An interventional study of LEAD IT! Programming in Dementia, Vascular, Alzheimer Disease and Dementia, Mixed, sponsored by Hopeful Aging. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-02.
Sponsored by Hopeful Aging · Not applicable, Interventional, and Treatment
The proposed Phase 2 project will involve the further development and evaluation of LEAD IT!, which is a tablet-based app designed to enable persons with dementia to lead activities for their peers (i.e., other persons with dementia). The study will examine the clinical outcomes of long-term use of the app by both Resident Leaders (RLs) and Resident Players (RPs).
The Specific Aims of the proposed Phase 2 project are to:
he proposed Phase 2 project will involve the further development and evaluation of LEAD IT!, as well as examine the clinical outcomes of long-term use of the app by both RLs and RPs.
The Specific Aims of the proposed Phase 2 project are to:
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This study's enrollment of 182 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.
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Inclusion Criteria for Persons with Dementia
Exclusion Criteria for Persons with Dementia -the person shows signs of rapid cognitive decline or physical deterioration over the last six months, as evidenced by medical records.
Inclusion Criteria for Staff
Exclusion Criteria for Staff
-n/a
Participants in the Experimental / LEAD IT! arm will take part in LEAD IT! programming for 18 weeks. The programming will occur twice per week, for a total of 36 sessions.
Behavioral: LEAD IT! Programming
Participants in the Control arm will receive standard care / programming.
LEAD IT! is an intervention that enables persons with dementia to lead activities for their peers. The activities take place on tablets.
Change From Baseline to Treatment for Constructive Engagement on the Menorah Park Engagement Scale [Time Frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4)
Constructive Engagement on the Menorah Park Engagement Scale is defined as doing or commenting on something related to the target activity. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Constructive Engagement is zero (0) and the maximum score is two (2). Higher scores represent a better outcome.
Time frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4)
Change From Baseline to Treatment for Passive Engagement on the Menorah Park Engagement Scale
Passive Engagement on the Menorah Park Engagement Scale is defined as listening or watching something related to the target activity.During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Passive Engagement is zero (0) and the maximum score is two (2). Higher scores represent a better outcome..
Time frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4)
Change From Baseline to Treatment for Other Engagement on the Menorah Park Engagement Scale
Other Engagement on the Menorah Park Engagement Scale is defined as doing, commenting, listening, or watching something NOT related to the target activity. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Other Engagement is zero (0) and the maximum score is two (2). Lower scores represent a better outcome.
Time frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4)
Change From Baseline to Treatment for Non Engagement on the Menorah Park Engagement Scale
Non-Engagement on the Menorah Park Engagement Scale is defined as sleeping and/or staring into space. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Non-Engagement is zero (0) and the maximum score is two (2). Lower scores represent a better outcome.
Time frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4)
Change From Baseline to Treatment for Pleasure on the Menorah Park Engagement Scale
Pleasure on the Menorah Park Engagement Scale is defined as clearly observable laughing or smiling. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Pleasure is zero (0) and the maximum score is two (2). Lower scores represent a better outcome.
Time frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4)
Change From Baseline to Treatment on Dementia Related Quality of Life (DEMQOL)
The Dementia Related Quality of Life Scale is a 28 item scale that examines quality of life in persons with dementia. The score ranges for 28 to 112. Higher scores represent a better outcome.
Time frame: Baseline (Month 1) and Post-Treatment (Month 4)
Change From Baseline to Treatment on the Neuropsychiatric Inventory-Nursing Home (NPI-NH), Frequency x Severity Score (FxS)
The NPI-NH examines 10 types of neuropsychiatric symptoms in persons with dementia, with the FxS score looking creating a composite score that takes into account frequency and severity of the symptoms. The score ranges from 0 to 120. Lower scores represent a better outcome.
Time frame: Baseline (Month 1) and Post-Treatment (Month 4)
Change From Baseline to Treatment on the Geriatric Depression Scale-Short Form (GDS-SF)
The GDS-SF consists of 15 questions requiring "yes" or "no" answers. It is specifically developed for use with older adults. For persons unable to answer the questions, a proxy can be used. The total score ranges from 0 to 15, with lower scores indicating a better outcome.
Time frame: Baseline (Month 1) and Post-Treatment (Month 4)
Change From Baseline to Treatment on the Cohen Mansfield Agitation Inventory (CMAI)
The 14-item CMAI is a caregiver rated questionnaire using a 5-point Likert scale to rate the frequency of disturbing behaviors in dementia such as verbal/physical aggression, general restlessness, strange noises, and so on. Scores range from 14 to 70, with lower scores indicating a better outcome.
Time frame: Baseline (Month 1) and Post-Treatment (Month 4)
| Milestone | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Started | 54 | 41 |
| Completed | 54 | 41 |
| Not completed | 0 | 0 |
| Milestone | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Started | 54 | 41 |
| Completed | 51 | 37 |
| Not completed | 3 | 4 |
| Milestone | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Started | 51 | 37 |
| Completed | 47 | 35 |
| Not completed | 4 | 2 |
Constructive Engagement on the Menorah Park Engagement Scale is defined as doing or commenting on something related to the target activity. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Constructive Engagement is zero (0) and the maximum score is two (2). Higher scores represent a better outcome.
| score on a scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment for Constructive Engagement on the Menorah Park Engagement Scale [Time Frame: Baseline (Month 1) and Treatment (Months 2, 3, and 4) | 0.19 ± 0.53 | -0.24 ± 0.50 |
Passive Engagement on the Menorah Park Engagement Scale is defined as listening or watching something related to the target activity.During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Passive Engagement is zero (0) and the maximum score is two (2). Higher scores represent a better outcome..
| score on a scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment for Passive Engagement on the Menorah Park Engagement Scale | 0.69 ± 0.65 | -0.12 ± 0.55 |
Other Engagement on the Menorah Park Engagement Scale is defined as doing, commenting, listening, or watching something NOT related to the target activity. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Other Engagement is zero (0) and the maximum score is two (2). Lower scores represent a better outcome.
| score on a scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment for Other Engagement on the Menorah Park Engagement Scale | -0.32 ± 0.48 | 0.28 ± 0.50 |
Non-Engagement on the Menorah Park Engagement Scale is defined as sleeping and/or staring into space. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Non-Engagement is zero (0) and the maximum score is two (2). Lower scores represent a better outcome.
| score on a scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment for Non Engagement on the Menorah Park Engagement Scale | -.24 ± 0.35 | 0.02 ± 0.41 |
Pleasure on the Menorah Park Engagement Scale is defined as clearly observable laughing or smiling. During baseline, multiple observations of "standard" activities were observed and a single mean score was calculated for all sessions observed during that month. Then, again, during treatment, multiple treatment activity sessions were observed over the course of three months (Months 2, 3, and 4) and a single mean score was calculated. The minimum value for Pleasure is zero (0) and the maximum score is two (2). Lower scores represent a better outcome.
| score on a scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment for Pleasure on the Menorah Park Engagement Scale | 0.32 ± 0.25 | -0.02 ± 0.27 |
The Dementia Related Quality of Life Scale is a 28 item scale that examines quality of life in persons with dementia. The score ranges for 28 to 112. Higher scores represent a better outcome.
| score on scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment on Dementia Related Quality of Life (DEMQOL) | 1.51 ± 11.75 | 1.08 ± 15.39 |
The NPI-NH examines 10 types of neuropsychiatric symptoms in persons with dementia, with the FxS score looking creating a composite score that takes into account frequency and severity of the symptoms. The score ranges from 0 to 120. Lower scores represent a better outcome.
| score on scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment on the Neuropsychiatric Inventory-Nursing Home (NPI-NH), Frequency x Severity Score (FxS) | -0.15 ± 15.32 | 3.06 ± 9.04 |
The GDS-SF consists of 15 questions requiring "yes" or "no" answers. It is specifically developed for use with older adults. For persons unable to answer the questions, a proxy can be used. The total score ranges from 0 to 15, with lower scores indicating a better outcome.
| score on scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment on the Geriatric Depression Scale-Short Form (GDS-SF) | -0.71 ± 2.73 | 0.38 ± 4.58 |
The 14-item CMAI is a caregiver rated questionnaire using a 5-point Likert scale to rate the frequency of disturbing behaviors in dementia such as verbal/physical aggression, general restlessness, strange noises, and so on. Scores range from 14 to 70, with lower scores indicating a better outcome.
| score on scale | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| Change From Baseline to Treatment on the Cohen Mansfield Agitation Inventory (CMAI) | -0.21 ± 4.53 | 2.00 ± 7.57 |
Collected over 5 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Persons With Dementia, Experimental (LEAD IT! Programming) | 2/54 (3.7%) | 4/54 (7.4%) | 0/54 (0%) |
| Persons With Dementia, Control (Standard Care / Activity Programming) | 4/41 (9.8%) | 7/41 (17.1%) | 0/41 (0%) |
| Event | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) |
|---|---|---|
| DeathInjury, poisoning and procedural complications | 2/54 | 4/41 |
| Acute Illness or Injury, Sent to hospitalInjury, poisoning and procedural complications | 2/54 | 3/41 |
| Age, Categorical(Participants) | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 0 | 0 | 0 |
| >=65 years | 54 | 41 | 95 |
| Age, Continuous(years) | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) | Total |
|---|---|---|---|
| Mean | 87.13 ± 7.39 | 86.54 ± 7.06 | 86.87 ± 7.21 |
| Sex: Female, Male(Participants) | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) | Total |
|---|---|---|---|
| Female | 47 | 26 | 73 |
| Male | 7 | 15 | 22 |
| Ethnicity (NIH/OMB)(Participants) | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 54 | 41 | 95 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 7 | 1 | 8 |
| White | 46 | 40 | 86 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Persons With Dementia, Experimental (LEAD IT! Programming) | Persons With Dementia, Control (Standard Care / Activity Programming) | Total |
|---|---|---|---|
| United States | 54 | 41 | 95 |
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