ClinicalTrials.gg
CompletedNCT05178992Updated Oct 23, 2026Results posted

Use of Socially Assistive Robots for Long Term Care Older Adults With Cognitive Impairment and Apathy

An interventional study of Socially Assistive Robot Activity in Alzheimer Disease, sponsored by Vanderbilt University. Completed at 1 site in United States. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Vanderbilt University · Not applicable, Interventional, and Treatment

Updated Oct 23, 2026Results postedStudy documents posted+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
142
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,937 studies in Alzheimer Disease with a site in United States — 343 open to participants now, 444 under way, 39 of them phase 3. Alzheimer Disease · United States.

Enrollment
552nd of 1,606
142 · median 73
Started
2023
with 114 others
No phase
607 of 1,937
129 open now
Registered
1,398th of 1,937
by date

Among the 1,937 studies in Alzheimer Disease with a site in United States, this one is the 552nd largest by enrollment of the 1,606 interventional ones, is one of 115 that started in 2023, is one of 607 with no phase, and was the 1,398th registered.

By phase

1,937 studies; the count open now beside each. This study's row is marked.

No phasethis study607 · 129 open
Phase 2360 · 50 open
Observational310 · 86 open
Phase 1304 · 31 open
Phase 3188 · 19 open
Phase 1/267 · 17 open
Phase 460 · 7 open
Phase 2/341 · 4 open

By the year they started

First in 1981; this study’s year is marked. 115 started in 2023.

Size and results

Median enrollment 73 across the 1,606 interventional studies, 160 across the 309 observational. Of the 1,376 that completed or were terminated, 590 (43%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 1,937 studies in Alzheimer Disease with a site in United States, or all of them as a file.
02

Study summary

The objective of this study is to demonstrate the impact of a socially assistive robot system on reducing apathy among cognitively impaired older adults residing in long term care facilities. Earlier phases of this project demonstrated the feasibility and acceptability of the robotic system. First, investigators will improve the social robotic interaction architecture through additional software development, enhance its versatility, and make it easy for non-experts to run. Second, 188 participants will be randomized to either usual activity programs at the long term care facility, or the usual activity programs plus the robotic activities. Researchers will examine the effect on apathy and also plan on examining underlying individual and facility factors that influence the impact of the robotic activities.

03

Conditions studied

  • Alzheimer Disease

Browse trials for

Keywords

  • Apathy
  • Robotics
  • Virtual Reality
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Residing >3 months in long term care facility
  • Evidence of mild cognitive impairment (SAGE score 15-16), mild dementia (SAGE score \<15, AD8\<2, DSRD\<19), or moderate dementia (SAGE \<15, AD8>1, DSRD 19-36)
  • Symptoms of apathy (Score 30+ on AES-C)

Exclusion criteria

Exclusion Criteria:

  • Severe cognitive impairment
  • Physically unable to participate
  • Unable to provide assent
  • Uncorrected vision or hearing
  • Never spoke English
  • Unable to sit comfortably in chair
  • Acutely ill, terminally ill or unresponsive
  • Unable to be moved to activity location
  • Aggressive or combative
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
142 participants (actual)

Study arms

  • Experimental
    Socially Assistive Robot Activity

    Participants will attend two sessions per week and interact with the robot. Four weeks with a humanoid robot and four weeks with a dog robot. Participants can continue to join other activities held within the facility.

    Behavioral: Socially Assistive Robot Activity

  • Active comparator
    Usual Activity Program

    Participants will attend at least two sessions per week at activities held within the facility. They will not be exposed to the robot activities.

    Behavioral: Socially Assistive Robot Activity

Interventions

  • BehavioralSocially Assistive Robot Activity

    Participants will attend two weekly sessions with robot activities. Each session will last 30 minutes. Participants will attend robot sessions for 8 weeks.

06

What researchers measure

Primary outcomes

  1. Change in Apathy Score on the Clinician-rated Apathy Evaluation Scale (AES-C)

    Apathy Evaluation Scale - Clinician (AES-C) was used to assess changes in composite apathy score from baseline to Week 4 and 8. The AES-C is a validated 18-item instrument used to assess cognitive, behavioral, emotional and other symptoms of apathy. Clinicians rate each item based on verbal and nonverbal information provided by the participant. Item scores range from 1 (not at all characteristic) to 4 (a lot characteristic). Total scores range from 18 to 72 where higher derived scores indicate greater apathy. Higher scores indicate greater apathy.

    Time frame: Baseline, Week 4, Week 8

Secondary outcomes

  1. Change in Trail Making Test (TMT) - A

    The Trail Making Test (TMT) is a well established test of executive function and has two forms. TMT-A consists of a series of numbers in circles displayed randomly on a page; the person links the numbers in sequence. The score is based on length of time it takes the person to complete the sequence. TMT-A normal time is 29 seconds and a deficient score is \>78 seconds. There is no minimum and maximum values. The lower the score, the better the cognitive function.

    Time frame: Baseline, Week 8

  2. Change in Animal Fluency Test

    Verbal fluency tests require verbal ability and executive control processes; the Animal Naming test requires naming 15 animals in 1 minute; thus, less than 15 animals named in 1 minute is considered a deficient score.

    Time frame: Baseline, Week 8

  3. Trail Making Test (TMT) - B

    The Trail Making Test (TMT) is a well established test of executive function and has two forms. TMT-B consists of numbers (1 to 13) and letters (A to L) inside circles randomly placed on a page; the person alternates in connecting ascending numbers with ascending letters. TMT is scored by time in seconds to complete, up to a maximum of 5 minutes at which time the test is stopped. There is no minimum value. The average score for TMT-B is 75 seconds. A deficient score is one \>273 seconds.

    Time frame: Baseline, Week8

07

Results

Posted Oct 23, 2026

Participant flow

Participants were recruited from 23 eligible long term care settings between February 2023 and September 2023. The first participant was enrolled on February x 2023 and the last participant was enrolled in September 2023.

Participant flow — Overall Study
MilestoneSocially Assistive Robot ActivityUsual Activity Program
Started7171
Completed6467
Not completed74
Withdrew: Withdrawal by subject40
Withdrew: Worsening health24
Withdrew: Lost to follow-up10

Outcome measures

PrimaryChange in Apathy Score on the Clinician-rated Apathy Evaluation Scale (AES-C)

Apathy Evaluation Scale - Clinician (AES-C) was used to assess changes in composite apathy score from baseline to Week 4 and 8. The AES-C is a validated 18-item instrument used to assess cognitive, behavioral, emotional and other symptoms of apathy. Clinicians rate each item based on verbal and nonverbal information provided by the participant. Item scores range from 1 (not at all characteristic) to 4 (a lot characteristic). Total scores range from 18 to 72 where higher derived scores indicate greater apathy. Higher scores indicate greater apathy.

Time frame:
Baseline, Week 4, Week 8
Reported as:
Mean · score on a scale
Change in Apathy Score on the Clinician-rated Apathy Evaluation Scale (AES-C)
score on a scaleSocially Assistive Robot ActivityUsual Activity Program
Baseline Apathy Score on the AES-C42.5 ± 10.542.2 ± 10.1
Week 4 Apathy Score on AES-C43.0 ± 11.243.1 ± 12.3
Week 8 Apathy Score on the AES-C43.7 ± 13.842.5 ± 11.7
SecondaryChange in Trail Making Test (TMT) - A

The Trail Making Test (TMT) is a well established test of executive function and has two forms. TMT-A consists of a series of numbers in circles displayed randomly on a page; the person links the numbers in sequence. The score is based on length of time it takes the person to complete the sequence. TMT-A normal time is 29 seconds and a deficient score is \>78 seconds. There is no minimum and maximum values. The lower the score, the better the cognitive function.

Time frame:
Baseline, Week 8
Reported as:
Mean · time in seconds
Change in Trail Making Test (TMT) - A
time in secondsSocially Assistive Robot ActivityUsual Activity Program
Baseline TMT-A Scores132.5 ± 88.0128.1 ± 84.9
Week 8 TMT-A Scores119.6 ± 90.2136.1 ± 95.4
SecondaryChange in Animal Fluency Test

Verbal fluency tests require verbal ability and executive control processes; the Animal Naming test requires naming 15 animals in 1 minute; thus, less than 15 animals named in 1 minute is considered a deficient score.

Time frame:
Baseline, Week 8
Reported as:
Mean · number of animals
Change in Animal Fluency Test
number of animalsSocially Assistive Robot ActivityUsual Activity Program
Baseline Animal Fluency Score8.5 ± 4.78.9 ± 4.5
Week 8 Animal Fluency Score8.7 ± 5.09.1 ± 4.5
SecondaryTrail Making Test (TMT) - B

The Trail Making Test (TMT) is a well established test of executive function and has two forms. TMT-B consists of numbers (1 to 13) and letters (A to L) inside circles randomly placed on a page; the person alternates in connecting ascending numbers with ascending letters. TMT is scored by time in seconds to complete, up to a maximum of 5 minutes at which time the test is stopped. There is no minimum value. The average score for TMT-B is 75 seconds. A deficient score is one \>273 seconds.

Time frame:
Baseline, Week8
Reported as:
Mean · score on a scale
Trail Making Test (TMT) - B
score on a scaleSocially Assistive Robot ActivityUsual Activity Program
Baseline257.7 ± 68.8249.8 ± 70.5
Week 8241.6 ± 77.0248.1 ± 74.4

Adverse events

Collected over The participants were evaluated for adverse events for the period of study completion only, a total of 8 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Socially Assistive Robot Activity0/71 (0%)0/71 (0%)0/71 (0%)
Usual Activity Program2/71 (2.8%)0/71 (0%)0/71 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Socially Assistive Robot ActivityUsual Activity ProgramTotal
Mean84.7 ± 8.483.3 ± 9.184.0 ± 8.7
Sex: Female, Male
Sex: Female, Male(Participants)Socially Assistive Robot ActivityUsual Activity ProgramTotal
Female485098
Male232144
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Socially Assistive Robot ActivityUsual Activity ProgramTotal
Hispanic or Latino022
Not Hispanic or Latino6459123
Unknown or Not Reported71017
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Socially Assistive Robot ActivityUsual Activity ProgramTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American6410
White6367130
More than one race000
Unknown or Not Reported101
08

Study locations

1 site
  • Vanderbilt University
    Nashville, Tennessee 37212-2010, United States
09

References and documents

Publications

  • Ghosh R, Khan N, Migovich M, Tate JA, Maxwell CA, Newhouse PA, Scharre DW, Tan A, Mion LC, Sarkar N. Engaging Older Adults and Staff in the Co-Design and Evaluation of Socially Assistive Robot and Virtual Reality Activities for Long-Term Care: User-Centered Study. JMIR Aging. 2025 Dec 2;8:e75288. doi: 10.2196/75288. PubMed 41330571 ↗
  • Tate JA, Mion LC, Migovich M, Ghosh R, Khan N, Kilpatrick A, Scharre DW, Newhouse PA, Maxwell CA, Tan A, Sarkar N. A multi-site randomized clinical trial of socially assistive robots on engaging older adults with cognitive impairment residing in long-term care settings: A protocol paper. Contemp Clin Trials. 2025 Aug;155:107980. doi: 10.1016/j.cct.2025.107980. Epub 2025 Jun 6. PubMed 40482961 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All IPD that are de-identified and have been used in publications.

Supporting information: Study protocol, Statistical analysis plan, Analytic code

Time frame: 12 months after publications

10

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2023 to primary completion in Oct 2025, 32 months.

Results were first posted in Oct 2026, 11 months after primary completion.

Of 882 non-industry interventional studies with no phase under Alzheimer Disease, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 51. This study's 32 months is close to that.

Counting every sponsor, half of 959 studies reached it within 29 months; a quarter within 15 and three quarters within 51.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2021
First posted
Jan 5, 2022
StartActual
Feb 7, 2023
Primary completionActual
Oct 31, 2025
CompletionActual
Jan 31, 2026
Results first posted
Oct 23, 2026
Last update
Oct 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Results
Results posted
posted Oct 23, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Change in ApathyNow Change in Apathy Score on the Clinician-rated Apathy Evaluation Scale (AES-C)Time frame: Baseline to Week 8 → Baseline, Week 4, Week 8
Oct 23, 2026
Documents
Secondary outcomes
1 edited, 1 time frame changed, 1 added
What changed in the outcomes
  • EditedChange in Trail Making Test (TMT) - ATime frame: Baseline to Week 8 → Baseline, Week 8
  • AddedTrail Making Test (TMT) - BTime frame: Baseline, Week8
  • Time frameChange in Animal Fluency TestBaseline to Week 8 → Baseline, Week 8
Oct 23, 2026
Design
Added Not applicable; removed Phase 1·Phase 2
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    Results posted
    Primary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Change in ApathyNow Change in Apathy Score on the Clinician-rated Apathy Evaluation Scale (AES-C)Time frame: Baseline to Week 8 → Baseline, Week 4, Week 8
    Secondary outcomes 1 edited, 1 time frame changed, 1 added
    What changed in the outcomes
    • EditedChange in Trail Making Test (TMT) - ATime frame: Baseline to Week 8 → Baseline, Week 8
    • AddedTrail Making Test (TMT) - BTime frame: Baseline, Week8
    • Time frameChange in Animal Fluency TestBaseline to Week 8 → Baseline, Week 8
    Design Added Not applicable; removed Phase 1·Phase 2
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT05178992
Responsible party
Nilanjan Sarkar (David K. Wilson Professor of Engineering, Vanderbilt University) — Principal investigator
First posted
Jan 5, 2022
Start date
Feb 7, 2023
Primary completion
Oct 31, 2025
Completion
Jan 31, 2026
Results posted
Oct 23, 2026
Last update
Oct 23, 2026

Oversight

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

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