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Anxiety Sensitivity Treatment to Reduce Anxiety in Alzheimer's

About this study

The goal of this clinical trial is to test the effectiveness of a computerized anxiety sensitivity treatment (CAST) compared to a health education control (HEC) in older adults with mild cognitive impairment (MCI) or mild Alzheimer's Disease and related dementias (ADRD) and their care partners. The main questions it aims to answer are: 1. Efficacy of CAST in reducing anxiety and related symptoms among those with MCI/mild ADRD 2. Efficacy of CAST in reducing care partner burden among care partners of people living with MCI/mild ADRD 3. Explore treatment mechanisms using a multi-modal assessment battery of anxiety sensitivity and anxiety Participants will complete six in-person visits including a baseline assessment, two intervention sessions, and three follow-up assessments at 1, 3, and 6-months posttreatment. Participants will also complete three weeks of ecological momentary assessments (EMAs) for one week prior to intervention, one week between intervention sessions, and one week after intervention. If there is a comparison group: Researchers will compare CAST to HEC to see if CAST reduces anxiety and related symptoms in older adults with MCI/mild ADRD and care partner burden to a greater degree than HEC.

Condition
Anxiety, Mild Cognitive Impairment, Alzheimer Disease, Dementia
Tested
Computerized Anxiety Sensitivity Treatment, Health Education Control
Sponsor
Florida State University

Who can join

Age
60 years and older
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 14

  • Minimum age: 60 years
  • Study condition: Anxiety, Mild Cognitive Impairment, Alzheimer Disease, Dementia
  • Patient age 60+
  • Care partner 18+
  • Has care partner who will participate ("someone you have a reciprocal relationship with who provides you with emotional or physical support and helps with decision-making. This could be a spouse or significant other, relative, or close friend whom you spend a significant amount of time with.")
  • Has smartphone or access to Wi-Fi
  • EITHER
  • Score of 20 or above on the PROMIS-Anxiety short form (patient only) OR
  • Score of 5 or above on SSASI (patient only) OR
  • Score of 31 or above on NIH Toolbox Perceived Stress Scale score (patient only)
  • AND EITHER
  • Participant MoCA score is between 17 to 26
  • Participant Memory Complaint Scale score 3 or greater
  • Care partner quick dementia rating scale score between 2 to 12.5

Exclusion 5

  • PATIENT
  • Issues with seeing or hearing that would prevent reading or listening to computer presentations
  • Medical conditions that would preclude participation in study
  • Severe mental illness (e.g., schizophrenia, unmedicated bipolar disorder)
  • CARE PARTNER

Where

3 sites, 3 recruiting

Ohio University

Athens, Ohio, United States

Recruiting

The Ohio State University

Columbus, Ohio, United States

Recruiting

Anxiety and Behavioral Health Clinic

Tallahassee, Florida, United States

Recruiting

Contact

Potential match only. Final eligibility is determined by the study team.