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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 24 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
Benefit
whyA pilot designed to test feasibility; 68 carers and a 2-week outcome. |
Pre-death grief at 2 weeks | randomised trial | 68 | Pre-death grief Cohen d = -0.38 (mean change -3.29, SD 8.64, p=0.03) at 2 weeks |
JAMA Network Open
2026 ✓ Peer-reviewed PMID 42018322 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
Benefit
whyAt the 1-month comparison the automated self-guided programme reduced depression and burden and increased positive gains versus waitlist; anxiety did not differ. Group differences mostly disappeared once controls received the programme. |
Caregiver depression (PHQ-9) at 1 month versus waitlist (primary); anxiety, burden and positive gains | randomised trial | 274 | At 1-month follow-up, coinciding with exclusive access to PDC30, intervention caregivers showed significant improvements in depression (d = -0.37), burden (d = -0.34), and positive gains (d = 0.42) |
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
2026 ✓ Peer-reviewed PMID 41644333 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
Benefit
whyA factorial trial of components: the mindfulness component carried the benefit and amplified the others. |
Carer depressive symptoms (PHQ-9) at 12 months | randomised trial | 250 | Mindfulness component: PHQ-9 depressive symptoms β = -2.13 (95% CI -2.85 to -1.38) at 12 months |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 40094667 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
Benefit
whyDirection is for NIDUS-Family: an 89% probability of cost-effectiveness from a health and social care perspective (87% societal) and £8,934 (37%) lower average costs, though the cost difference's confidence interval includes zero. |
Probability of cost-effectiveness at £20,000-30,000 per QALY and 12-month costs versus goal setting and routine care | randomised trial | 302 | At both a £20 000 and £30 000 decision threshold, there was an 89% probability that NIDUS-Family was cost-effective compared with usual care from a health and social care perspective, and an 87% probability from a societal perspective. Intervention participants accrued on average £8934 (37%) less in costs than control participants (95% CI -£59 460 to £41 592) |
The Lancet Healthy Longevity
2025 ✓ Peer-reviewed PMID 39978389 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
Benefit
whyThe outcome is how prepared carers felt to decide about firearm access, not whether any injury was avoided. |
Preparation for Decision Making score | randomised trial | 500 | Preparation for Decision Making score +4.80 points (95% CI 0.53 to 9.07) vs control |
Annals of Internal Medicine
2024 ✓ Peer-reviewed PMID 39531391 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
Benefit
whyBenefit in Hispanic and White caregivers and in Black spousal caregivers; not in Black non-spousal caregivers. |
Caregiver quality of life and depression at 6 months | randomised trial | 642 | Depression: 12.6% (intervention) vs. 22.7% (control) at 6 months |
Annals of Internal Medicine
2006 ✓ Peer-reviewed PMID 17116917 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment | Benefit | Time to nursing home placement | randomised trial | 406 | HR 0.717 for nursing home placement; median time to placement 557 days longer (model-predicted) in the intervention group |
Neurology
2006 ✓ Peer-reviewed PMID 17101889 |
| Dementia care management / navigation Care, carers and services | Treatment |
Benefit
whyThe community health worker programme achieved verified linkage to medical care in 16.7% of dyads versus none in the control arm. Caregiver outcomes were largely unchanged, with self-efficacy favouring control. |
Clinic-verified linkage to medical services at 6 months (primary); caregiver psychosocial outcomes | randomised trial | 287 | PLAN increased linkage to medical services versus control (16.7% vs 0%, chi-squared [df = 1] = 24.05, p < 0.001). Caregiver outcomes were largely unchanged, with self-efficacy favoring control |
Alzheimer's & dementia : the journal of the Alzheimer's Association
2026 ✓ Peer-reviewed PMID 42233272 |
| Dementia care management / navigation Care, carers and services | Treatment |
Benefit
whyDirection is for the extended nursing role intervention: 74% fewer unmet needs and higher quality of life at six months, with a small QALY gain at about 1,425 EUR added cost; no effect on caregiver burden. |
Unmet needs, quality of life, caregiver burden and cost per QALY at six months (advanced dementia care management by nurses in extended roles) | randomised trial | 417 | PlwD receiving the intervention had 74% lower unmet needs (0.26, CI95%: 0.17 to 0.40, p < 0.001) and higher quality of life (0.04, CI95%: 0.01 to 0.07, p = 0.017) than controls. There was a gain in quality-adjusted life years (0.01, CI95%: -0.001 to 0.018) at slightly higher costs (1,425 EUR, CI95%: 638 to 2,211) |
Alzheimer's & Dementia
2025 ✓ Peer-reviewed PMID 41143334 |
| Dementia care management / navigation Care, carers and services | Treatment |
Benefit
whyDirection is for collaborative dementia care management: fewer neuropsychiatric symptoms, lower caregiver burden, better mental health and 0.137 QALYs gained at no significant added cost (3186€ per QALY) over 36 months; no difference in antidementia drug use, overall quality of life or inappropriate medication. |
Neuropsychiatric symptoms, caregiver burden, quality of life and cost per QALY at 36 months after 6 months of collaborative dementia care management | randomised trial | 428 | Participants receiving CDCM showed significantly fewer behavioral and psychological symptoms (adjusted mean difference [AMD] in NPI score, -10.26 [95% CI, -16.95 to -3.58]; P = .003; Cohen d, -0.78 [95% CI, -1.09 to -0.46]) ... and lower caregiver burden (AMD in BIZA-D score, -0.59 [95% CI, -0.81 to -0.37]; P < .001; Cohen d, -0.71 [95% CI, -1.03 to -0.40]) ... The CDCM group gained QALYs (0.137 [95% CI, 0.000 to 0.274]; P = .049; Cohen d, 0.20 [95% CI, -0.09 to 0.40]) but had no significant increase in costs (437€ [-5438€ to 6313€] [US $476 (95% CI, -$5927 to $6881)]; P = .87; Cohen d, 0.07 [95% CI, -0.14 to 0.28]), resulting in a cost-effectiveness ratio of 3186€ (US $3472) per QALY |
JAMA Network Open
2024 ✓ Peer-reviewed PMID 38967926 |
| Dementia screening / case finding Care, carers and services | Treatment |
Benefit
whyThe outcome is how many diagnoses were made, not whether anyone was better off. The passive digital marker alone did not raise detection (AOR 0.84, 95% CI 0.63-1.11). |
New dementia diagnosis within 12 months | randomised trial | 5,325 | Adjusted OR for new dementia diagnosis 1.31 (95% CI 1.05-1.64) with QDRS plus passive digital marker vs usual care |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 41212562 |
| Safety / firearm decision aid Care, carers and services | Treatment |
Benefit
whyThe outcome is how prepared carers felt to decide about firearm access, not whether any injury was avoided. |
Preparation for Decision Making score | randomised trial | 500 | Preparation for Decision Making score +4.80 points (95% CI 0.53 to 9.07) vs control |
Annals of Internal Medicine
2024 ✓ Peer-reviewed PMID 39531391 |
| Sleep intervention for carers/dyads Care, carers and services | Treatment |
Benefit
whyDirection is for DREAMS START against treatment as usual: a 78% probability of being cost-effective at £20,000 per QALY, with cost and QALY differences individually non-significant. The clinical sleep result is in the table under its own row. |
Cost per QALY gained (within-trial cost-utility) | randomised trial | 377 | The mean incremental difference in QALYs per person with dementia was 0·016 more (95% CI 0·000 to 0·033) for the intervention group than for the TAU group, indicating no significant difference in quality of life. At a £20 000 per QALY gained decision threshold, there was a 78% probability that DREAMS START is cost-effective, compared with TAU |
The Lancet Healthy Longevity
2025 ✓ Peer-reviewed PMID 40412418 |
| Sleep intervention for carers/dyads Care, carers and services | Treatment | Benefit | Sleep Disorders Inventory at 8 months | randomised trial | 377 | Adjusted mean difference in Sleep Disorders Inventory at 8 months: -4.70 (95% CI -7.65 to -1.74) |
The Lancet Healthy Longevity
2024 ✓ Peer-reviewed PMID 39366393 |
| Dietary pattern (general) Diet and supplements | Prevention |
Benefit
whyControls declined while the olive-oil arm held steady; the nut arm fell between the two. Cognitive follow-up was available for 334 of 447 enrolled. |
Global cognition composite at median 4.1 years | randomised trial | 447 | Global cognition composite: +0.05 (95% CI -0.11 to 0.21) olive-oil arm vs -0.38 (-0.57 to -0.18) control; P=0.005 |
JAMA Internal Medicine
2015 ✓ Peer-reviewed PMID 25961184 |
| Mediterranean diet Diet and supplements | Prevention |
Benefit
whyControls declined while the olive-oil arm held steady; the nut arm fell between the two. Cognitive follow-up was available for 334 of 447 enrolled. |
Global cognition composite at median 4.1 years | randomised trial | 447 | Global cognition composite: +0.05 (95% CI -0.11 to 0.21) olive-oil arm vs -0.38 (-0.57 to -0.18) control; P=0.005 |
JAMA Internal Medicine
2015 ✓ Peer-reviewed PMID 25961184 |
| Multidomain lifestyle intervention Exercise and activity | Prevention |
Benefit
whyCompared with flexible health advice, not with nothing; both groups improved. |
Global cognitive composite (SD per year) over 2 years | randomised trial | 1,065 | Between-group difference in global cognitive composite 0.11 SD per year (95% CI 0.06-0.15) |
The Lancet
2026 ✓ Peer-reviewed PMID 42442374 |
| Multidomain lifestyle intervention Exercise and activity | Prevention |
Benefit
whyBoth groups improved; the structured programme improved more. The trial compares two active interventions, so there is no untreated comparison. |
Global cognition (SD per year) over 2 years | randomised trial | 2,111 | Structured 0.243 SD/year vs. self-guided 0.213 SD/year; difference 0.029 SD/year |
JAMA
2025 ✓ Peer-reviewed PMID 40720610 |
| Multidomain lifestyle intervention Exercise and activity | Prevention | Benefit | Neuropsychological test battery Z-score at 2 years | randomised trial | 1,260 | NTB Z-score change 0.20 (intervention) vs. 0.16 (control); annual between-group difference 0.022 |
The Lancet
2015 ✓ Peer-reviewed PMID 25771249 |
| Resistance training Exercise and activity | Prevention |
Benefit
whyThe authors call the effect small (-0.18 points). Significant in women, not in men, on 91 randomised and 76 completing. |
ADAS-Cog-Plus at 12 months | randomised trial | 91 | ADAS-Cog-Plus mean difference -0.18 (95% CI -0.35 to -0.01; P=0.04) |
Alzheimer's & Dementia
2026 ✓ Peer-reviewed PMID 41795685 |
| Anti-amyloid antibody Medicines | Treatment |
Benefit
whyPhase 1 dose-finding. The outcome is amyloid clearance; no cognitive outcome was measured. |
Amyloid PET clearance (surrogate) | randomised trial | 41 | "On 2,800 mg, every participant dropped below the amyloid positivity threshold within three months"; "After six months, plaque was dose-dependently reduced in all cohorts" |
Presented at AD/PD 2023 Conference (Gothenburg, Sweden); covered by ALZFORUM and NeurologyLive
2023 ⚠ Conference abstract — not peer-reviewed no DOI or PMID exists |
| Antihypertensives / BP lowering Medicines | Prevention |
Benefit
whySignificant for MCI and for the MCI-or-dementia composite; not significant for probable dementia alone (HR 0.86, 95% CI 0.72-1.02). |
MCI and probable dementia over median 7 years | randomised trial | 9,361 | Probable dementia: 8.5 vs. 10.2 per 1,000 person-years (HR 0.86, 95% CI 0.72-1.02); MCI: HR 0.87 (95% CI 0.76-1.00); composite MCI-or-dementia: HR 0.89 (95% CI 0.79-0.99) |
Neurology
2025 ✓ Peer-reviewed PMID 39819096 |
| Antihypertensives / BP lowering Medicines | Prevention |
Benefit
whyA large drop in blood pressure (22/9 mmHg) and fewer serious adverse events in the intervention villages. |
All-cause dementia over 48 months | randomised trial | 33,995 | All-cause dementia RR 0.85 (95% CI 0.76-0.95) |
Nature Medicine
2025 ✓ Peer-reviewed PMID 40258956 |
| Sleep Sleep, mood and social life | Prevention |
Benefit
whyDirection is for normal sleep versus sleep deprivation, on a clearance measure — not on cognition, which this trial did not measure. |
Overnight brain-to-plasma clearance of amyloid-beta and tau | randomised trial | 39 | Additional variance explained by the physiological predictor model in the sleep condition: "between 49.1% (Abeta40) to 56.0% (Abeta42)" in amyloid-positive participants and "between 71.3% (p-tau181) to 97.8% (Abeta40)" in amyloid-negative participants |
Nature Communications
2026 ✓ Peer-reviewed PMID 41593094 |