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  • 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.

Each study has a usefulness score out of 100 (rubric version 4.0). Tap a score to see what makes it up.

Highest usefulness score first. Studies without a score come last.

  1. Mobile Technology for Cognitive Assessment of Older Adults: A Scoping Review

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Innovation in aging 2019-01-01 Digital health tools

    Twenty-nine articles met our inclusion criteria and were categorized into 3 groups as follows: (a) mobile versions of existing article or computerized neuropsychological tests; (b) new cognitive tests developed specifically for mobile platforms; and (c) the use of new types of data for cognitive assessment.

    Why it matters

    This review found 29 studies using smartphones and tablets for cognitive assessment of older adults, covering mobile versions of existing tests, new mobile-specific tests, and new types of data. It confirms potential for mobile assessment but does not show that these tools treat, cure, or prevent Alzheimer's disease.

  2. Dysfunction of Cerebrovascular Endothelial Cells: Prelude to Vascular Dementia

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Frontiers in aging neuroscience 2018-11-16 Digital health tools

    Vascular dementia (VaD) is the second most common type of dementia after Alzheimer's disease (AD), characterized by progressive cognitive impairment, memory loss, and thinking or speech problems.

    Why it matters

    This review proposes that dysfunction of cerebrovascular endothelial cells occurs before vascular dementia and suggests eNOS/NO, RhoA, and caveolin-1 as targets for new drugs. These are proposed targets only, not tested treatments, and the focus is vascular dementia rather than Alzheimer's disease.

  3. Quality of dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Palliative medicine 2018-10-01 End-of-life care

    The quality of dying and quality of end-of-life care in nursing homes in the countries studied are not optimal.

  4. Effects of Normative Adjustments to the Montreal Cognitive Assessment

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2018-09-21 Long-term cohort studies

    499 adults 48 to 91 years-old enrolled in the Alzheimer's Disease Neuroimaging Initiative (ADNI) and were administered the MoCA during baseline.

    Why it matters

    This study tested whether adjusting Montreal Cognitive Assessment scores for education and other norms improves screening for mild cognitive impairment and Alzheimer's dementia in 499 adults. It addresses how memory screening is scored, not how Alzheimer's is treated, cured, or prevented.

  5. Key mechanisms of action were: improved observation and awareness of residents, collaborative assessment, comprehensive 'picture of the person', systematic record keeping, improved review and monitoring, care planning and changes to care provision, and facilitated multi-agency communication.

  6. Costs of medication in older patients: before and after comprehensive geriatric assessment

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Clinical interventions in aging 2018-04-09 Clinical safety

    It was demonstrated that prevalence of polypharmacy, PIM, and PPO could be decreased by CGA including START/STOPP criteria in older adults.

  7. Evaluation of Self-reported Patient Experiences: Insights from Digital Patient Communities in Psoriatic Arthritis

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. The Journal of Rheumatology 2018-02-15 Health systems and care delivery

    Of 15,390 narratives collected from 3139 patients with PsA for exploratory analysis, physical concepts were the most common (81.5%), followed by emotional (50.7%), cognitive (20.0%), role activity (8.1%), and social (5.6%) concepts.

    Why it matters

    This study analyzed online narratives from patients with psoriatic arthritis and found cognitive issues were discussed but not captured by standard questionnaires. It concerns psoriatic arthritis, not Alzheimer's disease, so it has no direct implications for treating, curing or preventing dementia.

  8. Twenty years of home-based palliative care in Malappuram, Kerala, India: a descriptive study of patients and their care-givers

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. BMC palliative care 2018-02-14 End-of-life care

    The changing dynamics over a 20-year period of this palliative care programme in Kerala, India, highlights the need for similar programmes to remain flexible and adapt their services in response to a growing global burden of Non Communicable Diseases.

  9. Dietary patterns and cognition in older persons

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Current opinion in clinical nutrition and metabolic care 2018-01-01 Prevention trials

    Numerous epidemiological studies have strongly suggested that multinutrient approaches using the Mediterranean diet (Med diet), dietary approach to systolic hypertension (DASH) and the Mediterranean-DASH diet intervention for neurodegenerative delay (MIND) are associated with a lower risk of cognitive impairment, MCI and Alzheimer's disease in older persons.

  10. Needs of people with advanced dementia in their final phase of life: A multi-perspective qualitative study in nursing homes

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Palliative medicine 2017-12-13 End-of-life care

    People with advanced dementia in their final phase of life have a multitude of individual and complex needs.

  11. General Practice Clinical Data Help Identify Dementia Hotspots: A Novel Geospatial Analysis Approach

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of Alzheimer s Disease 2017-11-10 Risk factors

    We have a poor understanding of whether dementia clusters geographically, how this occurs, and how dementia may relate to socio-demographic factors.

    Why it matters

    Using general practice records in west Adelaide, this study found clusters of higher dementia risk in some areas and lower risk in others, with hotspots in low socioeconomic communities. It identifies where risk clusters occur but does not test any treatment or prevention.

  12. Readily Identifiable Risk Factors of Nursing Home Residents' Oral Hygiene: Dementia, Hospice, and Length of Stay

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of the American Geriatrics Society 2017-10-12 End-of-life care

    The findings identify resident subgroups at especially high risk of poor oral health who can be targeted in quality improvement efforts related to oral hygiene; they also indicate need to improve the accuracy of how MDS items are completed.

  13. Bereavement support for family caregivers: The gap between guidelines and practice in palliative care

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. PloS one 2017-10-04 End-of-life care

    Timeliness and consistency of relationship is crucial to building rapport and trust in the service's ability to help at post-bereavement as well as a focus on the specific rather than the generic needs of the bereaved.

  14. Tea, talk and technology: patient and public involvement to improve connected health ‘wearables’ research in dementia

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Research Involvement and Engagement 2017-08-01 Health systems and care delivery

    Discussions revealed that people were generally supportive of this type of research, provided they gave informed consent and that devices were discreet, comfortable and easy to use.

    Why it matters

    This study involved people affected by dementia in discussions about connected health wearables research and found they were generally supportive if devices were discreet, comfortable, and easy to use. It does not test any treatment, cure, or prevention for Alzheimer's disease, and it shows it is feasible to involve people affected by dementia in shaping research tools.

  15. Type 2 diabetes and quality of life

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. World journal of diabetes 2017-04-01 Getting a diagnosis

    It is true that a primary goal of diabetes early diagnosis and treatment is quality of life (QoL).

    Why it matters

    This review discusses quality of life in type 2 diabetes and notes that studies performed so far have shown little to moderate benefit. It does not report any treatment, cure, or prevention for Alzheimer's disease.

  16. Exercise training for neural recovery in a restricted sample of pediatric brain tumor survivors: a controlled clinical trial with crossover of training versus no training

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Neuro-oncology 2017-03-01 Hippocampus size on brain scans

    Exercise training is an effective means for promoting white matter and hippocampal recovery and improving reaction time in children treated with cranial radiation for brain tumors.

  17. Early-onset and delayed-onset poststroke dementia - revisiting the mechanisms

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Nature reviews. Neurology 2017-02-17 Prevention and risk

    Incident stroke has long been recognized to cause dementia shortly after the event.

    Why it matters

    This review notes that clinical trials to prevent delayed-onset poststroke dementia over the past 10 to 15 years have been disappointing, and that delayed-onset cases are associated mainly with severe sporadic small vessel disease. It proposes future research directions rather than reporting an effective prevention.

  18. Cognitive impairment and dementia: a new emerging complication of type 2 diabetes-The diabetologist's perspective

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Acta diabetologica 2017-02-16 Prevention and risk

    Type 2 diabetes mellitus (T2D) and Alzheimer's disease (AD) are two of the most common diseases of aging around the world.

    Why it matters

    This review discusses how type 2 diabetes may increase the risk of Alzheimer's disease and is associated with progressive cognitive decline, with impaired insulin signalling, inflammation, advanced glycation end-products and oxidative stress proposed as shared pathways. It is a perspective piece and does not report any tested prevention or treatment for dementia.

  19. The Risk of Incident Mild Cognitive Impairment and Progression to Dementia Considering Mild Cognitive Impairment Subtypes

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Dementia and geriatric cognitive disorders extra 2017-01-01 Genetics

    Cognitively normal subjects with an APOE ε4 allele had a higher likelihood of developing aMCI and the MCI subtype was associated with the dementia subtype.

    Why it matters

    Cognitively normal people with one or two copies of the APOE ε4 allele were more likely to develop amnestic mild cognitive impairment. Multiple-domain amnestic mild cognitive impairment patients were more likely to progress to dementia than single-domain patients.

  20. Dementia Caregivers and Live Discharge from Hospice: What Happens When Hospice Leaves?

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of gerontological social work 2016-12-20 End-of-life care

    Hospice offers holistic support for individuals living with terminal illness and their caregivers.

  21. Associations of hippocampal subfields in the progression of cognitive decline related to Parkinson's disease

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. NeuroImage. Clinical 2016-12-12 Mild cognitive impairment

    The findings from this study add to the anatomical knowledge of hippocampal subregions in PD, allowing us to understand the unique functional contribution of each subfield.

    Why it matters

    In 65 people with Parkinson's disease followed for 18 months, atrophy in specific hippocampal subfields was linked to conversion from no cognitive impairment to mild cognitive impairment. This concerns Parkinson's disease-related cognitive decline and does not test any treatment.

  22. Cognitive Aging and the Hippocampus in Older Adults

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Frontiers in aging neuroscience 2016-12-08 Cognitive tests and assessment

    The hippocampus is one of the most well studied structures in the human brain.

    Why it matters

    This paper notes that the link between normal cognitive aging and hippocampal structure is still poorly studied, with contradictory results so far. It is background on brain aging without disease and offers no treatment, cure or prevention.

  23. Integrated Palliative care Outcome Scale for Dementia is a comprehensive and acceptable caregiver-reported measure to detect symptoms and problems in dementia.

  24. The associations of an active lifestyle with cognitive change over time in a dementia risk group were stronger than the effects of short-term, specific training interventions.

  25. Psychosocial interventions for people with dementia: An overview and commentary on recent developments

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Dementia (London, England) 2016-07-04 Prevention trials

    An influential review in 2010 concluded that non-pharmacological multi-component interventions have positive effects on cognitive functioning, activities of daily living, behaviour and mood of people with dementia.

From across this topic

10 of the 7,967 studies in this topic, picked by a fixed rule (a hash of each study's address), not by score or date; each page of this list shows a different 10. The same 10 appear here every time.

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