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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.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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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
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.

United States1 site
  • Eskanazi Health

    Indianapolis, Indiana, 46202

Other trials in United States

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 groups in NCT07779785
Study groupRoleWhat they receive
Experimental: VICAExperimentalAccess 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 ControlActive comparatorAccess 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.

  1. 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

  2. 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

  3. Assessment completion rate

    Measured: Computed at 3 months

  4. Recruitment rate

    Recruitment rate computed monthly as # approached, # agreeing, and

    # consenting, tracked continuously throughout the accrual period.

    Measured: up to 15 months

  5. 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

  6. 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

  7. 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)
  1. 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

  2. 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.

  1. First posted21 Aug 2026
  2. Study start17 Aug 2026 (estimated)
  3. Primary completion28 Feb 2027 (estimated)
  4. Study completion30 May 2027 (estimated)

Resources

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)
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

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