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Cognitive Training in Heart Failure Study (CogTrain-HF) (CogTrain-HF)

Primary Purpose

Congestive Heart Failure, Cognitive Impairment

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Cognitive training
Test of general knowledge
Sponsored by
Universität des Saarlandes
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Congestive Heart Failure focused on measuring Cognitive training, Cognitive impairment, Heart failure, Cognition

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Congestive heart failure
  • NYHA II-III

Exclusion Criteria:

  • Psychosis
  • Dementia
  • Major depression
  • Reanimation (<3month)
  • Patients with assist device system

Sites / Locations

  • Department of Educational Science, Saarland University
  • Clinic for Internal Medicine, Cardioloy, Angioloy, and Internal Intensive Care Medicine, Saarland University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

No Intervention

Arm Label

Experimental group

Active control group

Passive control group

Arm Description

Intervention: Cognitive Training

Intervention: Test of general knowledge

No intervention

Outcomes

Primary Outcome Measures

Training effects
Improvement in performance in the last trainingssession compared with the performance in the first trainingssession. Performance will be assessed by computesoftware.

Secondary Outcome Measures

Transfer effects
Transfer effects are measured by comparing cognitive functions in patients with congestive heart failure before and after cognitive training. Cognitive functions will be assessed by different paper-and-pencil tests and computerbased tests.
Changes in quality of life and psychological well-being
Changes in quality of life and psychological well-being as the result of cognitive training measured by psychological questionnaires and tests.
Long-term benefits of cognitive training in patients with congestive heart failure.
Follow-up assessment by 6 months after training. Long-term benefits will be measured by different paper-and-pencil tests and computerbased tests as well as psychological questionnaires and tests.
Compliance with medication
Compliance with medication measured as serum level of medication and heart failure-specific self-care duties.

Full Information

First Posted
April 2, 2015
Last Updated
March 24, 2020
Sponsor
Universität des Saarlandes
Collaborators
Deutsche Stiftung für Herzforschung
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1. Study Identification

Unique Protocol Identification Number
NCT02415517
Brief Title
Cognitive Training in Heart Failure Study (CogTrain-HF)
Acronym
CogTrain-HF
Official Title
Cognitive Training in Heart Failure Study (CogTrain-HF)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
June 3, 2019 (Actual)
Study Completion Date
December 4, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universität des Saarlandes
Collaborators
Deutsche Stiftung für Herzforschung

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The daily routine in clinical settings often showed cognitive impairments in patients with congestive heart failure, particularly in terms of executive functions, episodic memory, perceptual speed and attention. It is assumed that cognitive impairments in patients with congestive heart failure may lead to deficits in medication-adherence and self-care abilities, resulting in increased healthcare costs. Recent studies reported performance improvements after cognitive training that transferred to new, untrained tasks and abilities in healthy subjects across a wide range of ages. This study investigates the effects of cognitive training in patients with congestive heart failure.
Detailed Description
Cognitive functions of patients with congestive heart failure (NYHA II-III) before (pretest) and after (posttest) cognitive-training intervention are investigated. Changes in cognitive functions are compared to changes in two control groups: 1) age and gender matched active control group 2) age and gender matched passive waiting list control group. The neuropsychological test battery applied at pretest and posttest includes measures of episodic memory, working memory, short-term memory, executive functions, perceptual speed and intelligence. In addition, the investigators apply standardized questionnaires of self-assessed quality of life, cognitive functioning in daily life, selfcare, and psychological well-being (depression, anxiety and personality). Relevant physiological data such as ejection fraction, heartrate, N-terminal pro brain natriuretic peptide (NT-pro-BNP) as well as drug blood level are recorded.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Congestive Heart Failure, Cognitive Impairment
Keywords
Cognitive training, Cognitive impairment, Heart failure, Cognition

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Pre-Test, Intervention, Post-Test, Follow-Up
Masking
Participant
Masking Description
Participants were enrolled in Treatment-Group, Waitinglist-Group, or Shamtraining-Group
Allocation
Randomized
Enrollment
107 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental group
Arm Type
Experimental
Arm Description
Intervention: Cognitive Training
Arm Title
Active control group
Arm Type
Active Comparator
Arm Description
Intervention: Test of general knowledge
Arm Title
Passive control group
Arm Type
No Intervention
Arm Description
No intervention
Intervention Type
Behavioral
Intervention Name(s)
Cognitive training
Intervention Description
Cognitive training on computer. Six sessions with different tasks: "Tiere merken" & "Räumlich visuelles Training" (application BrainTwister) and "Taskswitching" (programmed with eprime)
Intervention Type
Behavioral
Intervention Name(s)
Test of general knowledge
Intervention Description
Training of general knowledge on computer. Six sessions with different topics.
Primary Outcome Measure Information:
Title
Training effects
Description
Improvement in performance in the last trainingssession compared with the performance in the first trainingssession. Performance will be assessed by computesoftware.
Time Frame
3 weeks
Secondary Outcome Measure Information:
Title
Transfer effects
Description
Transfer effects are measured by comparing cognitive functions in patients with congestive heart failure before and after cognitive training. Cognitive functions will be assessed by different paper-and-pencil tests and computerbased tests.
Time Frame
5 weeks
Title
Changes in quality of life and psychological well-being
Description
Changes in quality of life and psychological well-being as the result of cognitive training measured by psychological questionnaires and tests.
Time Frame
5 weeks
Title
Long-term benefits of cognitive training in patients with congestive heart failure.
Description
Follow-up assessment by 6 months after training. Long-term benefits will be measured by different paper-and-pencil tests and computerbased tests as well as psychological questionnaires and tests.
Time Frame
6 month
Title
Compliance with medication
Description
Compliance with medication measured as serum level of medication and heart failure-specific self-care duties.
Time Frame
5 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Congestive heart failure NYHA II-III Exclusion Criteria: Psychosis Dementia Major depression Reanimation (<3month) Patients with assist device system
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ingrid Kindermann, PD Dr.med.
Organizational Affiliation
University Hospital, Saarland
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Julia Karbach, Prof.
Organizational Affiliation
Goethe-Universität Frankfurt am Main
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Sonja Wedegärtner, Dipl.Psych.
Organizational Affiliation
University Hospital, Saarland
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Maxie Bunz, Dipl.Psych.
Organizational Affiliation
University Hospital, Saarland
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael Böhm, Prof.
Organizational Affiliation
University Hospital, Saarland
Official's Role
Study Chair
Facility Information:
Facility Name
Department of Educational Science, Saarland University
City
Frankfurt am Main
State/Province
Hessen
ZIP/Postal Code
60323
Country
Germany
Facility Name
Clinic for Internal Medicine, Cardioloy, Angioloy, and Internal Intensive Care Medicine, Saarland University Hospital
City
Homburg
State/Province
Saarland
ZIP/Postal Code
66421
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
Citations:
PubMed Identifier
32871668
Citation
Wedegartner SM, Schwantke I, Kindermann I, Karbach J. Predictors of heart-focused anxiety in patients with stable heart failure. J Affect Disord. 2020 Nov 1;276:380-387. doi: 10.1016/j.jad.2020.06.065. Epub 2020 Jul 15.
Results Reference
derived

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Cognitive Training in Heart Failure Study (CogTrain-HF)

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