Get help now — free helplines

You can call any of these for free. You do not need a diagnosis, an appointment, or a crisis to call — questions and plain exhaustion are reasons enough.

  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

Every row

Showing 15 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.

Scroll the table sideways to see every column.

Research and outcomes, 15 rows. Every row links to its source.
Exposure Question Direction Outcome measured Design People Effect size, as the source reported it Source
Carer psychosocial / skills intervention Care, carers and services Treatment No effect
why

No difference from waitlist control on the primary burden outcome or on mood, WHOQOL-Bref or productivity; only the CarerQoL-VAS quality-of-life score was higher in the intervention group. The trial recruited 93 of a 194 target.

Carer burden on the Zarit Burden Interview at 6 and 12 weeks (primary); mood, quality of life, productivity randomised trial 93 No statistically significant differences were observed between the intervention and control groups on the ZBI, CES-D, WHOQOL-Bref and WPAI:CG ... A statistically significantly higher mean CarerQoL-VAS score was found for the intervention group (mean difference = 0.75, 95% CL: 0.25 to 1.24, P = .003) over 6- and 12-weeks, compared to the control Age and ageing 2026
✓ Peer-reviewed PMID 41719424
Carer psychosocial / skills intervention Care, carers and services Treatment No effect
why

Burden fell in both arms with no significant difference between the two platforms. There was no untreated control, so the within-arm improvement cannot be separated from time or attention.

Caregiver burden at 6 months randomised trial 240 Burden: GamePlan4Care effect size 0.50 (p<0.001); Resources4Care effect size 0.23 (p=0.030). Social support GP4C ES 0.21 (p=0.035); distress GP4C ES 0.30 (p=0.010) Alzheimer's & Dementia 2025
✓ Peer-reviewed PMID 41085219
Dementia care management / navigation Care, carers and services Treatment No effect
why

No difference between health-system care, community-based care or usual care on either primary outcome. Caregiver self-efficacy did improve in both active arms.

NPI-Q behavioural symptoms and caregiver strain (co-primary) randomised trial 2,176 NPI-Q difference health-system vs community 0.30 (97.5% CI -0.18 to 0.78); caregiver self-efficacy vs usual care +0.70 (health system) and +0.85 (community), both significant JAMA 2025
✓ Peer-reviewed PMID 39878968
Dementia screening / case finding Care, carers and services Treatment No effect
why

No benefit and no harm: screening did not change family-member quality of life, preparedness or self-efficacy, and did not raise depression or anxiety. Only 5.1% screened positive.

Family-member quality of life (SF-36) at 24 months randomised trial 1,808 24-month SF-36 mental component difference 0.58 (95% CI -0.18 to 1.33), not significant JAMA Internal Medicine 2026
✓ Peer-reviewed PMID 42008257
Palliative / advance care planning Care, carers and services Treatment No effect
why

The primary outcome did not improve. Emergency department visits and hospitalisations were lower (RR 0.45, 95% CI 0.31-0.65), which is a secondary outcome.

NPI-Q neuropsychiatric symptom severity at 24 months (primary) randomised trial 201 ED visits + hospitalisations: RR 0.45 (95% CI 0.31-0.65); NPI-Q severity difference -0.24 (95% CI -2.33 to 1.84, not significant) JAMA 2025
✓ Peer-reviewed PMID 39878993
Cognitive training Cognitive activity Prevention No effect
why

Neither the combined package nor risk-factor modification beat health advice.

ADAS-Cog z-score at 15 months randomised trial 456 ADAS-Cog z-score difference vs health advice: -0.04 (95% CI -0.34 to 0.26) for combined package The Lancet Healthy Longevity 2025
✓ Peer-reviewed PMID 40294622
Dietary pattern (general) Diet and supplements Prevention No effect
why

The control arm also received diet counselling and mild caloric restriction, so this is MIND against another active diet, not against usual eating. It is the only randomised test of the MIND diet here and it disagrees with the cohort evidence.

Global cognition at 3 years randomised trial 604 Global cognition mean difference 0.035 standardised units (95% CI -0.022 to 0.092; P=0.23) New England Journal of Medicine 2023
✓ Peer-reviewed PMID 37466280
MIND diet Diet and supplements Prevention No effect
why

The control arm also received diet counselling and mild caloric restriction, so this is MIND against another active diet, not against usual eating. It is the only randomised test of the MIND diet here and it disagrees with the cohort evidence.

Global cognition at 3 years randomised trial 604 Global cognition mean difference 0.035 standardised units (95% CI -0.022 to 0.092; P=0.23) New England Journal of Medicine 2023
✓ Peer-reviewed PMID 37466280
Multidomain lifestyle intervention Exercise and activity Prevention No effect
why

The intervention did not change any brain biomarker trajectory. Participants with lower baseline hippocampal volume did show a greater cognitive benefit.

Amyloid, tau, hippocampal volume and white matter trajectories randomised trial 983 Cognitive benefit of structured vs self-guided: 0.077 SD (95% CI 0.022-0.132) with lower hippocampal volume vs 0.002 SD (95% CI -0.037 to 0.041) with higher JAMA Neurology 2026
✓ Peer-reviewed PMID 42008251
Multidomain lifestyle intervention Exercise and activity Prevention No effect
why

A small improvement that did not reach significance (adjusted difference 0.06, 95% CI -0.001 to 0.128, p=0.055).

Neuropsychological Test Battery at 24 months randomised trial 746 Adjusted mean difference in NTB score at 24 months 0.06 (95% CI -0.001 to 0.128, p=0.055) The Lancet Healthy Longevity 2025
✓ Peer-reviewed PMID 41130254
Physical activity (general / dose) Exercise and activity Prevention No effect
why

Neither the combined package nor risk-factor modification beat health advice.

ADAS-Cog z-score at 15 months randomised trial 456 ADAS-Cog z-score difference vs health advice: -0.04 (95% CI -0.34 to 0.26) for combined package The Lancet Healthy Longevity 2025
✓ Peer-reviewed PMID 40294622
Resistance training Exercise and activity Prevention No effect
why

The primary outcome did not move between groups. Attention and inhibitory control did improve (SMD 0.43), as did muscular strength.

Executive function at 24 weeks (primary) randomised trial 90 Between-group executive function SMD 0.13 (P=0.37); attention/inhibitory control SMD 0.43 (P<0.001) Alzheimer's & Dementia 2026
✓ Peer-reviewed PMID 41562376
Hearing loss / hearing aids Hearing and vision Prevention No effect
why

Null in the primary analysis of the whole cohort. The prespecified analysis of the higher-risk ARIC subgroup found less decline, which the authors present as hypothesis-generating rather than as a result.

3-year global cognition (primary analysis) randomised trial 977 Primary analysis: "3-year cognitive change (in SD units) was not significantly different between HI and SA control (HI: -0.200 [95% CI: -0.256, 0.144]; SA: -0.202 [95% CI: -0.258, -0.145]; Difference 0.002 [95% CI: -0.077, 0.081], p=0.96)." ARIC subgroup: "HI was associated with a 48% reduction in 3-year cognitive change compared to SA control (Difference 0.191 [95% CI: 0.022, 0.360], p=0.027)." The Lancet 2023
✓ Peer-reviewed PMID 37478886
Cannabinoid (THC/CBD) for agitation in severe dementia Medicines Treatment No effect
why

No difference from placebo on the primary agitation outcome or other main behavioural outcomes. As-needed psychotropic use was lower during the active period, and no serious drug-related adverse events occurred.

Agitation on the Cohen-Mansfield Agitation Inventory (primary); as-needed psychotropic use; safety randomised trial 25 not established — pubmed abstract results: "no significant difference was observed between active treatment and placebo for the cmai and other main behavioural… Age and ageing 2026
✓ Peer-reviewed PMID 42613673
Music therapy Sleep, mood and social life Treatment No effect
why

Neither choir singing nor group music therapy beat standard care. Country was the strongest predictor of the differences between sites.

MADRS depressive symptoms at 6 months randomised trial 1,021 MADRS β 0.4 (95% CI -1.3 to 2.1) for choir singing; β 0.8 (95% CI -1.0 to 2.6) for group music therapy; neither significant The Lancet Healthy Longevity 2025
✓ Peer-reviewed PMID 41380710

How this table was built, and where it is weak →