Training in Goal-directed Attention Regulation for Individuals With Brain Injury

This study is currently recruiting participants.
Verified January 2013 by Department of Veterans Affairs
Sponsor:
Collaborator:
University of California, San Francisco
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT01035606
First received: December 16, 2009
Last updated: January 24, 2013
Last verified: January 2013

December 16, 2009
January 24, 2013
September 2009
September 2014   (final data collection date for primary outcome measure)
functional MRI [ Time Frame: 5 weeks ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01035606 on ClinicalTrials.gov Archive Site
  • functional performance in real world setting [ Time Frame: 5 weeks ] [ Designated as safety issue: No ]
  • performance on neuropsychological testing [ Time Frame: 5 weeks ] [ Designated as safety issue: No ]
functional performance in real world setting [ Time Frame: 5 weeks ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Training in Goal-directed Attention Regulation for Individuals With Brain Injury
Plasticity in Brain Network to Enhance Cognitive Rehabilitation

Brain injuries affect the lives of numerous veterans. This study examines how the brain is affected by injury and how rehabilitation training for attention dysfunction may change brain functioning.

Traumatic brain injuries (TBI) are a leading cause of long-term disability among combat veterans. The most common and persistent sequelae after TBI are cognitive-behavioral deficits in 'executive control' and 'attention' functions. Such abnormalities may directly contribute to poor long-term outcomes as well as impede rehabilitation of dysfunction in other cognitive and motor domains. Effective treatments would potentially make a major impact in improving functional outcomes, but consistently effective treatments are not available. The overall goal of this research is to improve our understanding of plasticity in brain function after TBI and to develop improved cognitive neurorehabilitation treatments.

What specific neural changes support improvements in executive and attention control processes? Advanced functional MRI methods will be used to assay the effects of training interventions designed to improve attention and executive control functioning. The intervention involves individual and group-based training in cognitive skills.

Interventional
Phase 1
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Treatment
Brain Injury
  • Behavioral: training in goal-directed attention regulation
    training in goal-directed attention regulation
  • Behavioral: brain health education
    brain health education workshops
  • Behavioral: computer-assisted training in goal-directed attention regulation
    computer-assisted training in goal-directed attention regulation, with trainer guidance and cognitive games to practice skills
  • Experimental: Arm 1
    training in goal-directed attention regulation
    Intervention: Behavioral: training in goal-directed attention regulation
  • Active Comparator: Arm 2
    brain health education
    Intervention: Behavioral: brain health education
  • Experimental: Arm 3
    computer-assisted training in goal-directed attention regulation
    Intervention: Behavioral: computer-assisted training in goal-directed attention regulation
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
36
September 2014
September 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • history of traumatic brain injury
  • greater than 1 week from injury
  • residual dysfunction related to attention and executive control

Exclusion Criteria:

  • aphasia
  • active illicit drug use
  • severe depression
  • contraindications to MRI scanning
Both
18 Years to 75 Years
No
Contact: Anthony Chen, MD MA (415) 750-2011 Anthony.Chen@va.gov
Contact: Deborah C Binder, MA MS BA (510) 527-6034 Deborah.Binder@va.gov
United States
 
NCT01035606
B4605-I
No
Department of Veterans Affairs
Department of Veterans Affairs
University of California, San Francisco
Principal Investigator: Mark D'Esposito, MD VA Northern California HCS
Department of Veterans Affairs
January 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP