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Robotic Technologies for APATHy in Dementia: a Randomised Controlled Trial (RAPHAel)

RecruitingNAAges 40 Years - anyAllGiovanna Zamboni
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In plain words

What the trial is, and whether it could suit you

The goal of this trial is to learn whether home-based robotic interventions can reduce apathy in people with cognitive decline. Apathy means reduced motivation, interest, or initiative in daily life. It is a common and distressing symptom in people with mild cognitive impairment (MCI) or dementia and can strongly affect both participants and their caregivers. This study will compare two different robotic interventions with standard occupational therapy. Researchers want to understand if these new technologies can help people become more engaged, motivated, and involved in everyday activities, and whether they also reduce stress and improve quality of life for caregivers. The main questions this study aims to answer are: * Do robotic interventions reduce apathy more than standard occupational therapy? * Are these robotic interventions easy to use and acceptable for people with cognitiv

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Age 40 years or older * Clinical diagnosis of a neurocognitive disorder, including: Mild cognitive impairment (MCI) or mild behavioral impairment (MBI), or Major neurocognitive disorder (dementia), due to Alzheimer's disease, frontotemporal dementia, dementia with Lewy bodies, or other neurodegenerative diseases. * Presence of clinically relevant apathy, defined as a score greater than 2 on the apathy domain (G) of the Neuropsychiatric Inventory (NPI). * Preserved ability to understand and produce spoken and written language sufficient to participate in the intervention and assessments. * Absence of clinically significant agitation or aggressiveness, defined as a score lower than 2 on the agitation/aggression domain (C) of the NPI. * Adequate educational and occupational history sufficient to exclude intellectual disability. * Availability of a study partner (family member, friend, or caregiver) who: Knows the participant well, Has contact with the participant for at least 10 hours per week, Is able to complete questionnaires about the participant, Is able to read, understand, and speak Italian, and Provides independent informed consent for participation. * Ability and willingness of the participant (and study partner, when applicable) to provide informed consent. Exclusion criteria: * Refusal or withdrawal of informed consent by the participant or the study partner. * History or current evidence of neurological conditions other than the target neurodegenerative diseases that may affect cognitive function (e.g., major stroke, brain tumor, normal pressure hydrocephalus, traumatic brain injury). * History or current diagnosis of major psychiatric disorders that could interfere with study participation or assessments. * Presence of medical conditions that may significantly affect cognitive function (e.g., severe renal or hepatic failure, untreated obstructive sleep apnea, hypothyroidism, vitamin B12 deficiency). * Clinically significant agitation or aggressiveness, defined as a score of 2 or higher on the agitation/aggression domain (C) of the Neuropsychiatric Inventory (NPI). * Inability to understand or communicate in Italian sufficient to complete study procedures. * Absence of an eligible study partner or withdrawal of consent by the study partner.
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What it tests

  • telepresence robotic system
  • Pepper robot connected to a CAIR server
  • Occupational Therapy
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Where

2 sites
IRCCS "S. Maria Nascente"
Milan, Italy
Azienda Ospedaliero Universitaria di Modena
Modena, Italy
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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