Video Program for Alzheimer's Disease
(RT-D ADRD Trial)
Recruiting in Palo Alto (17 mi)
Age: 65+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Icahn School of Medicine at Mount Sinai
Disqualifiers: Terminal illness, Frontotemporal dementia, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The proposed study will establish the feasibility, acceptability and credibility of a novel live video dyadic resiliency intervention, Resilient Together for Dementia (RT-D), aimed at preventing chronic emotional distress and preserving quality of life among dyads at risk for chronic emotional distress early after a diagnosis of Alzheimer's disease or a related dementia (ADRD).
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment Resilient Together for Dementia (RT-D, RT-ADRD) for Alzheimer's Disease?
The RDAD program, which is similar to Resilient Together for Dementia, has been effective in teaching caregivers strategies to improve mood, behavior, and physical function in people with dementia. This suggests that similar approaches, like Resilient Together for Dementia, may also be beneficial.
12345What makes the Resilient Together for Dementia treatment unique compared to other treatments for Alzheimer's disease?
The Resilient Together for Dementia treatment is unique because it combines video programs designed to engage and calm individuals with dementia, providing caregivers with respite time, and involves caregivers in exercise activities to improve mood and behavior, which is different from traditional medication-based treatments.
12367Eligibility Criteria
This trial is for pairs (dyads) where one person has early-stage Alzheimer's or related dementia and the other is a caregiver. They should be at risk of chronic emotional distress. Specific eligibility details are not provided, but typically there would be criteria around age, health status, and ability to participate in video sessions.Inclusion Criteria
Dyad lives together
At least one partner endorses clinically significant emotional distress during screening (>7 on Hospital Anxiety and Depression scale subscales)
I was diagnosed with Alzheimer's or dementia about a month ago.
+5 more
Exclusion Criteria
Patient is deemed inappropriate by the neurology team
Either partner has a co-occurring terminal illness
Patient was diagnosed with forms of dementia with clinical profiles that would preclude participation (e.g., Frontotemporal Dementia- behavioral variant), as determined by treatment team
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1.5-2 months
Treatment
Participants receive the Resilient Together for Dementia intervention via live video sessions
6 weeks
Weekly live video sessions
Follow-up
Participants are monitored for changes in emotional distress using the Hospital Anxiety and Depression Scale
4 weeks
Participant Groups
The study tests 'Resilient Together for Dementia', a live video intervention designed to help both the patient with dementia and their caregiver manage emotional stress and maintain quality of life after diagnosis.
1Treatment groups
Experimental Treatment
Group I: Open Pilot RT-D DyadsExperimental Treatment1 Intervention
Persons living with dementia (PWDs) and their spousal care-partners
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Brain Injury Research Center at Mount SinaiNew York, NY
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Who Is Running the Clinical Trial?
Icahn School of Medicine at Mount SinaiLead Sponsor
National Institute on Aging (NIA)Collaborator
References
Training Area Agencies on Aging Case Managers to Improve Physical Function, Mood, and Behavior in Persons With Dementia and Caregivers: Examples from the RDAD-Northwest Study. [2019]The Reducing Disability in Alzheimer's Disease (RDAD) program has been shown to be an effective tool for teaching caregivers strategies to improve mood, behavior, and physical function in persons with dementia. This paper describes how RDAD has been translated and implemented for use by Area Agencies on Aging (AAA) case managers across Washington and Oregon. Modifications to the original RDAD program as part of its community translation included decreasing the number of in-person sessions while preserving all educational content; involving caregivers in exercise activities for themselves as well as acting as exercise coaches for care-receivers; and enrolling persons with cognitive impairment due to mixed etiologies. This paper describes these changes and their rationale, the challenges faced by community agencies recruiting for and delivering evidence-based programs, and illustrates the actual RDAD implementation process through several brief case examples. Case examples also illustrate how RDAD-Northwest can be useful with care-receivers with a range of cognitive impairment severity, family caregiving situations, and levels of mood and behavioral challenges.
An Evaluation of Dementia Dialogues®: A Program for Informal and Formal Caregivers in North and South Carolina. [2022]In 2019, the University of South Carolina's Office for the Study of Aging (OSA) remodeled the curriculum for the nationally registered Dementia Dialogues® program that delivers high-quality education to formal and informal caregivers of persons who exhibit signs and symptoms of Alzheimer's disease and related dementias (ADRD). This study evaluated new knowledge acquired and program satisfaction by North and South Carolina program participants (N = 235) after completing updated modules. Pre/post module survey data were analyzed using means and percentiles, McNemar's test, and paired t tests. Results demonstrated significant positive increases in caregiver knowledge attainment, with differences in overall knowledge change in specific modules among caregivers and noncaregivers (p < .0001-<.05). Dementia Dialogues® may serve as a useful tool in providing important information that increases caregiver knowledge of persons living with ADRD. Further research is recommended to examine how knowledge improvement translates into caregiving practices.
Working with advanced dementia patients in a day care setting. [2015]Alzheimer's disease and most other causes of dementia are regressive by nature. As such one can expect patients with such types of mental impairment to gradually decline in function and ability to participate in day care activities. This paper attempts to show that with the right kind of orientation, staff can "tune into" the more advanced dementia patients, find the key to their personal needs, desires and remaining abilities and design a program that allows them not only to continue to participate in a social and therapeutic framework, but also to gain some meaningful human contact and quality of life despite their cognitive deterioration.
Development of an integrative learning program for community dwelling old people with dementia. [2021]to develop an integrative learning program for people with dementia.
Design and Development of a Community-Based, Interdisciplinary, Collaborative Dementia Care Program. [2022]To describe the design, development, and baseline characteristics of enrollees of a home-based, interdisciplinary, dyadic, pilot dementia care program.
Video Respite: an innovative resource for family, professional caregivers, and persons with dementia. [2019]The development of a new and promising resource for family, professional caregivers, and persons with dementia is detailed in this article. The concept, Video Respite, refers to the initial goal of creating videotapes specifically for persons with dementia to capture and maintain their attention, enabling caregivers to have respite time. Ten 20-53-minute videotapes are described along with their potential benefits and limitations. Early research findings reveal that most persons with Alzheimer's disease (AD) watch and participate with the tapes, caregivers use the time for respite, and staff of SCU's report the tapes to be calming for the residents.
Evaluation of Dementia-Friendly Initiatives, Small-Scale Homelike Residential Care, and Dementia Village Models: A Scoping Review. [2023]Numerous initiatives are emerging to improve the care management of persons suffering from Alzheimer's disease or related disorders (ADRD). The aim of this review is to identify research evaluations of initiatives in long-term care facilities and those making society more inclusive.