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ArticleTrials2025

A multicenter randomized single-blinded clinical trial to investigate the effects of an individualized home-based cognitive training program in patients with chronic heart failure: the SYNAPSE protocol.

Caroll-Ann Blanchette, Florent Besnier, Emma Gabrielle Dupuy, Christine Gagnon, Thomas Vincent, Jean-Lucien Rouleau, Nadia Bouabdallaoui, Josep Iglesies Grau, Normand Racine, François Tournoux and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05223426 (A Multicenter Randomized Single-blinded Clinical Trial to Investigate the Effects of a Home-based Cognitive Training for individualS Affected bY chroNic heArt Failure), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05223426 naunknown statusnot on this map

A Multicenter Randomized Single-blinded Clinical Trial to Investigate the Effects of a Home-based Cognitive Training for individualS Affected bY chroNic heArt Failure: an Individualized Program to increaSE Cognitive Functions

TypeinterventionalSponsorLouis BhererRan2023 to 2024Enrolled54ConditionsHeart FailureArmsCognitive training, Usual Care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Caroll-Ann BlanchetteResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada. caroll-ann.blanchette-bisson@umontreal.ca.ORCID http://orcid.org/0000-0002-5873-925X
Florent BesnierResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Emma Gabrielle DupuyResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Christine GagnonResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Thomas VincentResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Jean-Lucien RouleauResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Nadia BouabdallaouiResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Josep Iglesies GrauResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Normand RacineResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
François TournouxDepartment of Medicine, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.
Francisco J ApullanResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada.
Paolo VitaliMcGill Research Centre of Studies On Aging, Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Sylvie BellevilleDepartment of Psychology, Faculty of Arts and Sciences, Université of Montréal, Montreal, QC, Canada.
Louis BhererResearch Centre and EPIC Centre, Montreal Heart Institute, Montreal, QC, Canada. louis.bherer@umontreal.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic heart failure patients are at high risk of cognitive deficits, which adds to the cardinal symptoms and can make the clinical picture even more challenging. Although various interventions, including pharmacological and lifestyle-based approaches, can help mitigate these deficits, many patients do not receive adequate treatment due to under-referral, limited access to care, or insufficient resources. This highlights the need for complementary and accessible strategies to support cognitive functioning in the heart failure population. Cognitive training is a safe and flexible way to help maintain and improve cognitive functioning in adults. However, the effects of individualized cognitive training in individuals with heart failure remain underexplored.

methodsThe SYNAPSE trial is a multicenter, single-blinded controlled trial with a cross-over design that aims to assess the effects of an individualized home-based cognitive training program on cognitive function in adults with heart failure. Fifty-four chronic heart failure participants aged 50 and over will be randomized to one of two arms, both including cognitive training and standard of care. The trial consists of 6 weeks of cognitive training (1 h 30/week), 6 weeks of standard of care, and three 2-week assessment times, for a total duration of 18 weeks. The primary outcome concerns executive functions, with global cognition and three neuropsychological composite z-scores as secondary outcomes. DISCUSSION: This trial will provide evidence on the effects of individualized cognitive training on cognitive functioning in patients with chronic heart failure. Moreover, its findings will inform on how to manage cognitive deficits in this population. Trial registration ClinicalTrial.gov NCT05223426. Registered on March 2, 2022.

Indexed as

CognitionCognitive Behavioral TherapyHeart FailureHome Care ServicesAgedChronic DiseaseCognitive TrainingCross-Over StudiesFemaleHumansMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicSingle-Blind MethodTreatment OutcomeCardiac rehabilitationCognitionCognitive trainingCross-over studiesExecutive functionHeart failureRandomized controlled trial

Identifiers

PMID41250150
PMCPMC12625340

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.