TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample

Introduction: People with multiple sclerosis (PwMS) experience a range of physical, cognitive, and affective symptoms. Behavioral interventions targeting increased physical activity show promising support as low-cost methods to improve working memory, episodic memory, and processing speed in PwMS. I...

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Main Authors: Ruchika S. Prakash, Heena R. Manglani, Elizabeth J. Duraney, Anita Shankar, Megan E. Fisher, Alisha Janssen, Lauren Cea, Rick Petosa, Rebecca Andridge, Jacqueline Nicholas
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Contemporary Clinical Trials Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451865422001235
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author Ruchika S. Prakash
Heena R. Manglani
Elizabeth J. Duraney
Anita Shankar
Megan E. Fisher
Alisha Janssen
Lauren Cea
Rick Petosa
Rebecca Andridge
Jacqueline Nicholas
author_facet Ruchika S. Prakash
Heena R. Manglani
Elizabeth J. Duraney
Anita Shankar
Megan E. Fisher
Alisha Janssen
Lauren Cea
Rick Petosa
Rebecca Andridge
Jacqueline Nicholas
author_sort Ruchika S. Prakash
collection DOAJ
description Introduction: People with multiple sclerosis (PwMS) experience a range of physical, cognitive, and affective symptoms. Behavioral interventions targeting increased physical activity show promising support as low-cost methods to improve working memory, episodic memory, and processing speed in PwMS. In this randomized controlled trial, we will examine the efficacy of a pedometer-tracking intervention, designed to increase low-to-moderate levels of physical activity, for improving working memory in PwMS. Methods and Analysis: Eighty-seven PwMS, between the ages of 30–59, have been recruited for the study. Seventy-five of the eligible and interested individuals were randomized to six-month health behavior monitoring groups: a Step-track group or a Water-track group (serving as the active control). Neuropsychological measures, assessing the primary outcome of the study, were administered at pre, midpoint, and post-intervention. Exploratory factor analysis of neuropsychological measures resulted in three factors: a working memory/processing speed factor, a visual episodic memory factor, and a verbal episodic memory factor. Changes in this latent measure of working memory/processing speed is the primary outcome of the current study. Functional MRI data will be analyzed to examine changes in the functional connectivity of the neural network supporting working memory. Ethics and dissemination: The institutional review board granted approval for the study and all participants provided written informed consent. The results of this study will provide support showing that step-tracking increases overall levels of physical activity, improves working memory and processing speed, and strengthens the neural circuitry that supports better cognition. Evidence from this study will thus offer promising support for the routine use of step-tracking devices to improve cognitive functioning in PwMS. Study results will be disseminated through peer-reviewed publications and presentations at scientific conferences.
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spelling doaj.art-1765f1a7eda543d7a9b022d25e9861b52022-12-22T04:41:03ZengElsevierContemporary Clinical Trials Communications2451-86542022-12-0130101006TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sampleRuchika S. Prakash0Heena R. Manglani1Elizabeth J. Duraney2Anita Shankar3Megan E. Fisher4Alisha Janssen5Lauren Cea6Rick Petosa7Rebecca Andridge8Jacqueline Nicholas9Department of Psychology, The Ohio State University, Columbus, OH, USA; Center for Cognitive and Behavioral Brain Imaging, The Ohio State University Columbus, OH, USA; Corresponding author. Department of Psychology, The Ohio State University, 139 Psychology Building 1835 Neil Avenue, Columbus, OH 43210, USA.Department of Psychology, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USADepartment of Psychology, The Ohio State University, Columbus, OH, USADepartment of Human Sciences, The Ohio State University, Columbus, OH, USADepartment of Biostatistics, The Ohio State University, Columbus, OH, USAOhio Health Multiple Sclerosis Center, Columbus, OH, USAIntroduction: People with multiple sclerosis (PwMS) experience a range of physical, cognitive, and affective symptoms. Behavioral interventions targeting increased physical activity show promising support as low-cost methods to improve working memory, episodic memory, and processing speed in PwMS. In this randomized controlled trial, we will examine the efficacy of a pedometer-tracking intervention, designed to increase low-to-moderate levels of physical activity, for improving working memory in PwMS. Methods and Analysis: Eighty-seven PwMS, between the ages of 30–59, have been recruited for the study. Seventy-five of the eligible and interested individuals were randomized to six-month health behavior monitoring groups: a Step-track group or a Water-track group (serving as the active control). Neuropsychological measures, assessing the primary outcome of the study, were administered at pre, midpoint, and post-intervention. Exploratory factor analysis of neuropsychological measures resulted in three factors: a working memory/processing speed factor, a visual episodic memory factor, and a verbal episodic memory factor. Changes in this latent measure of working memory/processing speed is the primary outcome of the current study. Functional MRI data will be analyzed to examine changes in the functional connectivity of the neural network supporting working memory. Ethics and dissemination: The institutional review board granted approval for the study and all participants provided written informed consent. The results of this study will provide support showing that step-tracking increases overall levels of physical activity, improves working memory and processing speed, and strengthens the neural circuitry that supports better cognition. Evidence from this study will thus offer promising support for the routine use of step-tracking devices to improve cognitive functioning in PwMS. Study results will be disseminated through peer-reviewed publications and presentations at scientific conferences.http://www.sciencedirect.com/science/article/pii/S2451865422001235Multiple sclerosisPedometer-trackingRandomized controlled trialPhysical activityCognition
spellingShingle Ruchika S. Prakash
Heena R. Manglani
Elizabeth J. Duraney
Anita Shankar
Megan E. Fisher
Alisha Janssen
Lauren Cea
Rick Petosa
Rebecca Andridge
Jacqueline Nicholas
TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample
Contemporary Clinical Trials Communications
Multiple sclerosis
Pedometer-tracking
Randomized controlled trial
Physical activity
Cognition
title TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample
title_full TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample
title_fullStr TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample
title_full_unstemmed TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample
title_short TRACking health behaviors in people with Multiple Sclerosis (TRAC-MS): Study protocol and description of the study sample
title_sort tracking health behaviors in people with multiple sclerosis trac ms study protocol and description of the study sample
topic Multiple sclerosis
Pedometer-tracking
Randomized controlled trial
Physical activity
Cognition
url http://www.sciencedirect.com/science/article/pii/S2451865422001235
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