Evaluation of the Structured Caregiver Support Program (SCSP) in Terms of Various Parameters
Alzheimer DiseaseThe aim of this clinical study is to examine the effect of an intervention program developed for informal caregivers of Alzheimer's patients on caregivers' burden of care, psychological well-being and psychological resilience.The main questions it aims to answer are: What is the effect of the Structured Caregiver Support Program (SCSP) on caregivers burden? What is the effect of the SCSP on psychological well-being? What is the effect of the SCSP on psychological resilience? Participants (intervention group) will attend at least 6 sessions of an 8-session SCSP. Researchers will compare with the control group to see if the training provided is effective.
Making Connections Thru Music
DementiaAlzheimer Disease1 moreHealthcare systems around the world, including within the United States, have long-established shortages of trainedcaregivers (WHO, 2016; Jones, Liu, Murfield, & Moyle, 2020). The American Health Care Association (2019) states that"the health care system has experienced a shortage of trained caregivers for critical roles for some time." This scarcitydirectly impacts the 45,800 Long-Term Care (LTC) communities throughout the U.S. (Harris-Kojetin et al, 2016). Concurrent with this staff shortage, more than half of LTC residents have some form of dementia (Alzheimer's Association,2019). These two issues create a serious public health concern, since dementia is associated with a variety of behavioralexpressions, such as aggression, anxiety, and agitation (Cummings, 1997). Behavioral expressions of dementia can besuccessfully managed with the use of tailored, psychosocial interventions and communication support (Vernooij-Dassen etal., 2010; Fazio et al., 2018). Unfortunately, existing staff shortages make the facilitation of such interventions challenging. One powerful and often-overlooked approach to ameliorating staffing shortages involves the utilization of retiredvolunteers to facilitate interventions for persons with dementia (PWD). Based on the nearly universal love of music and a promising pilot study, the product to be developed and tested in this STTR will build upon the combined prior work of the Principal Investigators. Making Connections Thru Music (MCTM), an urgently needed product, will enable retired volunteers to facilitate an evidence-based music and discussion intervention with PWD. MCTM aims to improve engagement, enhance quality of life, and reduce behavioral expressions in PWD. The intervention will consist of two main components: (1) a comprehensive online training course for volunteers, which will provide a general overview of dementia, demonstrate effective communication strategies to use with PWD, and instruct volunteers to effectively facilitate MCTM sessions, and (2) an app containing a structured MCTM intervention protocol and toolkit, which will be the means by which volunteers facilitate MCTM. MCTM will be marketed to LTC communities.
Improving Sleep and AD Biomarkers
Mild Cognitive ImpairmentAlzheimer DiseaseThe purpose of this research is to learn whether a dietary citicoline supplement will impact sleep and cognition. Cognitive disorders include such things as memory disorders and mild cognitive impairment. The investigators are studying persons with mild cognitive impairment (MCI). For this population, the team will assess whether citicoline also impacts biomarkers, a marker of the patient's biological state, in their body. The investigators are interested in learning more about a dietary supplement called citicoline and how it helps sleep, cognition, and markers of Alzheimer's. Previous studies have evaluated this dietary supplement and shown that citicoline may impact cognitive decline. The investigator would like to evaluate if citicoline will also impact sleep and markers of Alzheimer's. This dietary supplement has been assessed in older adults and found to be well tolerated. Citicoline has been used safely in cognitive impairment populations at the same dosage.
Ruijin Neurobank of Alzheimer's Disease and Dementia
DementiaThe goal of this observational study is to learn about neuroimage and biomarkers in the Alzheimer's continuum. The main questions it aims to answer are: How is the neurovascular coupling during AD pathogenesis? How is the pattern/mapping of alterations in AD biomarkers? Participants will be observed and visit the research center annually to perform multi-modal MRI, PET, neuropsychological tests, and blood tests.
Identifying Biomarkers in Alzheimer's Disease
Neuro-Degenerative DiseaseAlzheimer DiseaseAlzheimer's disease is a severe neurodegenerative disorder of the brain that is characterized by progressive loss of memory and cognitive decline. With the ageing population, AD is a major public health problem affecting nearly 35 million people worldwide with numbers projected to rise to 115.4 million by 2050. AD is the only cause of death among the top ten causes that has no prevention or cure . It is believed that novel treatment of AD needs to start early or even at the prodromal stage in order to be effective. Therefore, there is an urgent need to find accurate methods of early detection before patients with AD develop clinical dementia. This study aims to identify biomarkers for AD in local Chinese population. this study hypothesizes blood-based proteomics, retinal imaging, ASL-MRP and tau PET can improve the accuracy and staging of AD.
Statins in Reducing Events in the Elderly Mind (STAREE-Mind) Imaging Substudy
DementiaMixed7 moreThe STAREE-Mind imaging sub-study will examine the effect of statin treatment over a 4-year period, compared with placebo, on markers of brain health.
Enhancing Shared Decision-making to Guide Care for People With Dementia and Diabetes
DiabetesAlzheimer's Disease (Incl Subtypes)2 moreAim 1: Characterize shared decision-making and unmet patient-caregiver dyads needs for patients with diabetes and Alzheimer's Disease and related dementias (ADRD) while using a continuous glucose monitoring (CGM) device. Aim 2: Develop an interactive tool to enhance shared decision-making for diabetes management.
Epileptic Hippocampus in Alzheimer's Disease
Alzheimer DiseaseMild Cognitive ImpairmentThe major goals of the study are to 1) characterize hippocampal activity in patients with mild cognitive impairment (MCI) due to Alzheimer's disease (AD) and AD who have suspected hippocampal epileptic activity based on scalp EEG recordings from IRB # 21-001603; 2) study the efficacy of brivaracetam to suppress epileptic activity and pathological high frequency oscilations (pHFOs) during hippocampal depth electrode and scalp EEG in patients with MCI and AD; and 3) investigate the effects of brivaracetam on cognition in an open-label pilot study.
Cognitive Neurology Unit Clinical Registry
Alzheimer DiseaseA Prospective Comparative Study Of Monoclonal Antibodies For The Treatment Of Alzheimer's Disease
An Efficacy and Safety Study of Sodium Oligomannate (GV-971) for the Treatment of Alzheimer's Disease...
Alzheimer's DiseaseThe primary purpose of this study is to confirm the clinical efficacy and mechanism of action of GV-971, and identify incidence of known adverse reactions in long-term use and observe new adverse reactions, providing more guidance for clinical use.