Tracking Technologies for the Analysis of Mobility in Alzheimer's Disease

Tel-Aviv Sourasky Medical Center300 enrolled

Overview

The research is aimed at exploring the application of novel tracking technique for the study of spatial activity among dementia patients and its implication on their families. The study sample will be composed of three groups of volunteers, each including100 participants aged over 60 years. The first group will include MCI (Mild Cognitive Impairment) patients. The second group will include patients that suffer from mild dementia. The third group will include age matched healthy participants. The tracking equipment will be a GPS apparatus of 450 gms that will be carried by the participants for 24 hours along 2-4 weeks. The GPS data will be transferred via the cellular network to operator center at the Hebrew university at Jerusalem, and will be documented in assigned data files. This monitoring procedure will be held every year and along a period of five years. The impact of the patient behavior on the care giver will be studied by means of five interviews along the tracking period.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

300

Conditions

Dementia

Interventions

The participant will take the GPS kit with him/her everywhere during the whole day for a period of 4 weeks. The GPS tracking kit consists of a GPS receiver with a GSM modem, an RF transmitter contained in a wrist-watch and a monitoring unit located in the home that enables researchers to know whenever the tracked person leaves home. The waterproof RF transmitter will allow researchers to know whether or not research subjects leave home with the GPS device and if they are carrying the device or not at a given moment.

Eligibility

Sex: ALLMin age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with MCI, Alzheimer's disease, or mixed type dementia; OR * Healthy control subjects who meet the following criteria: * Mini Mental State (MMSE) of at least 21 * Age 60 years or older * Patients with history of stroke which is not followed by cognitive decline may be included * Fluent language skills Exclusion Criteria: * Other dementias (e.g. vascular, frontotemporal, metabolic etc); * Other major psychiatric disorders (e.g. major depression, schizophrenia); * Substance abuse; * MMSE 20 or less; * Severe motor disturbances; * Sensory deficits potentially affecting mobility; OR * Severe physical disorders (e.g. cancer, major operation)

Outcomes

Primary Outcomes

Evaluation tools include: Geriatric Depression Scale, functional health questionnaire (SF-36), Emotional well-being questionnaire (Positive and Negative Affect Schedule; PANAS), single Life Satisfaction question and the Zarit Burden Interview

Time frame: Before and after interventions