Digital Cognitive Testing for Cognitive Impairment
(PRECEDE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how a digital version of a cognitive test can assess memory and thinking skills in older adults before and after surgery. Researchers use advanced computer algorithms to predict who might face cognitive issues post-surgery. The study includes two groups: patients undergoing surgery and non-surgical individuals for comparison. Ideal participants are those 65 and older undergoing pre-surgical evaluations with this digital cognitive testing at UF Health.
As an unphased trial, this study allows participants to contribute to innovative research that could enhance cognitive care for future patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this digital cognitive testing is safe for assessing cognitive function in older adults?
Research has shown that digital tests for memory and thinking are generally safe. These tests help predict who might experience difficulties after surgery.
Many older adults have used these digital tests without problems. One study found that participants found the tests easy to use and understand, and they did not report any major issues afterward.
Another study suggested that these tests can help doctors identify patients who might have memory or thinking problems after surgery, leading to better care and fewer complications.
Overall, digital cognitive testing is well-tolerated and usually does not cause harm. It serves as a useful tool for both doctors and patients.12345Why are researchers excited about this trial?
Researchers are excited about digital cognitive testing because it offers a fresh approach to evaluating cognitive function before surgery. Unlike traditional paper-based tests, this digital method can capture more detailed data, providing insights into brain function that might predict how someone will recover post-surgery. This approach is non-invasive, quick, and can be easily administered, potentially leading to more personalized care and better outcomes for surgical patients.
What evidence suggests that digital cognitive testing is effective for assessing cognitive function in older adults post-surgery?
Research has shown that digital tests can assess and predict brain function after surgery. In this trial, participants in the surgical group will undergo digital cognitive testing to measure attention, memory, and overall brain function before and after surgery. Past patients demonstrated that these tests can identify early signs of cognitive problems, potentially leading to better recovery. One study found that digital games used as tests accurately detected mental decline after surgery. Overall, digital testing appears promising for identifying and addressing potential cognitive issues in older adults undergoing surgery.678910
Who Is on the Research Team?
Catherine Price, Ph.D.
Principal Investigator
University of Florida
Patrick Tighe, MD, MS
Principal Investigator
University of Florida
Are You a Good Fit for This Trial?
Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-surgery Cognitive Evaluation
Baseline preoperative digital cognitive testing performance in adults to predict frequency and severity of clinician reported outcomes
Post-surgery Monitoring
Participants are monitored for cognitive function and clinician reported outcomes within the first three months post-surgery
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Digital Cognitive Testing
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Baseline preoperative digital cognitive testing performance in adults to predict frequency and severity of clinician reported outcomes within the first three months post-surgery.
Non-surgery matched peers with the same testing.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Florida
Lead Sponsor
National Institute on Aging (NIA)
Collaborator
National Center for Advancing Translational Sciences (NCATS)
Collaborator
Citations
Evaluation of a Digital, Self-Administered, Cognitive Test ...
The primary aim of this study was to evaluate the feasibility of a digital cognitive test battery in older adults undergoing abdominal surgery.
Perioperative cognitive evaluation and training
Although previous data indicate that short-term brain training with digital tests can lead to sustained improvements on attention, memory, general cognition, ...
Assessment of a digital game as a neuropsychological test ...
In this study, a digital game was used as a neuropsychological test to assess postoperative cognitive dysfunction, with preoperative patient performance as ...
4.
dovepress.com
dovepress.com/preoperative-cognitive-optimization-and-postoperative-cognitive-outcom-peer-reviewed-fulltext-article-CIAPreoperative Cognitive Optimization, Postoperative ...
These data together suggest that cognitive frailty is a predictor for adverse outcomes in the general older population and needs to be diagnosed ...
5.
frontiersin.org
frontiersin.org/journals/behavioral-neuroscience/articles/10.3389/fnbeh.2024.1328790/fullPostoperative cognitive dysfunction—current research ...
Postoperative cognitive dysfunction (POCD) denotes a decline in neurocognitive function following anesthesia and surgical procedures, ...
Exploring cognitive function and postoperative ...
This study aims to investigate the factors that influence neurocognitive function and patient-reported cognitive symptoms among patients aged 65 and older ...
Neuropsychological Tests in Post-operative Cognitive ...
Neuropsychological tests (NPTs) are often used to assess cognitive function in perioperative patients.
Methodology of measuring postoperative cognitive ...
Postoperative cognitive dysfunction (POCD) is an adverse outcome that impacts patients' quality of life. Its diagnosis relies on formal ...
Cognitive Screening in Older Patients May Help Optimize ...
Cognitive impairment and dementia substantially increase the risk of postoperative adverse events both during the hospital stay and after ...
Usability and feasibility of a digital cognitive screening tool ...
Outcomes at 2–3 weeks postoperatively are postoperative recovery (SwQoR), depression, functional status and usability (System Usability Scale) of Mindmore-P.
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