Skip to main content
OpenTrials
Completed

NCT Number: NCT05808426

Benefits of Online Mahjong by Older Adults

This study aims to examine the clinical efficacy of online Mahjong in improving physical health, cognitive performance, happiness, laboratory biomarkers, and structural brain imaging (magnetic resonance imaging, MRI) by a randomized controlled trial design, and hopefully to expand the scope of healthy aging intervention activities with strong scientific evidence.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Aged Behavior Motor Activity

Age range

55 year–74 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Center for Geriatrics and Gerontology, Taipei Veterans General Hospital

Taipei, 112, Taiwan

About this study

Psychomotor function among older adult's decline was associated with reducing people interaction during pandemic has been reported. The research focused on examining the benefit and efficacy of digital based Mahjong games with 6-month intervention is very limited or none. A random control design was conducted with comparing intervention group and with control group, followed the CONSORT guidelines. Six months program was intervened to ensure the impact of the intervention. Primary outcome is brain imagery changes between groups, which showed changes in temporal fusiform cortex but not in resting-state fMRI. The total score of MoCA, delayed recall was increase from baseline to after intervention in experimental group. Overall cognitive function and visuospatial/executive, in experimental group improved more than control group. Improving self-rating daily health status as associated with achievement rate of Mahjong game. Increasing level of resilience was associated with demoralization level, subtraction of cognitive function, and 5th month walking steps. In addition, affecting incased self -rate overall heath was related to demoralization. In short, online mahjong intervention has positive impact on older adults in cognitive function , resilience, demoralization and overall quality of life.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥ 55 years old.
  • More than 6 years of formal education.
  • Can communicate in Mandarin and Taiwanese.
  • Can accept MRI examination without claustrophobia.
  • Can understand the research process, meet the requirements of the research, and can sign the consent form and participate in the subject.

Exclusion criteria

  • Have engaged in any Mahjong games in the past three months.
  • Engaged in Mahjong games more than three times per year in the past three years.

Treatment and study plan

Bonus Winner Mahjong

Device

Bonus Winner Mahjong developed by Bonus Winner Online Entertainment Co., Ltd. The participants in experimental group played three times a week, each time requiring at least lasting 30 minutes, for half of a year.

Primary outcomes

  1. Change in MRI study from baseline to 6 months in the intervention group.

    Time frame: baseline and 6 months

    Change in MRI study from baseline to 6 months in the intervention group.

Secondary outcomes

  1. Montreal Cognitive Assessment (MoCA)

    Time frame: baseline and 6 months

    Cognitive function measure by MoCA , which comprise a 30-question test.Score range: 0-30, and a score of 26 and higher is considered normal.

  2. EuroQol instrument (EQ-5D)

    Time frame: baseline and 6 months

    Quality of life measure by EQ-5D, which include five questions on mobility, self care, pain, usual activities, and psychological status. Score range: There are three level of the answers for each question, the maximum score of 1 refers to the best condition without problem, and higher scores refers more severe of the issue. Moreover, the visual analogue scale (VAS) which from 0-100, higher score indicating better health status.

  3. International Physical Activity Questionnaire (IPAQ)

    Time frame: baseline and 6 months

    Physical activity measured by IPAQ, indicates that spent being physically active within the prior 7 days. Score range: There are no established thresholds for presenting MET-minutes, the IPAQ Research Committee proposes that reported as comparisons of median values and interquartile ranges for different populations.

  4. Brief Resilience Scale (BRS)

    Time frame: baseline and 6 months

    Resilience measured by BRS to assess ability to bounce back or recover from stress and adversity. Score range: 6-30, and higher scores refers to higher level of resilience.

  5. Demoralization Scale-Mandarin Version (DS-MV)

    Time frame: baseline and 6 months

    Demoralization measure by DS-MV, comprised 24 items and each rated on a five-point Likert scale.Score range: 0-96, and cut-off point score ≥30 was considered to identified demoralization.

Sponsors and collaborators

Lead sponsor

National Yang Ming Chiao Tung University

Other

Registry information

Official study title

Randomized Trial of Online Mahjong Intervention to Promote Cognitive Function and Health Status in Community-dwelling Middle Aged and Older Adults.

Important dates

Study start
2020
Primary completion
2021
Study completion
2022
First posted
Apr 11, 2023
Registry last updated
Apr 19, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.