Alzheimer Dementia (AD)VICANCT07779785
VICA: A Virtual Care Assistant for Dementia Caregivers
A study testing VICA - Virtual Informal Care Assistant and Education only BPSD mobile app in people with Alzheimer Dementia (AD) and Caregiver Burden of People With Dementia, run by Indiana University at 1 site in United States.
Trial summary
This pilot randomized controlled trial evaluates the feasibility and preliminary efficacy of VICA, an AI-powered virtual care assistant that delivers evidence-based education, symptom monitoring, and coaching to informal caregivers of people living with Alzheimer's disease and related dementias (ADRD). Read more about this study
- Who is it for?
- Ages 21 years and older
- Conditions the study is for
- Alzheimer Dementia (AD), Caregiver Burden of People With Dementia
- What is being tested?
- VICA - Virtual Informal Care Assistant and Education only BPSD mobile app
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 1 siteUnited States
- Study dates
- 17 Aug 2026to 30 May 2027
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 65 years
- Community-dwelling
- Diagnosed with ADRD
- Clinical notes indicate behavioral and psychological symptoms of dementia (BPSD) Inclusion Criteria: Informal Caregiver
- Age ≥ 21 years
- Self-identified informal caregiver of a community-dwelling patient diagnosed with ADRD
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- Provides ≥ 10 hours/week of care to the patient with ADRD
- Regular access to a computer and/or smart device with internet
- English-literate; assessed as "adequate" on the Single Item Literacy Screener
Who cannot join
- Life expectancy less than 6 months
- Clinician-reported cognitive impairment
- Clinician-reported severe mental illness or substance use disorder
- Clinician-reported life expectancy of less than 6 months
- Unable to provide informed consent
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Virtual Informal Care Assistant for Alzheimer'S-related Dementia (VICA): A Pilot Randomized Controlled Trial
This pilot randomized controlled trial evaluates the feasibility and preliminary efficacy of VICA, an AI-powered virtual care assistant that delivers evidence-based education, symptom monitoring, and coaching to informal caregivers of people living with Alzheimer's disease and related dementias (ADRD). Sixty caregiver-patient dyads will be randomized 1:1 to VICA or an attention-control education app (Dementia Guide Expert) for 3 months. The study will assess recruitment, VICA acceptance/usability, and engagement (Aim 1), and estimate effect sizes for reducing patient behavioral and psychological symptoms of dementia (BPSD) and caregiver distress (Aim 2).
Read the detailed description
VICA is a customized large-language-model-driven avatar that provides speech-to-speech and text conversational support grounded in the ABC (Aging Brain Care) collaborative dementia care model and the HABC-Monitor assessment. Informal caregivers randomized to VICA are encouraged to use the platform 3 times per week for approximately 20 minutes over 3 months; control participants use the Dementia Guide Expert education-only app on the same schedule. Outcomes include trial feasibility metrics (recruitment, retention, VICA acceptance via TAM-PEOU, usability via SUS, usage/engagement) and preliminary effect-size estimates for the Neuropsychiatric Inventory (NPI) total score (patient BPSD), NPI-Distress score, PHQ-9 (caregiver depression), and GAD-7 (caregiver anxiety), collected at baseline and months 1, 2, and 3.
- Being tested
- VICA - Virtual Informal Care Assistant, Education only BPSD mobile app
- Keywords
- behavioral and psychological symptoms of dementia, conversational AI, avatar, informal caregiver, digital therapeutic, ABC collaborative dementia care model
- Medical subject headings
- Alzheimer Disease, Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VICA - Virtual Informal Care AssistantDevice
An AI-powered avatar delivering conversational, speech-to-speech and text-based education, resource information, and symptom-monitoring support to informal caregivers of patients with Alzheimer's disease and related dementias (ADRD), grounded in the ABC collaborative dementia care model via a retrieval-augmented generation system.
Education only BPSD mobile appDevice
Access to Dementia Guide Expert, an existing free, education-only BPSD mobile app (ENGAGE-IL initiative, University of Illinois at Chicago), used on the same 3x/week, ~20 minute schedule for 3 months. No interactive coaching, assessment, or personalized response.
| Study group | Role | What they receive |
|---|---|---|
| Experimental: VICA | Experimental | Access to the VICA AI-powered avatar platform for 3 months; caregivers encouraged to engage 3x/week for ~20 minutes per session. VICA delivers education, resource information, and symptom-monitoring (HABC-Monitor) grounded in the ABC collaborative dementia care model via a retrieval-augmented generation (RAG) system. Receives: Device: VICA - Virtual Informal Care Assistant |
| Active Comparator: Attention Control | Active comparator | Access to Dementia Guide Expert, an existing free, education-only BPSD mobile app (ENGAGE-IL initiative, University of Illinois at Chicago), used on the same 3x/week, ~20 minute schedule for 3 months. No interactive coaching, assessment, or personalized response. Receives: Device: Education only BPSD mobile app |
What is being measured
The primary outcome is the main question the study is designed to answer.
Neuropsychiatric Inventory (NPI) total score
A 12-domain caregiver-informant-rated measure of patient behavioral and psychological symptoms of dementia. Each domain is scored as frequency (1-4) times severity (1-3) if present, or 0 if absent. Domain scores are summed for a Total Score ranging 0-144; higher scores indicate more frequent and/or severe symptoms.
Measured: Baseline, 1, 2, and 3 months
Neuropsychiatric Inventory-Distress (NPI-D) Scale
Derived from the same 12-domain NPI interview. For each domain in which a symptom is present, the caregiver rates how emotionally distressing that behavior is to them, from 0 (not at all) to 5 (very severely). Ratings are summed across domains for a total score of 0-60; higher scores indicate greater caregiver distress.
Measured: Baseline, 1, 2, and 3 months
Assessment completion rate
Measured: Computed at 3 months
Recruitment rate
Recruitment rate computed monthly as # approached, # agreeing, and
# consenting, tracked continuously throughout the accrual period.
Measured: up to 15 months
Technology Acceptance Model-Perceived Ease of Use (TAM-PEOU)
A 6-item caregiver self-report measure of perceived ease of use, each item rated on a 7-point scale from Extremely Disagree to Extremely Agree. Item scores are summed for a total ranging 6-42; higher scores indicate greater perceived ease of use. Intervention-arm participants rate the VICA platform; control-arm participants rate the Dementia Guide Expert app, using parallel-worded versions of the same instrument.
Measured: Months 1, 2, 3
System Usability Scale (SUS)
A 10-item caregiver self-report measure of perceived usability, rated on a 5-point scale from Strongly Disagree to Strongly Agree, with alternating positively- and negatively-worded items. Using standard SUS scoring, item responses are converted and summed to a total ranging 0-100; higher scores indicate better usability. Intervention-arm participants rate the VICA platform; control-arm participants rate the Dementia Guide Expert app, using parallel-worded versions of the same instrument.
Measured: Months 1, 2, 3
VICA usage
Server-recorded log-ins, session progress/completion, and conversation content, collected from the VICA intervention arm only. Not applicable to the attention control arm, which does not use the VICA platform.
Measured: up to 12 weeks
Secondary outcomes (2)
Patient Health Questionnaire-9 (PHQ-9)
A 9-item caregiver-reported measure of depressive symptom severity. Scored 0-27; higher scores indicate more severe depression.
Measured: Baseline, 1, 2, and 3 months
Generalized Anxiety Disorder 7-item Scale (GAD-7)
A 7-item caregiver self-report measure of anxiety symptom severity, scored 0-3 per item and summed for a total ranging 0-21; higher scores indicate more severe anxiety.
Measured: Baseline, 1, 2, and 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2026
- Study start17 Aug 2026 (estimated)
- Primary completion28 Feb 2027 (estimated)
- Study completion30 May 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer Dementia (AD)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 120 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Indiana University
- Sponsor type
- University, hospital or other
- Collaborators
- University of Notre Dame
- Responsible party
- Principal investigator, MALAZ BOUSTANI, Indiana University
- Investigators
- Malaz Boustani, MD, MPH, Principal investigator, Indiana University School of Medicine, Center for Health Innovation and Implementation Science
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07779785
- Sponsor's protocol ID
- IRB28255
- Acronym
- VICA
- Status last verified
- Aug 2026
- First submitted
- 12 Aug 2026
- Last updated
- 21 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Undecided