclusion criteriaVisual neglect
Recruitment start date05/06/2018
Recruitment end date05/07/2018

Locations

Countries of recruitment

  • Korea, South

Study participating centre

Heeyeon Rehabilitation Hospital
25 Woni-daero, Gyeongsangnam-do
Changwon
51420
Korea, South

Sponsor information

University of Massachusetts Amherst
University/education

Venture Way Center
100 Venture Way
Suite 201
Hadley
01035
United States of America

Phone +1 (0)4135453428
Email ncswett@ora.umass.edu
ROR logo "ROR" https://ror.org/0072zz521

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date31/03/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planThe analyzed results will be submitted to a clinical journal by the end of March 2019.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available sharing the data was not part of the study plan, not approved by UMass IRB nor the study participants. Also, it was planned that the raw data would be removed completely once the analyzed results are published in academic journals. The data is currently stored in the secure online storage provided by UMass Amherst. The data is accessible only by researchers with valid authority.

Editorial Notes

08/01/2020: The public title has been changed from "Effectiveness of a self-administered serious game for cognitive rehabilitation in chronic stroke survivors with mild cognitive impairment: a randomized controlled trial" to "Can playing Neuro-World mobile games improve cognitive function in people who have had a stroke 2 years or more previously?".
06/01/2020: The following changes have been made:
1. The scientific title has been changed from "Effectiveness of a self-administered serious game for cognitive rehabilitation in chronic stroke survivors with mild cognitive impairment: a randomized controlled trial" to "Effectiveness of self-administered cognitive rehabilitation games in chronic stroke survivors with mild-to-moderate cognitive impairment: a randomized controlled trial".
2. The condition has been changed from "Post stroke with mild cognitive impiarment (18 points or greater in K-MMSE) in their chronic stage (1 year or longer since their last onset))" to "Stroke survivors with mild-to-moderate cognitive impairment (18 points or greater in K-MMSE) in their chronic stage (2 years or longer since their last onset)".
3. The inclusion criteria have been changed.
29/03/2019: Trial's existence confirmed by University of Massachusetts Amherst Institutional Review Board.