Alzheimer Disease Clinical Trial
— Lili smartOfficial title:
Lili Smart Study - Connected Solution of Assistance Dedicated to Caregivers and People With Alzheimer's Disease or Related Diseases
Alzheimer's disease and related diseases (ADRD) are a major public health issue. In France,
nearly 900,000 people have ADRD, which represents about 70% of dementia cases, and the
expected prevalence for 2020 is 1.2 million.
Patients with ADRD have cognitive, behavioral and functional impairments that lead to
progressive impairment of quality of life and autonomy. Maintaining them at home depends
predominantly on their caregivers, mainly family, spouse or child. By definition, the
caregiver is "the person who provides partial or total support to an elderly dependent person
or a person with a disability in the vicinity of the victim for the activities of daily
life".
The investment of caregivers is therefore both human and financial, representing a greater or
lesser burden. This burden can significantly affect their quality of life. Indeed, studies
have shown that caregivers suffer from depletion, anxiety, depression and sleep disorders
resulting in a deterioration of their health, leading them to greater care consumption. They
would be more prone to cardiovascular diseases and cancer.
A review of the literature from 2009 examined 66 studies evaluating the contribution of
various technologies targeting demented patients and their caregivers. Of these, only 10
dealt with independence at home and the well-being of the patient and his / her caregiver.
The main limitations of these studies are the small samples (ranging from 1 to 6 patients),
the degree of cognitive degradation (mainly moderately severe) and the lack of standardized
assessment.
Although new technologies promise powerful home-based solutions, studies evaluating their
efficacy for patients with ADRD and their caregivers remain scarce and fragile at the level
of evidence due to methodological biases.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | September 2019 |
Est. primary completion date | September 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years and older |
Eligibility |
Inclusion Criteria: Caregiver inclusion's criteria : - Natural caregiver helping the patient at least 6h / week for activities of daily living (if more than one caregiver, only one "referent" caregiver will be involved); - Can be the caregiver of only one patient of the study. - Having the ability to follow the study at the discretion of the investigator; - Having agreed to participate in the study; - Affiliated to a social security scheme; Patient Inclusion Criteria: - Diagnosis of Alzheimer's disease or related disease; - Living at home - Age = 50 years - Mini Mental State Examination (MMSE): 16-24 (included) (light to moderate); - Affiliated to a social security scheme; - Having agreed to participate in the study; - Having the physical and psychic abilities to follow the study according to the appreciation of the investigator. Exclusion Criteria: Patients exclusion's criteria: - Known psychiatric disorders - Disabling motor and / or sensory impairment - Patient under guardianship |
Country | Name | City | State |
---|---|---|---|
France | Hopital des Charpennes | Villeurbanne |
Lead Sponsor | Collaborator |
---|---|
Hospices Civils de Lyon | Lili smart |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Caregiver's burden evolution | Natural caregiver's burden evolution after 6 months of follow-up. Natural caregiver's burden evolution after 6 months of follow-up. Assessement with the Zarit scale | 6 months after randomization | |
Secondary | Evolution of the caregiver's anxiety level | Evolution of the caregiver's anxiety level estimated with repeated measures with the Spielberger's State-Trait Anxiety Inventory (STAI Y-A / Y-B). | 3 months and 6 months after randomization | |
Secondary | Evolution of the caregiver's depressive symptomatology | Evolution of the caregiver's depressive symptomatology estimated with repeated measures of the Beck Depression Inventory (BDI) | 3 months and 6 months after randomization | |
Secondary | Evolution of the caregiver's quality of life | Evolution of the caregiver's quality of life estimated with repeated measures of the Quality of Life in Alzheilmer's Disease scale, caregiver version | 3 months and 6 months after randomization | |
Secondary | Evolution of the patient's quality of life | Evolution of patient's quality of life estimated with repeated measures of the Quality of Life in Alzheilmer's Disease scale, patient version | 3 months and 6 months after randomization | |
Secondary | Evolution of the patient's independence | Evolution of the patient's independence with repeated measures of the Instrumental Activities of Daily Life (IADL-E, 9 items). | 3 months and 6 months after randomization | |
Secondary | Evolution of the caregiver's quality of life | Evolution of the caregiver's quality of life estimated with repeated measures of the Quality of Life with EQ-5D questionnaire (EuroQol Five Dimensions questionnaire). | 3 months and 6 months after randomization | |
Secondary | Evolution of the patient's quality of life | Evolution of patient's quality of life estimated with repeated measures of the Quality of Life with EQ-5D questionnaire (EuroQol Five Dimensions questionnaire). | 3 months and 6 months after randomization | |
Secondary | Number of falls | Number of times the patient has fallen after 1 month, 3 months and 6 months. | 1 months, 3 months and 6 months after randomization | |
Secondary | Number of run aways | Number of times the patient has ran away after 1 month, 3 months and 6 months. | 1 months, 3 months and 6 months after randomization | |
Secondary | Number of drugs prescribed to the caregiver and the patient | Evolution of the number of drugs prescribed to the caregiver and the patient at inclusion and after 6 months of follow-up. | at inclusion and at 6 months | |
Secondary | Indirect medical costs and direct non-medical costs | Data for indirect medical costs and direct non-medical costs will be collected with the RUD LITE questionnaire and the Lyon CMRR's MEMORA database | 6 months | |
Secondary | Evaluation of the caregiver's adherence to the Lili Smart solution | Evaluation of the caregiver's adherence to the Lili Smart solution after 7 months of follow-up (1 month of observation phase then 6 months of intervention) estimated through data collected in Lili Smart databases (number of connections to the application). | 7 months | |
Secondary | Evaluation of patient's adherence to the Lili Smart solution | Evaluation of the patient's adherence to the Lili Smart solution after 7 months of follow-up (1 month of observation phase then 6 months of intervention) estimated through data collected in Lili Smart databases (number of hours when the watch is worn). | 7 months | |
Secondary | Caregiver's burden evolution | Natural caregiver's burden evolution after 3 months of follow-up. Assessement with the Zarit scale | 3 months after randomization |
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