Prevalence and Care Partner Burden of Individuals With Alzheimer's Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 240
- 试验地点
- 2
- 主要终点
- Swallowing safety
研究概览
简要总结
This research study is investigating whether people with Alzheimer's disease (AD) experience more changes to swallowing than their healthy age-matched peers. The prevalence of swallowing impairments in moderate-severe AD is high (85-93%), yet little is known about how swallow function evolves throughout the disease course in people with AD. The overall objective of this study is to evaluate swallowing function in adults with and without Alzheimer's disease. The investigator will also be involving the primary caregivers of individuals with Alzheimer's that are enrolled in the study to better understand the impact of swallowing impairments on the primary caregivers of those with Alzheimer's Disease.
Healthy adults and individuals with Alzheimer's disease will:
- undergo tests of cough and swallow function
- undergo tests of grip and tongue strength
- complete questionnaires
Caregivers of individuals with Alzheimer's disease will also complete questionnaires.
详细描述
This study will involve one in-person research visit that will last approximately 1-1.5 hours and will consist of a screening, cough testing, swallow function testing, assessments of hand grip and tongue strength, and completion of questionnaires. Caregivers of those with Alzheimer's disease will also complete questionnaires.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for AD cohort:
- •adult ≥60 years old
- •diagnosis of AD by a neurologist (confirmed with imaging, spinal tap, behavioral testing)
- •no prior history of other neurological diseases (aside from stroke which has resolved with no current symptoms)
- •no prior history of respiratory diseases
- •no prior history of head and neck surgery/head and neck cancer/radiation to head and neck region
- •consuming some form of oral intake
- •able to follow basic directions
- •able/willing to provide consent/assent.
排除标准
- •for AD Cohort:
- •individual <60 years old
- •Diagnosis of another type of dementia
- •History of neurological/respiratory diseases
- •History of head and neck surgery/head and neck cancer/radiation to head and neck region
- •not consuming any oral intake
- •Unable to follow basic directions
- •Unable to provide consent based on the University of California, San Diego Brief Assessment of Capacity to Consent (UBACC), score <15 OR provide assent and a legal guardian/health care decision maker provides consent.
- •Inclusion criteria for care partners of individuals with AD will be:
- •care partner of an individual with AD
- •willing to complete questionnaires/participate in an interview.
- •Exclusion Criteria for Caregivers of Individuals with AD:
- •not the primary caregiver of an individual with AD
- •unwilling to complete questionnaires/semi-structured interview
- •Inclusion criteria for community-dwelling adults will be:
- •adult ≥60 years old
- •no prior history of neurological diseases (aside from stroke which has resolved with no current symptoms)
- •no prior history of respiratory diseases
- •3) no prior history of head and neck surgery/head and neck cancer/radiation to head and neck region 4) no prior history of swallowing difficulties based on participant report. 5) Score ≥25th percentile based on sex/age/education/race on the Montreal Cognitive Assessment (MOCA)
- •Exclusion Criteria for Healthy Cohort:
- •individual <60 years old
- •history of neurological disease
- •history of respiratory disease
- •history of head and neck surgery/head and neck cancer/radiation to head and neck region
- •history of swallowing difficulties
- •Score <25th percentile based on sex/age/education/race on the Montreal Cognitive Assessment (MOCA)
结局指标
主要结局
Swallowing safety
时间窗: During baseline visit at time of enrollment.
The penetration aspiration scale is a validated 8-point ordinal rating scale that measures the depth of airway invasion and the patient's response during swallowing. Scores range from 1 to 8 with a score of 1 indicating a safe swallow (best score) and 8 indicating silent aspiration (worst score).
次要结局
- Voluntary cough peak expiratory flow(During baseline visit at time of enrollment)
- Grip strength(During baseline visit at time of enrollment.)
- Tongue strength(During baseline visit at time of enrollment.)
- Swallowing and Eating Related Fatigue Questionnaire (SERF)(During baseline visit at time of enrollment.)
- Swallowing Related Quality of Life Questionnaire (SWAL-QOL)(During baseline visit at time of enrollment.)
- Eating Assessment Tool 10 (EAT-10)(During baseline visit at time of enrollment.)
- Caregiver Analysis of Reported Experiences with Swallowing Disorders (CARES) Questionnaire(During baseline visit at time of enrollment.)
- Caregiver Self-Assessment Questionnaire(During baseline visit at time of enrollment.)
- 3 oz water swallow test(During baseline visit at time of enrollment.)
- Reflex cough(During baseline visit at time of enrollment.)
- Screening for Oral Frailty Tool (SOFT)(During baseline visit at time of enrollment.)
研究者
Cara Donohue, Ph.D. CCC-SLP
Assistant Professor, Director of Medical Speech-Language Pathology
Vanderbilt University Medical Center