ClinicalTrials.gg
CompletedNCT05150990ThriveUpdated Jul 29, 2026Results posted

Technology and Family Thriving Study

An interventional study of Virtual Reality and Video Chat in Alzheimer Disease, Dementia and Caregiver Burnout, sponsored by University of California, Santa Barbara. Completed at 27 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by University of California, Santa Barbara · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this project is to test the impact of different forms of technology (virtual reality vs. video chat) on quality of life and family relationships in older adults who reside in senior living communities and an adult child who lives at a distance. The study will also investigate whether responses to the technology and quality of life outcomes depend on older adults' level of cognitive impairment.

Read the detailed description

Purpose of the clinical trial: The virtual reality (VR) program, Rendever, enables older adults in senior living communities to maintain important family relationships, engage fully with life, and reconnect with their past, regardless of physical location, through its advanced networking and live-streaming capabilities. This project will test the immediate and longer-term impact of the Rendever virtual reality platform (vs. video chat) on the quality of life of residents and their adult children in an experimental design. The study will also investigate whether responses to the technology and quality of life outcomes depend on older adults' level of cognitive impairment.

Participants: Participants will be older adults (age 50+) with mild cognitive impairments (MCI) or mild to moderate Alzheimer's Disease or related dementias (ADRD) who reside in senior living communities and an adult child who lives at a distance. The resident-adult child dyads (target N=192 dyads) will be recruited from 12 senior living communities in the greater Boston area and central California. Residents will participate from their senior living community and adult children will participate from their own home, at least 45 minutes driving distance away.

Study Design and Method: The design is a 2 (Intervention Group: Virtual Reality vs. Active Control) x 2 (Level of Cognitive Impairment: MCI vs. ADRD) x Time (7 time points) design. Dyads will be randomly assigned to an intervention group (Virtual Reality vs. Video Chat Control). Dependent variables will include quality of life, psychological and social well-being (loneliness, mental health, thriving, and relationship quality), caregiver guilt (guilt, stress, and burden), and positive engagement while using the technology. Outcomes will be assessed through surveys, interviews, and observational methods.

The experimental intervention will be implemented in a between-group design. Dyads will be randomly assigned to either the Virtual Reality Condition or the active Control Condition (video chat). Participants will complete a baseline survey (T1), followed by four activity sessions once a week for 4 consecutive weeks (T2-T5). Follow-up surveys will be conducted at 1-month (T6) and 3-months (T7) post-intervention for exploratory purposes (to determine if any effects of the technology are sustained over time). Residents and adult children will also be interviewed briefly after the intervention and at each follow-up. All sessions will be video and audiotaped. Computerized and human coding will examine positive engagement and interpersonal dynamics while using the technology.

Dyads assigned to the virtual reality (VR) condition will engage in 4 weekly VR sessions that include immersive virtual adventures (e.g., bucket list travel) and reminiscence activities (e.g., virtual life story). Dyads assigned to the control condition will engage in 4 weekly video chat sessions. During these sessions, dyads will engage in conversations that are typical in their daily lives. All other procedures will be identical in the two conditions.

Sample size, recruitment, and statistical power: A power analysis using simulation methods (for multi-level regression models and structural equation models) was used to determine the sample size. A sample size of 192 dyads (96 in each intervention condition) evenly split between cognitive impairment groups (MCI vs. dementia) will achieve a high level of power for detecting the minimal expected effect size (accounting for expected attrition).

Statistical analysis: Because data from parent-adult child dyads will be dependent, and because the dyad is the unit of analysis for assignment to experimental conditions, the analysis of quantitative data will utilize linear models designed for nested (clustered) data. Hypothesis testing will be conducted with multi-level, random-effects regression and multi-level structural equation modeling.

Study Aims:

AIM 1: Determine whether virtual reality (vs. control) improves quality of life for residents and their adult children who live at a distance.

AIM 2: Determine whether the positive effects of virtual reality (vs. control) on quality of life depend upon residents' level of cognitive impairment (MCI vs. mild to moderate AD/ADRD).

AIM 3: Determine whether virtual reality (vs. control) reduces caregiver guilt for adult children and whether these effects depend on the adult child's own responses to the technology and their parent's responses to the technology.

02

Conditions studied

  • Alzheimer Disease
  • Dementia
  • Caregiver Burnout
  • Quality of Life
  • Mental Health Wellness 1
  • Loneliness
  • Family Relationship

Keywords

  • Virtual reality
  • Video chat (Zoom)
  • Technology
  • Senior living community
  • Seniors
  • Older adults
  • Cognitive impairment
  • Dementia
  • Thriving
  • Quality of Life
  • Loneliness
  • Mental health
  • Caregiver guilt
  • Caregiver burden
  • Family relationships
  • Adult children
  • Assisted living
  • Social connection
03

In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's enrollment of 186 is above the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

University of California, Santa Barbara is the lead sponsor of 14 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria for older adults:

  • Must reside in one of the senior living communities participating in the study
  • at least 50 years old
  • Fluent in English or Spanish
  • Have MCI or mild to moderate AD/ADRD
  • (MMSE-2) score between 13 and 27
  • Have an adult child who lives at least 45 minutes driving distance from the community and is willing to participate with them
  • Do not have an overly negative, aggressive, or abusive relationship with this adult child

Inclusion Criteria for adult children:

  • At least 18 years old
  • Fluent in English or Spanish,
  • Live at least 45 minutes driving distance from the residential community
  • Do not have an overly negative, aggressive, or abusive relationship with their parent

Exclusion Criteria:

  • Severe AD/ADRD (MMSE-2 score \< 13)
  • History of seizure, severe vertigo, hallucinations, or aggression
  • Severe visual impairment (screening will be conducted to determine if vision is sufficient to participate)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
186 participants (actual)

Study arms

  • Experimental
    Virtual Reality

    Weekly activities using virtual reality (Rendever)

    Behavioral: Virtual Reality

  • Active comparator
    Video Chat

    Weekly activities using video conference (Zoom)

    Behavioral: Video Chat

Interventions

  • BehavioralVirtual Reality

    Older adults (residents of senior living communities) engage in four 20-minute virtual reality activities (via the Rendever platform) with their adult child each week for 4 consecutive weeks. The 4 sessions include immersive virtual adventures (e.g., bucket list travel) and reminiscence activities (e.g., virtual life story). Adult children participate remotely from their own homes.

  • BehavioralVideo Chat

    Older adults (residents of senior living communities) engage in four 20-minute video chat sessions (via the Zoom platform) with their adult child each week for 4 consecutive weeks. Adult children participate remotely from their own homes.

06

What researchers measure

Primary outcomes

  1. Quality of Life in Alzheimer's Disease (QOL-AD) - Changes From Baseline (Older Adult)

    QOL-AD (R.G. Logsdon, 1996) is a 13-item self-report measure of quality of life (completed by older adult participants). (As a secondary outcome, adult children also reported on their parents' quality of life). Items are rated on a 4-point scale: 1 = Poor, 2 = Fair, 3 = Good, 4 = Excellent. The total score is the mean of all items (range: 1 to 4). Higher scores indicate greater quality of life.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  2. Brief Inventory of Thriving (BIT) - Changes From Baseline (Older Adult)

    An 11-item measure of thriving adapted from the Brief Inventory of Thriving (BIT) and the Comprehensive Inventory of Thriving (CIT; Su, R., Tay, L., \& Diener, E., 2014). This measure provides a holistic view of positive functioning (completed by older adults and adult children). Items are rated on a 5-point scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Neither Agree nor Disagree, 4 = Agree, 5 = Strongly Agree. The total score is the average of the 11 items (range: 1 to 5). Higher scores indicate a greater sense of thriving.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  3. Positive and Negative Affect Schedule (PANAS) - Changes From Baseline (Older Adult)

    This scale includes 12 items from the longer PANAS (Watson, Clark, \& Tellegen, 1988), which measures two primary dimensions of mood. (Completed by older adults and adult children.) Participants rate the extent to which they experienced positive and negative emotions over the past week. Each item is rated on a 5-point scale: 1 = Not at all, 2 = A little, 3 = Moderately, 4 = Quite a lot, 5 = Extremely. Separate subscale scores are calculated for positive emotion (6 items) and negative emotion (6 items) by averaging responses within each set (range: 1 to 5). Higher scores on the positive emotion subscale reflect greater positive mood during the past week, indicating better well-being. Higher scores on the negative emotion subscale reflect greater negative mood, indicating poorer well-being.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  4. Geriatric Depression Scale (GDS) - Changes From Baseline (Older Adult)

    GDS (Sheikh, J.I., \& Yesavage, J.A., 1986) is a 15-item self-report measure of depression (completed by older adult participants). Items are rated "Yes" or "No" and are scored "1" if the response reflects depressive symptoms. Total score is the sum of all items (range: 0 to 15). Higher scores indicate greater depression.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  5. Mental Health Inventory (MHI) - Changes From Baseline (Older Adult)

    The MHI includes 5 items from the longer MHI (McHorney, Ware, \& Raczek, 1993) to assess depression, anxiety, and vitality during the past week (completed by older adults and adult children). Items are rated on a 6-point scale: 1= None of the time, 2= A little of the time, 3 = Some of the time, 4 = A good bit of the time, 5 = Most of the time, 6 = All of the time. The total score is the average of all 8 items, some reverse-scored (range: 1 to 6). Higher scores indicate better mental health.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  6. Revised UCLA Loneliness Scale (Short Form) - Changes From Baseline (Older Adult)

    The short form of the Revised UCLA Loneliness Scale (Hughes, Waite, Hawkley, \& Cacioppo, 2008) is a 4-item scale widely used in field research with older adults, and adapted from the original scale (Russell D, Peplau LA, Cutrona CE, 1980). Items are rated on a 4-point scale: 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often. The total score is the mean of the 4 items (range: 1 to 4). Higher scores indicate greater loneliness.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  7. Unidimensional Relationship Closeness Scale - Changes From Baseline (Older Adult)

    Relationship closeness is assessed with 4 items from the Unidimensional Relationship Closeness Scale (Dibble, Levine, \& Park, 2011). (Completed by older adults and adult children). Items are rated on a 7-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Somewhat disagree, 4 = Neutral, 5 = Somewhat agree, 6 = Agree, 7 = Strong Agree. The total score is the average of the 4 items (range: 1 to 7). Higher scores indicate greater relationship closeness.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  8. Relationship Satisfaction - Changes From Baseline (Older Adult)

    Global relationship satisfaction is assessed with 3 items adapted from Huston et al.'s (1986) relationship satisfaction scale (completed by older adults and adult children). Items are rated on a 6-point scale: 1 = Not at all, 2 = A little, 3 = Somewhat, 4 = Very, 5 = Almost completely, 6 = Completely. Total scores are the average of the 3 items (range: 1 to 6). Higher scores indicate greater relationship satisfaction.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  9. Communal Coping - Changes From Baseline (Older Adult)

    Communal coping is assessed with 3 items reflecting feelings of unity when combatting stress (Afifi et al., 2019). (Completed by older adults and adult children.) Items are rated on a 5-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree. The total score is the average of the 3 items (range: 1 to 5). Higher scores indicate a greater sense of communal coping.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  10. Brief Inventory of Thriving (BIT) - Changes From Baseline (Adult Child)

    An 11-item measure of thriving adapted from the Brief Inventory of Thriving (BIT) and the Comprehensive Inventory of Thriving (CIT; Su, R., Tay, L., \& Diener, E., 2014). This measure provides a holistic view of positive functioning (completed by older adults and adult children). Items are rated on a 5-point scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Neither Agree nor Disagree, 4 = Agree, 5 = Strongly Agree. The total score is the average of the 11 items (range: 1 to 5). Higher scores indicate a greater sense of thriving.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  11. Center for Epidemiological Studies Depression Scale Revised Short Form (CESD-R-10) - Changes From Baseline (Adult Child)

    The CESD-R-10 (Björgvinsson, Kertz, Bigda-Peyton, McCoy, Aderka,2013) is a 10-item measure of depressive symptoms adapted from the longer CESD (completed by adult children). Participants are asked to report how they felt during the past week. Items are rated on a 4-point scale: 0 = Rarely or none of the time, 1 = Some or a little of the time, 2 = Occasionally or a moderate amount of the time, 3 = Most or all of the time. The total score is the mean of the 10 items, some reverse-scored (range: 0 to 3). Higher scores reflect more depressive symptoms, worse mental health.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  12. Positive and Negative Affect Schedule (PANAS) - Changes From Baseline (Adult Child)

    This scale includes 12 items from the longer PANAS (Watson, Clark, \& Tellegen, 1988), which measures two primary dimensions of mood. (Completed by older adults and adult children.) Participants rate the extent to which they experienced positive and negative emotions over the past week. Each item is rated on a 5-point scale: 1 = Not at all, 2 = A little, 3 = Moderately, 4 = Quite a lot, 5 = Extremely. Separate subscale scores are calculated for positive emotion (6 items) and negative emotion (6 items) by averaging responses within each set (range: 1 to 5). Higher scores on the positive emotion subscale reflect greater positive mood during the past week, indicating better well-being. Higher scores on the negative emotion subscale reflect greater negative mood, indicating poorer well-being.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  13. Mental Health Inventory (MHI) - Changes From Baseline (Adult Child)

    The MHI includes 5 items from the longer MHI (McHorney, Ware, \& Raczek, 1993) to assess depression, anxiety, and vitality during the past week (completed by older adults and adult children). Items are rated on a 6-point scale: 1 = None of the time, 2 = A little of the time, 3 = Some of the time, 4 = A good bit of the time, 5 = Most of the time, 6 = All of the time. The total score is the average of all 8 items, some reverse-scored (range: 1 to 6). Higher scores indicate better mental health.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  14. Perceived Stress Scale (PSS) - Changes From Baseline (Adult Child)

    The PSS short form (completed by adult children) is a 4-item scale adapted from the longer PSS (Cohen, Kamarck, \& Mermelstein, 1983). Items are rated on a 5-point scale: 1 = Never, 2 = Almost never, 3 = Sometimes, 4 = Fairly often, 5 = Very often. The total score is the average of the 4 items, some reverse-scored (range: 1 to 5). Higher scores indicate greater perceived stress.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  15. Caregiver Guilt/Grief Scale - Changes From Baseline (Adult Child)

    This scale (completed by adult children) includes 13 items adapted from the caregiver guilt and grief scales (Wells, Jorm, Jordan, \& Lefroy, 1990). Items are rated on a 5-point scale: 1= Not at all, 2 = A little, 3 = A moderate amount, 4 = A lot, 5 = Almost unbearably. The total score is the average of the 13 items (range: 1 to 5). Higher scores indicate greater caregiver guilt/grief.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  16. Relational Burnout/Load Scale - Changes From Baseline (Adult Child)

    Relational burnout/load is assessed with 6 items from the Relational Load Scale (Afifi et al., 2019). (Completed by adult children.) Items are rated on a 5-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree. The total score is the average of the 6 items, some reverse-scored (range: 1 to 5). Higher scores indicate a greater sense of relational load/burnout.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  17. Unidimensional Relationship Closeness Scale - Changes From Baseline (Adult Child)

    Relationship closeness is assessed with 4 items from the Unidimensional Relationship Closeness Scale (Dibble, Levine, \& Park, 2011). (Completed by older adults and adult children.) Items are rated on a 7-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Somewhat disagree, 4 = Neutral, 5 = Somewhat agree, 6 = Agree, 7 = Strong Agree. The total score is the average of the 4 items (range: 1 to 7). Higher scores indicate greater relationship closeness.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  18. Relationship Satisfaction - Changes From Baseline (Adult Child)

    Global relationship satisfaction is assessed with 3 items adapted from Huston et al.'s (1986) relationship satisfaction scale (completed by older adults and adult children). Items are rated on a 6-point scale: 1 = Not at all, 2 = A little, 3 = Somewhat, 4 = Very, 5 = Almost completely, 6 = Completely. The total score is the average of the 3 items (range: 1 to 6). Higher scores indicate greater relationship satisfaction.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

  19. Communal Coping - Changes From Baseline (Adult Child)

    Communal coping is assessed with 3 items reflecting feelings of unity when combatting stress (Afifi et al., 2019). (Completed by older adults and adult children.) Items are rated on a 5-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree. The total score is the average of the 3 items (range: 1 to 5). Higher scores indicate a greater sense of communal coping.

    Time frame: T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)

Secondary outcomes

  1. Positive and Negative Affect Schedule (PANAS) - Technology Sessions

    Positive and negative emotions experienced during the technology sessions (completed by both the older adult and adult child). Rated on a scale from 1 to 5, and separate indices are computed for positive emotion and negative emotion. Higher scores represent greater positive and negative emotion. Scores will be averaged across the intervention period (4 weeks) for overall measures of positive/negative affect experienced during the intervention sessions. Higher positive emotion and lower negative emotion indicate a more favorable response during the technology session.

    Time frame: Immediately after each of the 4 technology sessions during the intervention (one week apart)

  2. Social and Conversational Engagement - Technology Sessions

    Self-reported social and conversational engagement during the technology sessions will be assessed using items developed specifically for this study, based on findings from a pilot study. The items assess experiences such as learning something new, reminiscing, and sharing special moments (completed by both the older adult and adult child), with responses rated on a 5-point scale from 1 to 5. Items are averaged across the four-week intervention period to generate overall engagement scores across the intervention sessions. Higher scores indicate greater enjoyment and a more favorable response during the technology sessions.

    Time frame: Immediately after each of the 4 technology sessions during the intervention (one week apart)

  3. Relationship Satisfaction and Communication Quality - Technology Sessions

    Multiple items are designed to assess features of relationship connection during the remote family sessions (completed by both the older adult and adult child). Items are rated on a scale from 1 to 5. Subscales include (a) relational connection and (b) relational strain. Scores will be averaged across the intervention period (4 weeks) to obtain an overall score of relational connection and strain during the technology sessions. Higher connection and lower strain scores indicate a more favorable response during the technology sessions.

    Time frame: Immediately after each of the 4 technology sessions during the intervention (one week apart)

  4. Telepresence and Copresence - Technology Session

    Self-reported ratings of immersion during the technology sessions will be completed by both the older adult and the adult child. Items were adapted for this project based on a pilot study and will assess experiences such as feeling like they are in the same room and interacting face-to-face. Responses will be rated on a scale from 1 to 5, where higher scores indicate greater immersion and co-presence. Finally, item ratings will be averaged across the four-week intervention period to generate overall composite scores for each item.

    Time frame: Immediately after each of the 4 technology sessions during the intervention (one week apart)

  5. Observational and Computer Coding - Social, Conversational, and Kinesic Engagement - Technology Sessions

    To supplement the self-reports, trained raters will evaluate video and audio recordings of the sessions for conversational, emotional, and kinesic (physical) engagement. Human-coded items will use a 1-to-5 scale, with higher scores representing greater involvement. Subscales for older adults will measure (a) reminiscence, (b) conversational engagement, (c) conversational lead, (d) positive emotions, (e) active emotions, and (f) kinesic engagement; subscales for adult children will measure only (a) reminiscence, (b) conversational engagement, and (c) conversational lead. Additionally, an automated computer program will evaluate older adults' kinesic engagement, yielding metrics from 0 to 1 (higher values indicating greater physical engagement). All subscales and metrics will be averaged across the four-week intervention to generate overall composite engagement scores.

    Time frame: Coded from audio and videotapes of each of the 4 technology (intervention) sessions.

07

Results

Posted Jul 15, 2025

Participant flow

Older adults with cognitive impairment and an adult child were recruited at 23 senior living communities in two geographic regions in the U.S. (Boston, MA, and Santa Barbara, CA) between October 2021 and December 2023, with the trial's primary completion in March 2024. Approximately half the older adults had mild cognitive impairment (MCI) and half had mild to moderate Alzheimer's disease or related dementias (ADRD). A total of 186 dyads (372 participants) were enrolled.

Participant flow — Overall Study
MilestoneVideo ChatVirtual Reality
Started9690
Baseline assessment9690
Started intervention9284
Completed intervention8779
Completed post-intervention assessment8779
1-month follow-up assessment8679
3-month follow-assessment8478
Completed8478
Not completed1212
Withdrew: Decline in health of older adult (unrelated to the intervention)52
Withdrew: Dissatisfaction with surveys (length, time commitment, too personal) or other study procedures62
Withdrew: Adverse response to the intervention - social strain02
Withdrew: Adverse response to the intervention - discomfort using technology01
Withdrew: External circumstances (family emergency, loss of wifi)02
Withdrew: Participant no longer eligible due to history of seizures not previously reported01
Withdrew: Death (unrelated to the intervention)12

Outcome measures

PrimaryQuality of Life in Alzheimer's Disease (QOL-AD) - Changes From Baseline (Older Adult)

QOL-AD (R.G. Logsdon, 1996) is a 13-item self-report measure of quality of life (completed by older adult participants). (As a secondary outcome, adult children also reported on their parents' quality of life). Items are rated on a 4-point scale: 1 = Poor, 2 = Fair, 3 = Good, 4 = Excellent. The total score is the mean of all items (range: 1 to 4). Higher scores indicate greater quality of life.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Quality of Life in Alzheimer's Disease (QOL-AD) - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)3.04 ± 0.413.00 ± 0.482.85 ± 0.492.94 ± 0.44
T2 (Post-Intervention)3.08 ± 0.362.98 ± 0.512.91 ± 0.443.07 ± 0.38
PrimaryBrief Inventory of Thriving (BIT) - Changes From Baseline (Older Adult)

An 11-item measure of thriving adapted from the Brief Inventory of Thriving (BIT) and the Comprehensive Inventory of Thriving (CIT; Su, R., Tay, L., \& Diener, E., 2014). This measure provides a holistic view of positive functioning (completed by older adults and adult children). Items are rated on a 5-point scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Neither Agree nor Disagree, 4 = Agree, 5 = Strongly Agree. The total score is the average of the 11 items (range: 1 to 5). Higher scores indicate a greater sense of thriving.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Brief Inventory of Thriving (BIT) - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Older Adult3.97 ± 0.593.90 ± 0.583.63 ± 0.653.69 ± 0.56
T2 - Older Adult4.00 ± 0.533.89 ± 0.683.62 ± 0.643.91 ± 0.52
PrimaryPositive and Negative Affect Schedule (PANAS) - Changes From Baseline (Older Adult)

This scale includes 12 items from the longer PANAS (Watson, Clark, \& Tellegen, 1988), which measures two primary dimensions of mood. (Completed by older adults and adult children.) Participants rate the extent to which they experienced positive and negative emotions over the past week. Each item is rated on a 5-point scale: 1 = Not at all, 2 = A little, 3 = Moderately, 4 = Quite a lot, 5 = Extremely. Separate subscale scores are calculated for positive emotion (6 items) and negative emotion (6 items) by averaging responses within each set (range: 1 to 5). Higher scores on the positive emotion subscale reflect greater positive mood during the past week, indicating better well-being. Higher scores on the negative emotion subscale reflect greater negative mood, indicating poorer well-being.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Positive and Negative Affect Schedule (PANAS) - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Positive Emotions3.72 ± 0.683.73 ± 0.723.20 ± 0.913.18 ± 0.84
T2 - Positive Emotions3.76 ± 0.583.65 ± 0.633.33 ± 0.873.53 ± 0.60
T1 - Negative Emotions1.74 ± 0.511.90 ± 0.751.96 ± 0.821.65 ± 0.58
T2 - Negative Emotions1.46 ± 0.421.70 ± 0.611.71 ± 0.641.54 ± 0.74
PrimaryGeriatric Depression Scale (GDS) - Changes From Baseline (Older Adult)

GDS (Sheikh, J.I., \& Yesavage, J.A., 1986) is a 15-item self-report measure of depression (completed by older adult participants). Items are rated "Yes" or "No" and are scored "1" if the response reflects depressive symptoms. Total score is the sum of all items (range: 0 to 15). Higher scores indicate greater depression.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Geriatric Depression Scale (GDS) - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)1.95 ± 2.162.73 ± 2.743.20 ± 2.982.82 ± 1.79
T2 (Post-Intervention)1.81 ± 2.163.20 ± 3.393.35 ± 2.992.34 ± 1.79
PrimaryMental Health Inventory (MHI) - Changes From Baseline (Older Adult)

The MHI includes 5 items from the longer MHI (McHorney, Ware, \& Raczek, 1993) to assess depression, anxiety, and vitality during the past week (completed by older adults and adult children). Items are rated on a 6-point scale: 1= None of the time, 2= A little of the time, 3 = Some of the time, 4 = A good bit of the time, 5 = Most of the time, 6 = All of the time. The total score is the average of all 8 items, some reverse-scored (range: 1 to 6). Higher scores indicate better mental health.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Mental Health Inventory (MHI) - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)5.22 ± 0.524.88 ± 0.874.81 ± 0.815.06 ± .66
T2 (Post-Intervention)5.19 ± 0.615.08 ± 0.744.94 ± 0.755.05 ± 0.72
PrimaryRevised UCLA Loneliness Scale (Short Form) - Changes From Baseline (Older Adult)

The short form of the Revised UCLA Loneliness Scale (Hughes, Waite, Hawkley, \& Cacioppo, 2008) is a 4-item scale widely used in field research with older adults, and adapted from the original scale (Russell D, Peplau LA, Cutrona CE, 1980). Items are rated on a 4-point scale: 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often. The total score is the mean of the 4 items (range: 1 to 4). Higher scores indicate greater loneliness.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Revised UCLA Loneliness Scale (Short Form) - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)1.98 ± 0.751.86 ± 0.811.96 ± .0731.81 ± 0.67
T2 (Post-Intervention)1.71 ± 0.671.73 ± 0.791.95 ± 0.831.86 ± 0.87
PrimaryUnidimensional Relationship Closeness Scale - Changes From Baseline (Older Adult)

Relationship closeness is assessed with 4 items from the Unidimensional Relationship Closeness Scale (Dibble, Levine, \& Park, 2011). (Completed by older adults and adult children). Items are rated on a 7-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Somewhat disagree, 4 = Neutral, 5 = Somewhat agree, 6 = Agree, 7 = Strong Agree. The total score is the average of the 4 items (range: 1 to 7). Higher scores indicate greater relationship closeness.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Unidimensional Relationship Closeness Scale - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Older Adult5.94 ± 1.116.29 ± 0.656.07 ± 0.755.78 ± 1.25
T2 - Older Adult6.28 ± 0.746.39 ± 0.606.22 ± 0.726.18 ± 1.01
PrimaryRelationship Satisfaction - Changes From Baseline (Older Adult)

Global relationship satisfaction is assessed with 3 items adapted from Huston et al.'s (1986) relationship satisfaction scale (completed by older adults and adult children). Items are rated on a 6-point scale: 1 = Not at all, 2 = A little, 3 = Somewhat, 4 = Very, 5 = Almost completely, 6 = Completely. Total scores are the average of the 3 items (range: 1 to 6). Higher scores indicate greater relationship satisfaction.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Relationship Satisfaction - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Older Adult4.92 ± 1.215.17 ± 1.064.88 ± 1.174.99 ± 1.17
T2 - Older Adult5.11 ± 0.954.24 ± 0.875.07 ± 0.955.19 ± 1.18
PrimaryCommunal Coping - Changes From Baseline (Older Adult)

Communal coping is assessed with 3 items reflecting feelings of unity when combatting stress (Afifi et al., 2019). (Completed by older adults and adult children.) Items are rated on a 5-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree. The total score is the average of the 3 items (range: 1 to 5). Higher scores indicate a greater sense of communal coping.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Communal Coping - Changes From Baseline (Older Adult)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Older Adult3.91 ± 0.773.94 ± 0.783.89 ± 0.853.93 ± 0.82
T2 - Older Adult3.99 ± 0.773.98 ± 0.673.99 ± 0.714.14 ± 0.80
PrimaryBrief Inventory of Thriving (BIT) - Changes From Baseline (Adult Child)

An 11-item measure of thriving adapted from the Brief Inventory of Thriving (BIT) and the Comprehensive Inventory of Thriving (CIT; Su, R., Tay, L., \& Diener, E., 2014). This measure provides a holistic view of positive functioning (completed by older adults and adult children). Items are rated on a 5-point scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Neither Agree nor Disagree, 4 = Agree, 5 = Strongly Agree. The total score is the average of the 11 items (range: 1 to 5). Higher scores indicate a greater sense of thriving.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Brief Inventory of Thriving (BIT) - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Adult Child4.04 ± 0.544.22 ± 0.424.15 ± 0.514.02 ± 0.55
T2 - Adult Child4.18 ± 0.504.31 ± 0.334.11 ± 0.544.09 ± 0.44
PrimaryCenter for Epidemiological Studies Depression Scale Revised Short Form (CESD-R-10) - Changes From Baseline (Adult Child)

The CESD-R-10 (Björgvinsson, Kertz, Bigda-Peyton, McCoy, Aderka,2013) is a 10-item measure of depressive symptoms adapted from the longer CESD (completed by adult children). Participants are asked to report how they felt during the past week. Items are rated on a 4-point scale: 0 = Rarely or none of the time, 1 = Some or a little of the time, 2 = Occasionally or a moderate amount of the time, 3 = Most or all of the time. The total score is the mean of the 10 items, some reverse-scored (range: 0 to 3). Higher scores reflect more depressive symptoms, worse mental health.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Center for Epidemiological Studies Depression Scale Revised Short Form (CESD-R-10) - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)0.57 ± 0.420.42 ± 0.29.48 ± 0.480.53 ± 0.44
T2 (Post-Intervention)0.48 ± 0.440.33 ± 0.270.49 ± 0.450.47 ± 0.46
PrimaryPositive and Negative Affect Schedule (PANAS) - Changes From Baseline (Adult Child)

This scale includes 12 items from the longer PANAS (Watson, Clark, \& Tellegen, 1988), which measures two primary dimensions of mood. (Completed by older adults and adult children.) Participants rate the extent to which they experienced positive and negative emotions over the past week. Each item is rated on a 5-point scale: 1 = Not at all, 2 = A little, 3 = Moderately, 4 = Quite a lot, 5 = Extremely. Separate subscale scores are calculated for positive emotion (6 items) and negative emotion (6 items) by averaging responses within each set (range: 1 to 5). Higher scores on the positive emotion subscale reflect greater positive mood during the past week, indicating better well-being. Higher scores on the negative emotion subscale reflect greater negative mood, indicating poorer well-being.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Positive and Negative Affect Schedule (PANAS) - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Positive Emotions3.99 ± 0.723.75 ± 0.533.56 ± 0.633.58 ± 0.53
T2 - Positive Emotions3.51 ± 0.653.89 ± 0.453.59 ± 0.623.67 ± 0.55
T1 - Negative Emotions1.73 ± 0.451.70 ± 0.361.78 ± 0.561.73 ± 0.46
T2 - Negative Emotions1.64 ± 0.561.53 ± 0.351.77 ± 0.611.59 ± 0.43
PrimaryMental Health Inventory (MHI) - Changes From Baseline (Adult Child)

The MHI includes 5 items from the longer MHI (McHorney, Ware, \& Raczek, 1993) to assess depression, anxiety, and vitality during the past week (completed by older adults and adult children). Items are rated on a 6-point scale: 1 = None of the time, 2 = A little of the time, 3 = Some of the time, 4 = A good bit of the time, 5 = Most of the time, 6 = All of the time. The total score is the average of all 8 items, some reverse-scored (range: 1 to 6). Higher scores indicate better mental health.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Mental Health Inventory (MHI) - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)4.88 ± 0.685.05 ± 0.544.98 ± 0.624.95 ± 0.63
T2 (Post-Intervention)4.96 ± 0.775.02 ± 0.765.03 ± 0.715.18 ± 0.58
PrimaryPerceived Stress Scale (PSS) - Changes From Baseline (Adult Child)

The PSS short form (completed by adult children) is a 4-item scale adapted from the longer PSS (Cohen, Kamarck, \& Mermelstein, 1983). Items are rated on a 5-point scale: 1 = Never, 2 = Almost never, 3 = Sometimes, 4 = Fairly often, 5 = Very often. The total score is the average of the 4 items, some reverse-scored (range: 1 to 5). Higher scores indicate greater perceived stress.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Perceived Stress Scale (PSS) - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 - Baseline2.13 ± 0.651.89 ± 0.542.17 ± 0.642.02 ± 0.64
T2 - Post-Intervention1.97 ± .601.89 ± 0.711.99 ± 0.691.83 ± 0.69
PrimaryCaregiver Guilt/Grief Scale - Changes From Baseline (Adult Child)

This scale (completed by adult children) includes 13 items adapted from the caregiver guilt and grief scales (Wells, Jorm, Jordan, \& Lefroy, 1990). Items are rated on a 5-point scale: 1= Not at all, 2 = A little, 3 = A moderate amount, 4 = A lot, 5 = Almost unbearably. The total score is the average of the 13 items (range: 1 to 5). Higher scores indicate greater caregiver guilt/grief.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Caregiver Guilt/Grief Scale - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)1.77 ± 0.452.00 ± 0.662.15 ± 0.691.99 ± 0.72
T2 (Post-Intervention)1.74 ± 0.481.99 ± 0.632.12 ± 0.752.06 ± 0.64
PrimaryRelational Burnout/Load Scale - Changes From Baseline (Adult Child)

Relational burnout/load is assessed with 6 items from the Relational Load Scale (Afifi et al., 2019). (Completed by adult children.) Items are rated on a 5-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree. The total score is the average of the 6 items, some reverse-scored (range: 1 to 5). Higher scores indicate a greater sense of relational load/burnout.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Relational Burnout/Load Scale - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)1.80 ± 0.681.82 ± 0.571.95 ± 0.701.89 ± 0.72
T2 (Post-Intervention)1.76 ± 0.581.87 ± 0.641.88 ± 0.661.90 ± 0.72
PrimaryUnidimensional Relationship Closeness Scale - Changes From Baseline (Adult Child)

Relationship closeness is assessed with 4 items from the Unidimensional Relationship Closeness Scale (Dibble, Levine, \& Park, 2011). (Completed by older adults and adult children.) Items are rated on a 7-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Somewhat disagree, 4 = Neutral, 5 = Somewhat agree, 6 = Agree, 7 = Strong Agree. The total score is the average of the 4 items (range: 1 to 7). Higher scores indicate greater relationship closeness.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Unidimensional Relationship Closeness Scale - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)5.36 ± 1.535.80 ± 1.015.58 ± 1.135.67 ± 1.08
T2 (Post-Intervention)5.84 ± 1.315.78 ± 1.075.65 ± 1.155.44 ± 1.25
PrimaryRelationship Satisfaction - Changes From Baseline (Adult Child)

Global relationship satisfaction is assessed with 3 items adapted from Huston et al.'s (1986) relationship satisfaction scale (completed by older adults and adult children). Items are rated on a 6-point scale: 1 = Not at all, 2 = A little, 3 = Somewhat, 4 = Very, 5 = Almost completely, 6 = Completely. The total score is the average of the 3 items (range: 1 to 6). Higher scores indicate greater relationship satisfaction.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Relationship Satisfaction - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)4.38 ± 1.214.35 ± 1.294.08 ± 1.164.17 ± 1.27
T2 (Post-Intervention)4.70 ± 0.994.41 ± 1.264.21 ± 1.174.32 ± 1.23
PrimaryCommunal Coping - Changes From Baseline (Adult Child)

Communal coping is assessed with 3 items reflecting feelings of unity when combatting stress (Afifi et al., 2019). (Completed by older adults and adult children.) Items are rated on a 5-point scale: 1 = Strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree. The total score is the average of the 3 items (range: 1 to 5). Higher scores indicate a greater sense of communal coping.

Time frame:
T1 (baseline, 1-week pre-intervention), T2 (1-week post-intervention), T3 (1-month post-intervention), T4 (3-months post-intervention)
Reported as:
Mean · score on a scale
Communal Coping - Changes From Baseline (Adult Child)
score on a scaleMCI Group/Video ChatMCI Group/Virtual RealityADRD Group/Video ChatADRD Group/Virtual Reality
T1 (Baseline)3.31 ± 0.983.39 ± 0.873.24 ± 0.833.12 ± 1.09
T2 (Post-Intervention)3.56 ± 0.933.46 ± 0.983.34 ± 0.793.32 ± 1.03
SecondaryPositive and Negative Affect Schedule (PANAS) - Technology Sessions

Positive and negative emotions experienced during the technology sessions (completed by both the older adult and adult child). Rated on a scale from 1 to 5, and separate indices are computed for positive emotion and negative emotion. Higher scores represent greater positive and negative emotion. Scores will be averaged across the intervention period (4 weeks) for overall measures of positive/negative affect experienced during the intervention sessions. Higher positive emotion and lower negative emotion indicate a more favorable response during the technology session.

Time frame:
Immediately after each of the 4 technology sessions during the intervention (one week apart)
Reported as:
Mean · Score on a scale
Positive and Negative Affect Schedule (PANAS) - Technology Sessions
Score on a scaleVideo ChatVirtual Reality
Older Adult - Positive Affect4.03 ± 0.594.14 ± 0.57
Older Adult - Negative affect1.21 ± 0.291.15 ± 0.17
Adult Child - Positive Affect3.65 ± 0.663.88 ± 0.59
Adult Child - Negative affect1.19 ± 0.291.18 ± 0.21
SecondarySocial and Conversational Engagement - Technology Sessions

Self-reported social and conversational engagement during the technology sessions will be assessed using items developed specifically for this study, based on findings from a pilot study. The items assess experiences such as learning something new, reminiscing, and sharing special moments (completed by both the older adult and adult child), with responses rated on a 5-point scale from 1 to 5. Items are averaged across the four-week intervention period to generate overall engagement scores across the intervention sessions. Higher scores indicate greater enjoyment and a more favorable response during the technology sessions.

Time frame:
Immediately after each of the 4 technology sessions during the intervention (one week apart)
Reported as:
Mean · score on a scale
Social and Conversational Engagement - Technology Sessions
score on a scaleVideo ChatVirtual Reality
Older Adult - Enjoyed learning something new3.81 ± 0.624.20 ± 0.59
Older Adult - Enjoyed reminiscing3.57 ± 0.864.17 ± 0.61
Older Adult - Shared special moments4.28 ± 0.504.48 ± 0.44
Adult Child - Enjoyed learning something new3.41 ± 0.763.86 ± 0.71
Adult Child - Enjoyed reminiscing3.55 ± 0.783.90 ± 0.65
Adult Child - Shared special moments4.03 ± 0.594.23 ± 0.54
SecondaryRelationship Satisfaction and Communication Quality - Technology Sessions

Multiple items are designed to assess features of relationship connection during the remote family sessions (completed by both the older adult and adult child). Items are rated on a scale from 1 to 5. Subscales include (a) relational connection and (b) relational strain. Scores will be averaged across the intervention period (4 weeks) to obtain an overall score of relational connection and strain during the technology sessions. Higher connection and lower strain scores indicate a more favorable response during the technology sessions.

Time frame:
Immediately after each of the 4 technology sessions during the intervention (one week apart)
Reported as:
Mean · score on a scale
Relationship Satisfaction and Communication Quality - Technology Sessions
score on a scaleVideo ChatVirtual Reality
Older Adult - Relational Connection4.48 ± 0.384.45 ± 0.37
Older Adult - Relational Strain1.45 ± 0.341.31 ± 0.34
Adult Child - Relational Connection4.23 ± 0.514.13 ± 0.47
Adult Child - Relational Strain1.56 ± 0.451.51 ± 0.39
SecondaryTelepresence and Copresence - Technology Session

Self-reported ratings of immersion during the technology sessions will be completed by both the older adult and the adult child. Items were adapted for this project based on a pilot study and will assess experiences such as feeling like they are in the same room and interacting face-to-face. Responses will be rated on a scale from 1 to 5, where higher scores indicate greater immersion and co-presence. Finally, item ratings will be averaged across the four-week intervention period to generate overall composite scores for each item.

Time frame:
Immediately after each of the 4 technology sessions during the intervention (one week apart)
Reported as:
Mean · score on a scale
Telepresence and Copresence - Technology Session
score on a scaleVideo ChatVirtual Reality
Older Adult - Felt like being in the same room3.50 ± 1.003.77 ± 0.91
Older Adult - Felt like face-to-face3.85 ± 0.773.47 ± 0.94
Adult Child - Felt like being in the same room3.17 ± 0.903.31 ± 0.73
Adult Child - Felt like face-to-face3.31 ± 0.842.85 ± 0.82
SecondaryObservational and Computer Coding - Social, Conversational, and Kinesic Engagement - Technology Sessions

To supplement the self-reports, trained raters will evaluate video and audio recordings of the sessions for conversational, emotional, and kinesic (physical) engagement. Human-coded items will use a 1-to-5 scale, with higher scores representing greater involvement. Subscales for older adults will measure (a) reminiscence, (b) conversational engagement, (c) conversational lead, (d) positive emotions, (e) active emotions, and (f) kinesic engagement; subscales for adult children will measure only (a) reminiscence, (b) conversational engagement, and (c) conversational lead. Additionally, an automated computer program will evaluate older adults' kinesic engagement, yielding metrics from 0 to 1 (higher values indicating greater physical engagement). All subscales and metrics will be averaged across the four-week intervention to generate overall composite engagement scores.

Time frame:
Coded from audio and videotapes of each of the 4 technology (intervention) sessions.
Reported as:
Mean · Score on a scale
Observational and Computer Coding - Social, Conversational, and Kinesic Engagement - Technology Sessions
Score on a scaleVideo ChatVirtual Reality
Older Adult - Reminiscence3.00 ± 1.023.79 ± 0.70
Older Adult - Conversational Engagement4.45 ± 0.584.41 ± 0.51
Older Adult - Conversational Lead2.46 ± 1.022.81 ± 1.04
Older Adult - Positive Emotional Engagement4.29 ± 0.684.29 ± 0.51
Older Adult - Active Emotional Engagement3.70 ± 0.863.97 ± 0.70
Older Adult - Kinesic Engagement2.69 ± 0.913.11 ± 0.85
Older Adult- Automated Computer Coding of Kinesic Engagement0.033 ± 0.0160.039 ± 0.013
Adult Child - Reminiscence3.02 ± 1.013.75 ± 0.78
Adult Child - Conversational Engagement4.56 ± 0.424.45 ± 0.49
Adult Child - Conversational Lead3.00 ± 1.072.49 ± 0.96

Adverse events

Collected over 4 months (participant enrollment through 3-month follow-up). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Video Chat2/96 (2.1%)0/96 (0%)3/96 (3.1%)
Virtual Reality2/90 (2.2%)0/90 (0%)2/90 (2.2%)
Most frequent other events
Most frequent other events
EventVideo ChatVirtual Reality
HospitalizationGeneral disorders3/962/90

Baseline characteristics

A total of 186 dyads (372 individuals) enrolled and completed a brief intake survey on demographics and health. Of these, 96 dyads (N=193) were assigned to the Video Chat arm and 90 (N=180) to the Virtual Reality arm. The intake survey was completed at enrollment; the full baseline survey occurred later, after some dyads withdrew. Thus, the number of baseline cases may vary slightly depending on the source of the variable being reported (intake vs. full baseline survey).

Age, Continuous
Age, Continuous(years)Video ChatVirtual RealityTotal
Older Adults85.86 ± 6.9885.68 ± 8.0685.77 ± 7.50
Adult Children56.72 ± 9.6356.03 ± 10.4756.38 ± 10.03
Sex: Female, Male
Sex: Female, Male(Participants)Video ChatVirtual RealityTotal
Older Adults — Female6761128
Older Adults — Male292958
Adult Children — Female6150111
Adult Children — Male354075
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Video ChatVirtual RealityTotal
Older Adults — Hispanic or Latino257
Older Adults — Not Hispanic or Latino9385178
Older Adults — Unknown or Not Reported101
Adult Children — Hispanic or Latino257
Adult Children — Not Hispanic or Latino9484178
Adult Children — Unknown or Not Reported011
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Video ChatVirtual RealityTotal
Older Adults — American Indian or Alaska Native000
Older Adults — Asian011
Older Adults — Native Hawaiian or Other Pacific Islander000
Older Adults — Black or African American101
Older Adults — White9487181
Older Adults — More than one race022
Older Adults — Unknown or Not Reported101
Adult Children — American Indian or Alaska Native000
Adult Children — Asian213
Adult Children — Native Hawaiian or Other Pacific Islander101
Adult Children — Black or African American101
Adult Children — White9087177
Adult Children — More than one race112
Adult Children — Unknown or Not Reported112
Region of Enrollment
Region of Enrollment(participants)Video ChatVirtual RealityTotal
United States189175364
Australia011
Canada101
Colombia011
Denmark011
Germany112
Saudi Arabia101
Switzerland011
Cognitive Group (MCI/ADRD) - Older adults
Cognitive Group (MCI/ADRD) - Older adults(Participants)Video ChatVirtual RealityTotal
MCI444185
ADRD5249101
08

Study locations

27 sites
  • Belmont Calabasas
    Calabasas, California 91302, United States
  • Oakmont of Camarillo
    Camarillo, California 93012, United States
  • Friendship Manor
    Goleta, California 93117, United States
  • Casa Dorinda
    Montecito, California 93108, United States
  • Ojai Gables
    Ojai, California 93023, United States
  • Garden Court on De La Vina
    Santa Barbara, California 93101, United States
  • Covenant Living at the Samarkand
    Santa Barbara, California 93105, United States
  • Gardens on Hope
    Santa Barbara, California 93105, United States
  • Grace Village Apartments
    Santa Barbara, California 93105, United States
  • Valle Verde
    Santa Barbara, California 93105, United States
  • Vista Del Monte
    Santa Barbara, California 93105, United States
  • Heritage House
    Santa Barbara, California 93111, United States
  • Maravilla
    Santa Barbara, California 93111, United States
  • Atterdag Village of Solvang
    Solvang, California 93463, United States
  • Stone Hill at Andover
    Andover, Massachusetts 01810, United States
  • Stonebridge at Burlington
    Burlington, Massachusetts 01803, United States
  • Youville House Assisted Living
    Cambridge, Massachusetts 02138, United States
  • Cadbury Commons
    Cambridge, Massachusetts 02140, United States
  • Brightview Canton
    Canton, Massachusetts 02021, United States
  • The Linden at Danvers
    Danvers, Massachusetts 01923, United States
  • Brightview North Andover
    North Andover, Massachusetts 01845, United States
  • Benchmark of Norwood (Clapboardtree)
    Norwood, Massachusetts 02062, United States
  • Laurelwood at The Pinehills
    Plymouth, Massachusetts 02630, United States
  • Autumn Glen at Dartmouth
    Russells Mills, Massachusetts 02747, United States
  • Bayberry at Emerald Court
    Tewksbury, Massachusetts 01876, United States
  • Carriage House at Lee's Farm
    Wayland, Massachusetts 01778, United States
  • Ledgewood Bay Assisted Living
    Milford, New Hampshire 03055, United States
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Deidentified data and related information will be made available to researchers and data analysts at no cost through NACDA-Open Aging Repository (NACDA-OAR), which is an NIH-funded repository. Quantitative data, codebooks, descriptions of missing data, and any errors will be made available on the site. The data submitted will conform to the NACDA-OAR standards.

Supporting information: Study protocol, Informed consent form

Time frame: Deidentified data and related files will be made available in the NACDA-OAR repository no later than within one year of the completion of the funded project period or upon the first publication of the data online. Data will be posted indefinitely.

Access criteria: Data will be deposited and made available through NACDA-Open Aging Repository (NACDA-OAR) and will be shared with investigators working under an institution with a Federal Wide Assurance (FWA). Data can be used for secondary study purposes. Users will be required to register on the password-protected site in order to access the data files, which includes agreeing to the conditions of use related to the public release of the data. This includes not using any identifying information, ethical reporting, not selling the data to third parties, acknowledging the data source, and destroying the data upon use.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05150990
Lead sponsor
University of California, Santa Barbara
Collaborators
Rendever, Inc., National Institute on Aging (NIA)
Responsible party
Nancy Collins (Professor, University of California, Santa Barbara) — Principal investigator
First posted
Dec 9, 2021
Start date
Oct 2, 2021
Primary completion
Mar 16, 2024
Completion
Mar 16, 2024
Results posted
Jul 15, 2025
Last update
Jul 29, 2026

Study contacts

Tamara Afifi, PhD
principal investigator · University of California, Santa Barbara
Kyle Rand, B.A.
principal investigator · Rendever Co.
Nancy Collins, PhD
principal investigator · University of California, Santa Barbara

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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