ClinicalTrials.gg
RecruitingNCT07251088Living@HomeUpdated Aug 26, 2026

Dyadic, App-supported Collaborative Care Intervention Trial for Family Caregivers of People Living With Dementia

An interventional study of Experimental arm in Dementia, Nurse Care Coordination and Informal Caregiver, sponsored by German Center for Neurodegenerative Diseases (DZNE). Recruiting at 12 sites in Germany. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by German Center for Neurodegenerative Diseases (DZNE) · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
554
Allocation
Randomized
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 96 studies in Dementia with a site in Germany — 13 open to participants now, 18 under way, 8 of them phase 3. Dementia · Germany.

Planned enrollment
25th of 77
554 · median 327
Started
2026
with 1 other
No phase
28 of 96
2 open now
Primary completion
2028-06
later than 6 of 17 live
Registered
91st of 96
by date
Lead sponsor
7 of 96
German Center for Neurodegenerative Diseases (DZNE)

Among the 96 studies in Dementia with a site in Germany, this one is the 25th largest by planned enrollment of the 77 interventional ones that give a count, is one of 2 that started in 2026, is one of 28 with no phase, reaches primary completion later than 6 of the 17 other live ones, and was the 91st registered.

Dementia

2,373 studies on the registry are indexed under Dementia; 574 are open to participants now.

Browse Dementia studies →

Open to participants now

13 of the 96 studies in Dementia with a site in Germany are open now. Recruiting first, the newest first:

7 more — sign in →

All 13 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 383 Dementia studies recruiting now, 244 (64%) set no upper age limit and 25 (7%) stop at 75 or younger; 16 take children under 18; 164 take healthy volunteers.

This study: all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 96 studies in Dementia with a site in Germany, or all of them as a file.
02

Study summary

In Germany, approximately 1.8 million individuals are living with dementia, representing a considerable share of those requiring long-term care. Many people with dementia (PlwD) express the desire to remain in their home environment for as long as possible. However, the progressive cognitive and physical decline associated with the disease renders caregiving increasingly time-intensive and places a substantial burden on family members. In the absence of sufficient support structures, maintaining home-based care becomes difficult, creating additional strain on the health care system.

The study aims to address these challenges through an innovative intervention. Its primary objectives are: (1) to evaluate whether a dyadic care management model, delivered by specialized nurses with expertise in dementia care and supported by a mobile health application that provides direct access to caregiving experts and memory clinics, can help stabilize the home care situation; (2) to determine whether this approach reduces caregiver burden; and (3) to assess its effectiveness in alleviating neuropsychiatric symptoms in PlwD, compared to usual care.

Read the detailed description

In Germany, approximately 84% of the five million individuals in need of care are supported at home by informal caregivers, most commonly family members. Only 21% receive professional assistance from care or support services, highlighting the substantial responsibility placed on families. People living with dementia (PlwD) constitute a particularly large share of these care recipients. On average, they require around 36 hours of informal care per week-considerably more than individuals affected by conditions such as cancer (16 hours/week) or stroke (24 hours/week).

Both PlwD and their caregivers, often conceptualized as a dyad, frequently express a strong preference for remaining in their home environment and sustaining home-based care for as long as possible. While many caregivers provide support over extended periods and may even perceive their role as meaningful, the progressive cognitive and physical decline of PlwD, combined with neuropsychiatric symptoms and caregivers' perceived sense of obligation, can result in considerable psychological and physical strain. Such strain is commonly associated with depression, anxiety, diminished subjective well-being, reduced self-efficacy, and social withdrawal. Consequently, the sustainability of home care is often precarious. Indeed, 40% of caregivers of community-dwelling PlwD report being unable to maintain care for longer than one year, leading to institutionalization.

Although support services for caregivers have been steadily expanded in recent years, their utilization remains limited. Barriers include a lack of awareness, organizational hurdles, and, paradoxically, the high demands of caregiving itself, which can hinder access to such services. In the absence of sufficient support, informal care is increasingly substituted by professional long-term care, thereby intensifying pressure on already limited workforce and financial resources within the health care system. This transition is also frequently accompanied by feelings of guilt among caregivers.

Evidence regarding the effectiveness of interventions to support caregivers is mixed. Randomized controlled trials have only partly demonstrated significant reductions in caregiver burden. A meta-analysis indicated that individualized, structured multicomponent interventions-comprising various support modules-are most effective. While there is some evidence for cost-effectiveness, it is constrained by small sample sizes. A model-based analysis suggests that dyadic interventions, which target both PlwD and caregivers, may prolong the feasibility of home-based care and could be cost-effective. However, findings remain inconsistent: a meta-analysis of randomized controlled trials reported positive outcomes in 13 studies but no effect in 9 others. Effectiveness appears to depend strongly on the duration and intensity of interventions. One explanation may be that caregiver needs during periods of heightened burden were not adequately or promptly addressed.

Digital health interventions, such as remote, app-based solutions, offer the potential to overcome these limitations by providing flexible and immediate support at critical moments. Nevertheless, research in this field remains limited, and it is still unclear to what extent digital approaches can stabilize home care situations for PlwD and their families.

03

Conditions studied

  • Dementia
  • Nurse Care Coordination
  • Informal Caregiver

Browse trials for

Keywords

  • Dementia
  • Dementia Care
  • Caregiver of people with dementia
  • Dyade
  • digital health intervention
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • formal dementia diagnosis
  • living in their own home for the person with dementia
  • access to a smartphone and internet for the informal caregiver
  • of the participant

Exclusion criteria

Exclusion Criteria:

  • not able to provide written consent
  • if a legal representative is present, they may give their consent
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
554 participants (estimated)

Study arms

  • No intervention
    Care as usual

    Care as usual

  • Experimental
    Individualized Dementia Care Management

    Dyads in the intervention group will receive individualized dementia care management over a twelve-month period, with the objective of identifying and effectively addressing the unmet needs of people living with dementia (PlwD) and their caregivers. The intervention is complemented by a mobile health application used by both caregivers and Care Specialists, providing caregivers with continuous access to care managers and memory clinics whenever challenges or burdens arise. The app facilitates ongoing monitoring of caregivers' health status and burden through regular realtime data collection, aggregation, and transmission to the care manager, thereby enabling timely and needs-based interventions or re-interventions. Consequently, the frequency and intensity of the intervention are tailored to the dyads' individual circumstances and reported levels of burden.

    Other: Experimental arm

Interventions

  • OtherExperimental arm

    Dyads in the intervention group will receive individualized dementia care management over a twelve-month period, with the objective of identifying and effectively addressing the unmet needs of people living with dementia (PlwD) and their caregivers. The intervention is complemented by a mobile health application used by both caregivers and Care Specialists, providing caregivers with continuous access to care managers and memory clinics whenever challenges or burdens arise. The app facilitates ongoing monitoring of caregivers' health status and burden through regular real-time data collection, aggregation, and transmission to the care manager, thereby enabling timely and needs-based interventions or re-interventions. Consequently, the frequency and intensity of the intervention are tailored to the dyads' individual circumstances and reported levels of burden.

    Also known as: Individualized Dementia Care Management

06

What researchers measure

Primary outcomes

  1. Stability of the home care arrangement (Perseverance Time Scale)

    For the Perseverance Time Scale, informal caregivers are asked (self-assessment) to estimate how long they believe they can continue to provide informal care and, thus, their current care situation. Response options are: less than one week, less than one month, less than six months, less than one year, less than two years, and two years or more. This measure is central to evaluating the long-term stability of home-based care - an essential aspect of dementia care, given the chronic and progressive nature of the disease.

    Time frame: 12 months after baseline assessment

  2. Neuropsychiatric symptoms (NPI-Q)

    Another primary outcome is the presence of neuropsychiatric symptoms in PlwD, assessed with the Neuropsychiatric Inventory Questionnaire (NPI-Q), completed by the informal caregiver via face-to-face interviews with the study nurse. Neuropsychiatric symptoms are well-documented contributors to caregiver burden, underlining the dyadic nature of selected primary outcomes. Each of the 12 domains of the NPI-Q includes a survey item that captures the key symptom associated with that domain. For each question, respondents indicate whether the symptom has been present ("Yes") or absent ("No"). If the response is "No," the informant proceeds to the next item. If "Yes," they are asked to rate the severity of the symptom experienced during the past month on a 3-point scale, as well as the caregiver distress caused by the symptom on a 5-point scale. The NPI score can becalculated by adding the scores of the first 10 ir 12 items, higher scores indicate higher presence of psychopathology.

    Time frame: 12 months after baseline assessment

  3. Caregiver burden (ZBI)

    The third primary outcome is the caregiver burden itself, measured via the Zarit Burden Interview (12-item version), which will be self-completed by caregivers. This tool is among the most commonly applied instruments in informal dementia caregiver research, enabling comparability across studies. While the most commonly used form of the Zarit Burden Interview is a 22-item version, the shortened 12-item version has demonstrated comparable psychometric properties (Bedard et al., 2001), offering a time-efficient alternative that reduces respondent burden. Each item on the interview is a statement which the caregiver is asked to rate using a 5-point scale. Response options range from 0 (never) to 4 (nearly always). The result of the instrument is a sum between 0 and 48, higher results indicate a higher subjective level of burden.

    Time frame: 12 months after baseline assessment

07

Study locations

6 of 12 sites recruiting
  • Institut für Technik der Informationsverarbeitung
    Karlsruhe, Baden-Wurttemberg 76131, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Universität Konstanz
    Konstanz, Baden-Wurttemberg 78464, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Gemeinnützige Gesellschaft für Psychiatrie Reutlingen mbh
    Reutlingen, Baden-Wurttemberg 72764, Germany
    Recruiting
  • AGAPLESION Elisabethenstift
    Darmstadt, Hesse 64287, Germany
    Recruiting
  • AOK Niedersachsen
    Hanover, Lower Sachsony 30173, Germany
    Active, not recruiting

    Not enrolling at this site.

  • Universitätsmedizin Göttingen
    Göttingen, Lower Saxony 37075, Germany
    Recruiting
  • Universitätsmedizin Greifswald
    Greifswald, Mecklenburg-Vorpommern 17475, Germany
    Active, not recruiting

    Not enrolling at this site.

  • DZNE
    Greifswald, Mecklenburg-Vorpommern 17487, Germany
    Recruiting
  • Universitätsmedizin Rostock
    Rostock, Mecklenburg-Vorpommern 18057, Germany
    Recruiting
  • Universität zu Köln
    Cologne, North Rhine-Westphalia 50937, Germany
    Recruiting
  • Otto-von-Guericke-Universität Magdeburg
    Magdeburg, Saxony 39120, Germany
    Active, not recruiting

    Not enrolling at this site.

  • IKK gesund plus
    Magdeburg, Saxony 39124, Germany
    Active, not recruiting

    Not enrolling at this site.

08

References and documents

Publications

  • Scharf A, Michalowsky B, Radke A, Kleinke F, Schade S, Platen M, Buchholz M, Pfaff M, Iskandar A, van den Berg N, Hoffmann W. Identifying and Addressing Unmet Needs in Dementia: The Role of Care Access and Psychosocial Support. Int J Geriatr Psychiatry. 2025 Apr;40(4):e70066. doi: 10.1002/gps.70066. PubMed 40148225 ↗
  • Eichler T, Thyrian JR, Hertel J, Richter S, Wucherer D, Michalowsky B, Teipel S, Kilimann I, Dreier A, Hoffmann W. Unmet Needs of Community-Dwelling Primary Care Patients with Dementia in Germany: Prevalence and Correlates. J Alzheimers Dis. 2016;51(3):847-55. doi: 10.3233/JAD-150935. PubMed 26890767 ↗
  • Michalowsky B, Eichler T, Thyrian JR, Hertel J, Wucherer D, Laufs S, Flessa S, Hoffmann W. Medication cost of persons with dementia in primary care in Germany. J Alzheimers Dis. 2014;42(3):949-58. doi: 10.3233/JAD-140804. PubMed 25125471 ↗
  • Logsdon RG, Gibbons LE, McCurry SM, Teri L. Assessing quality of life in older adults with cognitive impairment. Psychosom Med. 2002 May-Jun;64(3):510-9. doi: 10.1097/00006842-200205000-00016. PubMed 12021425 ↗
  • Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980 Dec;20(6):649-55. doi: 10.1093/geront/20.6.649. No abstract available. PubMed 7203086 ↗
  • Janssen MF, Pickard AS, Golicki D, Gudex C, Niewada M, Scalone L, Swinburn P, Busschbach J. Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Qual Life Res. 2013 Sep;22(7):1717-27. doi: 10.1007/s11136-012-0322-4. Epub 2012 Nov 25. PubMed 23184421 ↗
  • Scharf A, Kleinke F, Michalowsky B, Radke A, Pfitzner S, Muhlichen F, Buchholz M, van den Berg N, Hoffmann W. Sociodemographic and Clinical Characteristics of People Living with Dementia and Their Associations with Unmet Healthcare Needs: Insights from the Baseline Assessment of the InDePendent Study. J Alzheimers Dis. 2024;99(2):559-575. doi: 10.3233/JAD-231173. PubMed 38669533 ↗
  • Kleinke F, Michalowsky B, Radke A, Platen M, Muhlichen F, Scharf A, Mohr W, Penndorf P, Bahls T, van den Berg N, Hoffmann W. Advanced nursing practice and interprofessional dementia care (InDePendent): study protocol for a multi-center, cluster-randomized, controlled, interventional trial. Trials. 2022 Apr 11;23(1):290. doi: 10.1186/s13063-022-06249-1. PubMed 35410437 ↗
  • Glaser E, Kleinke F, Armanowski M, Buchholz M, Fellgiebel A, Gerdes M, Hoffmann W, Holle B, Kilimann I, Kohler K, Kohler S, Maier F, Matthaus I, Pfeuffer N, Radke A, Sarwinska D, Schott BH, Schwarzler F, Swart E, Teipel S, van den Berg N, Wendisch T, Wiltfang J, Wuttke A, Michalowsky B. Protocol of a dyadic, app-supported collaborative care intervention trial for informal caregivers of people living with dementia-the multi-center living@home study. Trials. 2026 Mar 18;27(1):284. doi: 10.1186/s13063-026-09639-x. PubMed 41851807 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking 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

Started Jan 2026 (actual). Primary completion is estimated for Jun 2028, 29 months after the start.

Of 858 non-industry interventional studies with no phase under Dementia, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's planned 29 months is above that.

Counting every sponsor, half of 904 studies reached it within 25 months; a quarter within 11 and three quarters within 43.

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

Registered
Sep 30, 2025
First posted
Nov 26, 2025
StartActual
Jan 1, 2026
Primary completionEst.
Jun 2028
CompletionEst.
Dec 2028
Last update
Aug 26, 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.
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07251088
Lead sponsor
German Center for Neurodegenerative Diseases (DZNE)
Collaborators
University Medical Center Rostock, AGAPLESION ELISABETHENSTIFT gGmbH, AOK - Die Gesundheitskasse für Niedersachsen, Gemeinnützige Gesellschaft für Psychiatrie Reutlingen mbH, Georg-August-Universität Göttingen, IKK gesund plus, Karlsruhe Institute of Technology, Otto-von-Guericke-Universität Magdeburg, Universität Konstanz, Universität zu Köln, University Medicine Greifswald, Federal Joint Committee
Responsible party
Bernhard Michalowsky (Research Group leader, German Center for Neurodegenerative Diseases (DZNE)) — Principal investigator
First posted
Nov 26, 2025
Start date
Jan 1, 2026
Primary completion
Jun 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Aug 26, 2026

Study contacts

Bernhard Michalowsky, PD Dr. Dr.
Contact
bernhard.michalowsky@dzne.de
+49 3834 86-8530
Eva Gläser
Contact
eva.glaeser@dzne.de
+49 3834 86 8534
Bernhard Michalowsky, PD Dr. Dr.
principal investigator · German Center for Neurodegenerative Diseases (DZNE)

Oversight

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

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