ClinicalTrials.gg
Not yet recruitingNCT07758738SIRENSUpdated Nov 12, 2026

Primary Care Screening and Intervention for Patients With Dementia and Caregivers

An interventional study of SIRENS application and SIRENS screening in Dementia, Elder Abuse and Elder Mistreatment, sponsored by Weill Medical College of Cornell University. Not yet recruiting at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Weill Medical College of Cornell University · Not applicable, Interventional, and Supportive care

Updated Nov 12, 2026Start date movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
774
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Where this study stands

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

Among 1,049 studies in Dementia with a site in United States — 211 open to participants now, 277 under way, 15 of them phase 3. Dementia · United States.

Planned enrollment
81st of 845
774 · median 92
Started
2027
with 6 others
No phase
561 of 1,049
119 open now
Primary completion
2027-07
later than 156 of 276 live
Registered
1,030th of 1,049
by date

Among the 1,049 studies in Dementia with a site in United States, this one is the 81st largest by planned enrollment of the 845 interventional ones that give a count, is one of 7 that started in 2027, is one of 561 with no phase, reaches primary completion later than 156 of the 276 other live ones, and was the 1,030th registered.

Dementia

2,372 studies on the registry are indexed under Dementia; 574 are open to participants now.

Browse Dementia studies →

Open to participants now

211 of the 1,049 studies in Dementia with a site in United States are open now. Recruiting first, the newest first:

206 more — sign in →

All 211 open studies →

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

Who these studies take

Of the 381 Dementia studies recruiting now, 242 (64%) set no upper age limit and 25 (7%) stop at 75 or younger; 16 take children under 18; 163 take healthy volunteers.

This study: 21 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,049 studies in Dementia with a site in United States, or all of them as a file.
02

Study summary

The goal of this clinical trial is to evaluate the impact of screening for elder neglect in older adults with dementia in primary care settings and the impact of an intervention for caregivers of older adults with dementia.

The hypothesis of the study are:

  • Neglect screening in primary care will have a positive impact on outcomes including a decrease in presence of neglect at 6 months and other patient and caregiver outcomes
  • Neglect screening paired with a caregiving intervention will have a greater impact on these outcomes than screening alone

Researchers will compare three groups of participants to find out how effective the screening tool is on its own, and how effective it is when combined with the support program, compared to standard care.

Participants will be asked to:

  • attend primary care clinic visits
  • complete questionnaires
  • participate in the intervention
  • participate in a semi-structured interview
03

Conditions studied

  • Dementia
  • Elder Abuse
  • Elder Mistreatment

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04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Primary care provider Inclusion Criteria • Active PCP who may be a physician or nurse practitioner seeing adult primary care patients with dementia at: Weill Cornell Medicine

Primary care provider Exclusion Criteria

  • Not a PCP of older adults with dementia who may be at risk of being neglected.

Older Adult Inclusion Criteria:

  • Aged ≥ 60 years
  • Community-dwelling
  • Patient of WCM/NYP
  • Has diagnosis of dementia (based on medical records prior to enrollment)
  • Requires assistance with at least 1 ADL
  • Able to travel to a WCM/NYP clinic for study activities
  • Has informal (either unpaid or CDPAP) caregiver who provides ≥8 hours weekly
  • Not already known to be experiencing neglect from caregiver

Older Adult Exclusion Criteria:

  • In hospice
  • Decision has already been made to re-locate to an institution (including long-term care skilled nursing facilities)

Caregiver Inclusion Criteria:

  • Age ≥ 21 years
  • Living with or near the older adult
  • Self-identifies as a caregiver for the older adult
  • Provides ≥ 8 hours per week of direct care (may include logistics, oversight, observation, as well as hands-on care, but must include at least some in-person assistance)
  • Able to travel to a WCM/NYP clinic for study activities or participate in study activities virtually through Zoom on their personal device
  • Not a professional caregiver, does not receive direct payment in return for care (unless through CDPAP)
  • Can read and speak English at a 6th grade level
  • No active plan to disengage from providing care to older adult within the next year

Caregiver Exclusion Criteria:

  • Unable to read and speak English at a 6th grade level
  • Hired/paid professional caregiver
  • Is blind or deaf
  • Active plan to disengage from providing care to older adult within the next year
05

Study design

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

Study arms

  • Experimental
    Screening and Intervention

    Behavioral: SIRENS application · Other: SIRENS screening

  • Active comparator
    Screening only

    Other: SIRENS screening

  • No intervention
    Usual care

Interventions

  • BehavioralSIRENS application

    The SIRENS intervention is a technology intervention designed specifically for caregivers of those with dementia, providing them with easy access to expert-reviewed information and helpful resources. The content includes take-home messages summarizing the main points discussed and a goal-setting feature that encourages the care givers to establish small, actionable goals.

  • OtherSIRENS screening

    The SIRENS screening tool is a novel, easy-to-use, brief screening tool to identify elder neglect in primary care settings.

06

What researchers measure

Primary outcomes

  1. Percent change in number of participants with the presence of neglect determined by the Vulnerable Elder Protection Team (VEPT) from baseline at 6 months

    Caregiver abuse screen is a yes/no 8-question survey that asks about high stress and tendencies that could lead to future abuse. More "yes" answers indicate higher likelihood of current abuse and neglect, and future risk. The PCP Neglect Screening Questionnaire asks primary care providers for concern for caregiver neglect and level of concern using a 5-point scale. Higher scores indicate increased concern. Provider Observations survey asks for the primary care provider's subjective observations on the older adult's physical health. Electronic Health Record Data Elements survey extracts information from medical charts for hemoglobin, creatinine, and blood urea nitrogen lab results. Information from these surveys are used by the VEPT Expert Panel to determine presence of neglect.

    Time frame: Baseline; 6 months

Secondary outcomes

  1. Change in severity of neglect determined by the Vulnerable Elder Protection Team (VEPT) using the Health-Related Severity in Elder Neglect Scale from baseline at 6 months

    The VEPT Expert Panel's impression of the change in severity of neglect will be measured by the Health-Related Severity in Elder Neglect Scale. This scale asks providers two yes/no questions whether there is concern for caregiver neglect based on the screening tools and clinical assessment. If yes, their level of concern is asked based on the scale: Not Present; Not Present, Potential Risk; Present, Mild; Present, Moderate; and Present, Severe. There is no numerical or total score.

    Time frame: Baseline; 6 months

  2. Mean change in score for caregiver burden from baseline at 6 months.

    Caregiver burden will be assessed in care partner participants using the reliable and valid Caregiver Burden Scale. Response options range from 0= Never to 4= Nearly always. Questions include those asking about relationship with the care recipient and stress. Overall scores range from 0 to 48, with higher scores indicating more caregiver burden.

    Time frame: Baseline; 6 month

  3. Mean change in score of caregiver quality of life from baseline at 6 months

    Caregiver quality of life will be assessed in care partner participants using the reliable and valid Quality of Life Inventory survey. Questions include those asking about importance (on a 3-point rating scale, higher value indicating more importance) and satisfaction (on a 6-point rating scale, higher value indicating more satisfaction) of life domains. Importance scores are multiplied by satisfaction scores for each domain, and then these scores are summed to determine the overall score. Overall scores range from -96 to 96, with higher scores indicating higher quality of life.

    Time frame: Baseline; 6 month

  4. Mean change in score of older adult quality of life from baseline at 6 months

    Older adult quality of life will be assessed in patients using the reliable and valid Quality of Life Dementia survey. Questions include those asking about subjective wellbeing using a 5-point rating scale across five domains: self-esteem, positive affect, negative affect, feelings of belonging, sense of aesthetics. Mean scores are computed for each domain, with high scores indicating more satisfaction (negative affect is reverse scored). Domain scores range from 1 to 5, with higher scores indicating higher quality of life. There is no total overall score.

    Time frame: Baseline; 6 month

  5. Mean change in score of caregiver preparedness from baseline at 6 months

    Caregiver preparedness will be assessed in care partner participants using the Caregiver Preparedness Scale. Response options range from 0= Not at all prepared to 4= Very well prepared. Overall scores range from 0 to 24 with higher scores indicating more feelings of preparedness.

    Time frame: Baseline; 6 month

  6. Mean change in score of caregiving self-efficacy from baseline at 6 months

    Caregiving self-efficacy will be measured in care partner participants by a modified Caregiving Self-Efficacy Scale. Response options range from 0= Can not do at all to 100= Certainly can do. Overall scores range from 0 to 900 with higher scores indicating more confidence.

    Time frame: Baseline; 6 month

  7. Mean change in score of caregiver depression from baseline at 6 months

    Caregiver depression will be assessed in care partner participants using the reliable and valid Center for Epidemiologic Studies Depression Scale. Response options range from 0= Rarely or none of the time to 3= Most or almost none of the time. Overall scores range from 0 to 60 with higher scores indicating greater depressive symptoms.

    Time frame: Baseline; 6 month

  8. Number of heath outcomes determined by medical chart review

    Number of each health outcome such as deaths, hospitalizations and use of medical services. Additional health-related outcomes will be included as identified.

    Time frame: 6 month

  9. Count of the primary care provider's impression of the presence of neglect and severity of neglect measured by the Health-Related Severity in Elder Neglect Scale

    The primary care provider's impression of the presence of neglect and severity of neglect will be measured by the Health-Related Severity in Elder Neglect Scale. This scale asks providers two yes/no questions whether there is concern for caregiver neglect based on the screening tools and clinical assessment. If yes, their level of concern is asked based on the scale: Not Present; Not Present, Potential Risk; Present, Mild; Present, Moderate; and Present, Severe. There is no numerical or total score.

    Time frame: Baseline; 6 month

  10. Number of individual actions taken after positive neglect screen determined by medical chart review

    Number of each individual action taken after positive neglect screen. Actions will be included as identified.

    Time frame: Baseline; 6 month

  11. Change in technology acceptance score from post-intervention at 6 months

    Use of the intervention will be determined by the Technology Acceptance Scale which assesses system acceptance in two dimensions: a Usefulness scale and an affective Satisfying scale. Response options range from -2 to 2. Items 3, 6, and 8 are mirrored and should be scored -2..+2. The Usefulness scale is the sum of item 1 + 3 + 5 + 7 + 9 divided by 5, the Satisfying scale is the sum of items 2, 4, 6, and 8, divided by 4. Each scale has a total score that ranges from -2 to +2, with higher scores indicating more usefulness or satisfaction. The scales are not combined for a total score.

    Time frame: Post-intervention (5 week); 6 month

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — The investigators plan for resource sharing is based on the National Institutes of Health/National Institute on Aging (NIH/NIA) Data Sharing Policy. The investigators plan, consistent with the NIH goals of data sharing, is to promote use of the rich SIRENS database by the larger research community as this will further the impact of SIRENS and expand possibilities for collaboration. It will also allow other researchers to expedite the translation of the research findings into knowledge, products, and procedures. Further, the plan is devised to make the data as widely and freely available as possible while at the same time safeguarding the privacy of participants and protecting confidential and proprietary data.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: The data from research projects will be made available no later than acceptance of publication of the main findings from the final data set. There is no end date to access the data from the research projects.

Access criteria: The investigators agree to share the data with researchers working under an institution with Federal Wide Assurance who agree to a data sharing agreement that stipulates protection of participant privacy and data confidentiality, acknowledgement of SIRENS, that the data will be used for research purposes only, and that the data will not be transferred to other users. The computerized data will include raw data, derived variables, all necessary documentation as described in the National Archive of Computerized Data on Aging depositor agreement. All data will be de-identified. The investigators will follow the guides published by the US Department of Health and Human Services in this respect. Each data set will include data documentation to ensure that others can use the data set and to minimize confusion. Information about where and how to locate and access the data will be available in any publications and presentations authored by SIRENS investigators.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Start is estimated for Mar 2027; primary completion for Jul 2027, 4 months later.

Of 855 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 4 months is below that.

Counting every sponsor, half of 901 studies reached it within 25 months; a quarter within 11 and three quarters within 43.

Start moved once since we started tracking on Sep 25, 2026: Nov 2026 → Mar 2027, on Nov 12, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Aug 5, 2026
First posted
Aug 11, 2026
StartEst.
Mar 1, 2027was Nov 2026
Primary completionEst.
Jul 31, 2027
CompletionEst.
Jul 31, 2027
Last update
Nov 12, 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.
Start date
Nov 1, 2026→Mar 1, 2027
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    Start date Nov 1, 2026→Mar 1, 2027
    + 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 ↗

10

Registry details

Key details

Study ID
NCT07758738
Responsible party
Sponsor
First posted
Aug 11, 2026
Start date
Mar 1, 2027 (estimated)
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Nov 12, 2026

Study contacts

Sophie Park
Contact
sep4008@med.cornell.edu
6469627141
Chelsie Burchett, PhD
Contact
cob2014@med.cornell.edu
Tony Rosen, MD
principal investigator · Weill Cornell Medical College of Cornell University

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 not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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