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Laser Acupuncture for Behavioral and Psychological Symptoms of Dementia

Not Applicable
Not yet recruiting
Conditions
Behavioral and Psychological Symptoms of Dementia (BPSD)
Dementia
Registration Number
NCT07204145
Lead Sponsor
China Medical University Hospital
Brief Summary

This study uses a laser acupuncture pen to stimulate specific acupoints, aiming to evaluate its effectiveness in improving behavioral and psychological symptoms of dementia (BPSD).

Detailed Description

Participants will be dementia patients residing in institutions who present with BPSD symptoms. A laser acupuncture pen with a wavelength of 808 nm will be used to irradiate the following acupoints three times per week: GV20, ST36, and PC6, with each acupoint irradiated for 10 seconds per session. The severity of BPSD, activities of daily living, and cognitive function will be assessed using the NPI, MMSE, and ADL scales, respectively, while recording the dosage of oral Psychotropic medicationsmedications. A total of six assessments, including the baseline, will be conducted to evaluate the immediate, short-term, and long-term effects of laser acupuncture.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Diagnosis of Dementia: Participants must have a clinical diagnosis of dementia, of any type or severity
  • Consent: Written informed consent provided by the participant's family or legal representative.
Exclusion Criteria
  • Refusal to sign the informed consent form.
  • Unable to cooperate with the intervention procedure despite repeated attempts.
  • History of epilepsy.
  • End-stage liver disease.
  • End-stage renal disease requiring hemodialysis.
  • Presence of brain tumor or history of major brain surgery.
  • Acute cardiovascular or cerebrovascular events within the past 3 months (e.g., unstable angina, myocardial infarction, stroke).
  • Use of a cardiac pacemaker.
  • Currently receiving acupuncture or traditional Chinese medicine treatment.
  • Presence of acute illness.
  • Abnormal blood pressure or fever.
  • Presence of malignant tumor.
  • Pregnancy.
  • Presence of unusual physical abnormalities or sensory nerve disorders.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Neuropsychiatric Inventory (NPI) total scoreBaseline (before intervention), 1 week after first intervention, 1 month after first intervention, 2 months after first intervention, 3 months after first intervention, and 4 months after first intervention (also 1 month after the end of intervention)

The Neuropsychiatric Inventory (NPI) assesses behavioral and psychological symptoms of dementia. The NPI total score ranges from 0 to 144, with higher scores indicating more severe symptoms (worse outcome).

Secondary Outcome Measures
NameTimeMethod
Mini-Mental State Examination (MMSE) total scoreBaseline (before intervention), 1 week after first intervention, 1 month after first intervention, 2 months after first intervention, 3 months after first intervention, and 4 months after first intervention ( also 1 month after the end of intervention).

The Mini-Mental State Examination (MMSE) assesses global cognitive function. The MMSE total score ranges from 0 to 30, with higher scores indicating better cognitive performance (better outcome).

Activities of Daily Living (ADL) total scoreBaseline (before intervention), 1 week after first intervention, 1 month after first intervention, 2 months after first intervention, 3 months after first intervention, and 4 months after first intervention ( also 1 month after the end of intervention).

The Activities of Daily Living (ADL) scale evaluates functional independence in daily activities such as feeding, bathing, dressing, mobility, and continence. Scoring is based on the Barthel Index method, with a total score ranging from 0 to 100. Higher scores indicate greater independence in daily activities (better outcome).

Change in psychotropic medication useBaseline (before intervention), 1 week after first intervention, 1 month after first intervention, 2 months after first intervention, 3 months after first intervention, and 4 months after first intervention (also 1 month after the end of intervention).

Tracks changes in the dosage and number of prescribed psychotropic medications, including antipsychotics, antidepressants, anxiolytics, and hypnotics.

Trial Locations

Locations (2)

Taoyuan Veteran's Home

🇨🇳

Taoyuan, Bade District, Taiwan

China Medical University Hospital

🇨🇳

Taichung, Taichung City, Taiwan

Taoyuan Veteran's Home
🇨🇳Taoyuan, Bade District, Taiwan
Head of Health Care Section
Contact
+886-3-3681140
cheerleador@mail2000.com.tw

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