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Dementia of Alzheimer Type clinical trials

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NCT ID: NCT04863859 Recruiting - Dementia Clinical Trials

Persons With Dementia and Their Extended Family Caregivers

CareEx
Start date: September 11, 2021
Phase:
Study type: Observational

Immediate family members shoulder the majority of care responsibilities for persons living with dementia. However, due to various societal changes, elder care responsibilities have expanded to extended family members, including grandchildren, siblings, nieces/nephews, siblings, and step-kin. The main objective of this study is to understand the caregiving journeys of various extended family members involved in dementia care. We aim to learn about caregivers' care management strategies; their use of home and community-based services and informal support; and barriers to service usage. We will use the results from the study to help enhance service delivery, alleviate care-related stress, and improve the quality of life of dementia patients and their caregivers. We will use a mixed-methods design to explore the challenges faced by caregivers as well as their service usage for the person living with dementia. Our methodology involves an initial telephone interview (approx. 70 minutes) that includes open-ended questions, standard items, and structured measures, followed by an 8-day semi-structured daily diary interview about daily care responsibilities and experiences with services (15-20 minutes each evening). This study will be conducted with 240 extended family members serving as one of the main caregivers for a person living with dementia in a community setting.

NCT ID: NCT04863495 Recruiting - Alzheimer Disease Clinical Trials

Couples Lived Experience

Start date: April 19, 2021
Phase:
Study type: Observational

This is a longitudinal study with regular quantitative assessments of all participants every six months for 3 years. The quantitative portion of the study will recruit couples, consisting of individuals over the age of 65 who are in a committed relationship. Both members of the couple must be willing to participate at baseline. The assessment is in two parts. In the first part, each member of the couple will be asked the following: demographic information, mental health history, self-reported physical and emotional health, measures of emotional and mental health, personality, relationship and attachment style, social support and self-efficacy. Then each member of the study couple will be asked a series of questions to determine whether they consider themselves a caregiver. If they do, individuals will be asked to respond to additional caregiver questionnaires. Follow-ups will occur every six months for the study couples for a total of three years from the baseline visit. Each visit, the entire assessment except for demographic questions, will be re-administered to each individual in the couple. At the end of each questionnaire battery, individuals will be screened for cognitive impairment and those who are in the middle to advanced stages of dementia will no longer participate. Recruitment will end when 600 individuals (300 couples,150 couples at each site) are enrolled in the longitudinal portion of the study. All study visits will be conducted virtually via Zoom or WebEx video conferencing. Analyses will be conducted to determine the association between changes in dyadic relationship and changes in mental health and cognitive outcomes, to elucidate how relationship characteristics impact health and well-being as perceived by each member of the dyad.

NCT ID: NCT04851691 Enrolling by invitation - Alzheimer Disease Clinical Trials

An Electronic Clinical Decision Support Tool to Reduce Low-value Antipsychotic Prescriptions

Start date: August 3, 2021
Phase: N/A
Study type: Interventional

The goal of this study will be to design, implement and test the impact of a quality improvement (QI) intervention that uses an EHR CDS tool among physicians newly ordering an antipsychotic medication for older adults with ADRD. The study team hypothesizes that the intervention will reduce each participating clinician's pill days per patient prescribed.

NCT ID: NCT04828434 Active, not recruiting - Dementia Clinical Trials

Virtual Individual Cognitive Stimulation Therapy: a Proof of Concept Study

V-iCST
Start date: April 1, 2021
Phase: N/A
Study type: Interventional

Due to COVID-19, the routine treatment for dementia, Cognitive Stimulation Therapy (CST), is currently suspended in multiple countries. Access to treatment is, therefore, paramount. The investigators seek to bridge the current treatment gap with a virtual and individual form of CST, called Virtual Individual Cognitive Stimulation Therapy (V-iCST). This psychosocial intervention was adapted from the key principles of CST and developed within the Medical Research Council (MRC) framework for complex interventions. The investigators aim to evaluate the feasibility and acceptability of V-iCST in a Randomized Controlled Trial. This is a feasibility randomized controlled trial (RCT) for Virtual Individual Cognitive Stimulation Therapy (V-iCST), an evidence-based teletherapy for people with mild to moderate dementia. This psychosocial intervention is adapted from a routine and established dementia treatment, Cognitive Stimulation Therapy, and developed within the Medical Research Council (MRC) framework for complex interventions.

NCT ID: NCT04749563 Completed - Clinical trials for Dementia of Alzheimer Type

Study of IGC-AD1 in Subjects With Dementia Due to Alzheimer's Disease

Start date: January 11, 2021
Phase: Phase 1
Study type: Interventional

A single center, randomized, placebo controlled multiple ascending dose study of IGC AD1 to evaluate safety and tolerability in subjects with dementia due to Alzheimer's Disease (AD).

NCT ID: NCT04699786 Active, not recruiting - Alzheimer Disease Clinical Trials

Returning Research Results That Indicate Risk of Alzheimer Disease Dementia to Healthy Participants in Longitudinal Studies

WeSHARE
Start date: February 19, 2021
Phase: N/A
Study type: Interventional

This is a study to evaluate the impact of returning research results that indicate a five-year risk estimate of Alzheimer disease dementia to participants without memory or thinking problems of the Knight Alzheimer Disease Research Center at Washington University in St. Louis.

NCT ID: NCT04682535 Completed - Dementia Clinical Trials

Daily Study of Caregiving Relationships and Health

Start date: September 1, 2020
Phase:
Study type: Observational

The purpose of the Daily Study of Caregiving Relationships and Health is to learn how caregiving relationships and social connectedness are associated with dementia caregivers' health, health behaviors, and diurnal patterns of salivary cortisol. This is a pilot study wherein the purpose is to test the feasibility and acceptability of study protocols.

NCT ID: NCT04680013 Recruiting - Dementia Clinical Trials

Genetic Studies in Familial Dementia

Start date: June 1, 2007
Phase:
Study type: Observational

The purpose of this study is to identify genetic factors that contribute to or cause dementia (loss of memory) and related disorders across all ages and ethnic groups. This includes a number of neurological diseases such as early and late-onset Alzheimer disease, mild cognitive impairment, and other dementias.

NCT ID: NCT04555629 Not yet recruiting - Dementia Clinical Trials

Advanced Cognitive Stimulation Therapy Hong Kong (ACST-HK)

Start date: November 1, 2020
Phase: N/A
Study type: Interventional

This study is a feasibility randomized controlled trial (RCT) for an evidence-based intervention for people with moderate to severe dementia in Hong Kong. The psychosocial intervention is adapted from Cognitive Stimulation Therapy (CST), translated and adapted for the Hong Kong Chinese population, and developed within the Medical Research Council (MRC) framework.

NCT ID: NCT04550975 Not yet recruiting - Dementia Clinical Trials

Advanced Cognitive Stimulation Therapy (ACST)

Start date: March 1, 2021
Phase: N/A
Study type: Interventional

This study is a feasibility randomised controlled trial (RCT) for an evidence-based intervention for people with moderate to severe dementia. The psychosocial intervention is adapted from Cognitive Stimulation Therapy (CST) and developed within the Medical Research Council (MRC) framework.