About this trial
This study will evaluate the Social Reminder System, a mobile informatics system designed to support persons with memory concerns and their care partners. The system is intended to aid social integration for persons with memory concerns and improve care coordination and reduce caregiver burden among caregivers.
Researchers will enroll 100 persons with memory concerns and their care partners. Half of the dyads will be randomly assigned to receive the Social Reminder System technology for a 6-month period, and the other half will be randomly assigned to the usual care control group. Participants will complete baseline, 3-month, and 6-month surveys. A subset of participants who receive the technology will also be asked to complete a semi-structured interview after the 6-month survey.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Persons with memory concerns must be English speaking.
Persons with memory concerns must self-report a healthcare provider visit due to memory concerns or memory related diagnosis by a physician or other qualified health care provider consistent with having mild-to-moderate memory impairment.
Persons with memory concerns must be over the age of 65.
Persons with memory concerns must be able to formally consent or assent to participate in the study.
Disqualifiers
Those who do not meet the criteria above will be excluded.
Persons with memory concerns with severe or no dementia are not eligible.
Individuals who score below 6 and above 24 on the TICS-40 will not be eligible.
Trial design
Parallel
Treatments tested in this trial
Social Reminder System
BehavioralThe Social Reminder System app is designed to provide memory prompts to persons with memory concerns on an in-home tablet before and during social visits. Individuals who are part of a person with memory concerns' trusted circle may download a free smartphone app and save a photo of themselves, their names, and familial relationship description that are shared with the person with memory concerns' display. When trusted circle members are within a 10 meter range of the tablet, the person with memory concerns receives a notification that a visitor is in range. Reminders continue to appear on the tablet throughout the visit and cease once the visitor is out of range. The care partner will also receive a log of visitors, including names, dates, and beginning and ending times of each visit.
Treatment groups
Trial outcomes
Primary outcomes
Change in Social Interaction Frequency and Quality
Change in frequency and quality of social interactions reported by persons with memory concerns and care partners, including in-person visits, phone calls, mail and letters, and computer-mediated communication.
Change in Pleasant Events and Social Engagement as Assessed by the Pleasant Events Schedule-Alzheimer's Disease
Change in pleasant events and social engagement for persons with memory concerns, assessed using the Pleasant Events Schedule-AD.
Change in Social Support Score
Change in social support among persons with memory concerns and care partners, assessed using a five-item social support scale.
Change in Loneliness
Change in loneliness among persons with memory concerns and care partners, assessed using the UCLA Loneliness Scale.
Secondary outcomes
Perceived Function, Utility, and Barriers to Engagement With the Social Reminder System
Semi-structured interviews will assess overall reactions to the Social Reminder System, perceived barriers to engagement with the technology, and short- and long-term outcomes of engagement with the technology that may have been missed in the survey instruments.
Change in Service Utilization Among Persons With Memory Concerns
Change in service utilization among persons with memory concerns, including nursing home, assisted living, other residential care, hospital stays, and emergency department visits.
Change in Negative Health Transitions Among Persons With Memory Concerns
Change in negative health transitions among persons with memory concerns, including falls and wandering events, assessed by care partner report.
Change in Quality of Life as Assessed by the Adapted Quality of Life-Alzheimer's Disease Measure
Change in quality of life for persons with memory concerns and care partners, assessed using the adapted Quality of Life-Alzheimer's Disease measure.
Sponsors and contacts
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University of Minnesota
Lead sponsor
National Institute on Aging (NIA)
Collaborator
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