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CompletedNCT01688128U-SMARTUpdated Apr 20, 2016

Efficacy of Ubiquitous SR-based Memory Advancement and Rehabilitation Training (U-SMART)

A Phase 3 interventional study of Phase I U-SMART (4 wks) and Washout (2 wks) in Mild Cognitive Impairment, sponsored by Seoul National University Bundang Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 55 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-04-20.

Sponsored by Seoul National University Bundang Hospital · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
55 Years to 90 Years
Sex
All
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Study summary

The purpose of this study is to examine the efficacy of the Ubiquitous Spaced Retrieval-based Memory Advancement and Rehabilitation Training (U-SMART) in the elderly individuals with mild cognitive impairment (MCI) by an open-label, controlled, crossover Trial.

Read the detailed description

The Spaced Retrieval-based Memory Advancement and Rehabilitation Training (SMART) which consisted of 24 one-hour face-to-face sessions (Lee, Park et al. 2009) was developed based on the spaced retrieval training (SRT), which was effective in improving memory retention span of very mild to mild Alzheimer's disease patients. The Ubiquitous SMART (U-SMART) by transforming the current SMART to a self-administered program using an application working on IPAD was developed, and showed its feasibility and efficacy in the elderly individuals with mild cognitive impairment in the preliminary study. (ClinicalTrials.gov ID: NCT01628653) To validate the efficacy of the U-SMART, an open-label, controlled, crossover design of clinical trial were planned in this study.

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Conditions studied

  • Mild Cognitive Impairment

Keywords

  • Mild cognitive impairment
  • Cognitive rehabilitation
  • Cognitive therapy
  • Spaced retrieval Training
  • Alzheimer's disease
  • Memory enhancement
  • U-healthcare
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In context

Cognitive Dysfunction

3,843 studies on the registry are indexed under Cognitive Dysfunction; 1,100 are open to participants now.

This study's enrollment of 50 is below the median of 65 across 2,808 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Seoul National University Bundang Hospital is the lead sponsor of 368 studies on the registry; 55 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
55 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged 55-90
  • Educational level above 1 year and confirmed literacy
  • Diagnosed to mild cognitive impairment by International Working Group on Mild Cognitive Impairment
  • Clinical Dementia Rating (CDR) of 0 or 0.5

Exclusion criteria

Exclusion Criteria:

  • Diagnosed to dementia by DSM-IV
  • Evidence of delirium, confusion
  • Any neurological conditions causing cognitive decline such as Parkinson's disease, brain hemorrhage, brain tumor, normal pressure hydrocephalus
  • Evidence of severe cerebrovascular pathology
  • History of loss-of-consciousness over 1 hour due to head trauma or repetitive head trauma of mild severity
  • History of substance abuse or dependence such as alcohol
  • Presence of depressive symptoms that could influence cognitive function
  • Presence of medical comorbidities that could result in cognitive decline Use of medication that could influence cognitive function seriously
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Intervention_Control group

    Phase I: U-SMART for 4 weeks (2 session/week); Washout: for 2 weeks; Phase II: No intervention for 4 weeks

    Device: Phase I U-SMART (4 wks) · Other: Washout (2 wks)

  • Experimental
    Control_Intervention group

    Phase I: No intervention for 4 weeks; Washout: for 2 weeks; Phase II: U-SMART for 4 weeks (2 session/week)

    Other: Washout (2 wks) · Device: Phase II U-SMART (4 wks)

Interventions

  • DevicePhase I U-SMART (4 wks)

    Intervention_Control Group, 4-weeks U-SMART(2 session/week); Control_Intervention Group, no intervention

  • OtherWashout (2 wks)

    2-weeks wash out period in both arms

  • DevicePhase II U-SMART (4 wks)

    Intervention_Control Group, no intervention; Control_Intervention Group, 4-weeks U-SMART(2 session/week, Crossover design)

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What researchers measure

Primary outcomes

  1. Change in the Word List Test (memory, recall, recognition) of the CERAD Neuropsychological Assessment Battery before and after phase I intervention and before and after phase II intervention (crossover part of the study)

    To evaluate the efficacy of the U-SMART, the Word List Memory Test (WLMT), Word List Recall Test (WLRT), Word List Recognition Test (WLRcT) of the CERAD neuropsychological assessment battery were applied to all participants.

    Time frame: Baseline, 5 weeks, 11weeks

Secondary outcomes

  1. Change in the Subjective Memory Complaints Questionnaire (SMCQ) before and after phase I intervention and before and after phase II intervention (crossover part of the study)

    To evaluate the subjective memory improvement after the U-SMART, the Subjective Memory Complaints Questionnaire(SMCQ) was applied to all participants.

    Time frame: Baseline, 5 weeks, 11weeks

  2. Change in the Geriatric Depression Scale (GDS) before and after phase I intervention and before and after phase II intervention (crossover part of the study)

    To evaluate the subjective mood after the U-SMART, the Geriatric Depression Scale was applied to all participants.

    Time frame: Baseline, 5 weeks, 11weeks

  3. Change in the Mini-Mental State Examination before and after phase I intervention and before and after phase II intervention (crossover part of the study)

    To evaluate the global cognitive function after the U-SMART, the Mini-Mental State Examination was applied to all participants.

    Time frame: Baseline, 5 weeks, 11weeks

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Study locations

1 site
  • Seoul National University Bundang Hospital
    Seongnam, Gyeonggi 463-707, Korea, Republic of
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References and documents

Publications

  • Han JW, Son KL, Byun HJ, Ko JW, Kim K, Hong JW, Kim TH, Kim KW. Efficacy of the Ubiquitous Spaced Retrieval-based Memory Advancement and Rehabilitation Training (USMART) program among patients with mild cognitive impairment: a randomized controlled crossover trial. Alzheimers Res Ther. 2017 Jun 6;9(1):39. doi: 10.1186/s13195-017-0264-8. PubMed 28587629 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01688128
Lead sponsor
Seoul National University Bundang Hospital
Collaborators
KT Corporation
Responsible party
Ki Woong Kim (Professor, department of neuropsychiatry, Seoul National University Bundang Hospital) — Principal investigator
First posted
Sep 19, 2012
Start date
Aug 2012
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Apr 20, 2016

Study contacts

Ki Woong Kim, M.D., Ph.D.
principal investigator · Seoul National University Bundang Hospital, Seong-nam, Korea

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.

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