Automated IADL Sensing to Refine Measurement of Older Adult Daily Activity
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Cognitive Ability General, Functional Abilities. Basic parameters: from 75 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The instrumental activities of daily living (IADL) refer to complex daily activities required for adult independence, such as preparing a meal or taking medications. This study will assess the efficacy of sensing technologies (smartwatch, computer vision, eye tracking) for recognizing IADL activities in naturalistic settings and score performance relative to ratings from occupational therapists. If successful in assessing the efficiency of IADL, the sensing technologies will be a valuable addition to geriatric assessment.
Detailed description
With declines in motor and cognitive function, even older adults living independently may be less efficient in performing daily activities, such as cooking and light housekeeping, which may signal an impending need for caregiver support and healthcare services. Clinicians currently lack automated tools for detecting early declines in daily activity. This research will assess the utility of motion sensors and computer vision assessment in detecting early deficits in the instrumental activities of daily living (IADL), in this case structured cooking and cleaning tasks performed in a standardized kitchen. Older adults with normal cognitive status and those with mild cognitive impairment will be recruited from a research registry to assess differences in performance.
Primary outcome measures
- Efficiency of IADL Performance [Time frame: 15-minute telephone screening, 90-minute in-person assessment]
Secondary outcome measures (1)
- Concordance with Occupational Therapist Rating [Time frame: One 90-min in-person assessment]
Eligibility criteria
Inclusion criteria
- Participant in University of Pittsburgh Pepper Center research registry
- Age 75+
- Female
- Residing in community
- Meets criteria for normal cognition or mild cognitive impairment on telephone screening (Memory Impairment Screen >= 5)
- Daily, independent performance of cooking and light cleaning tasks
Exclusion criteria
- Inability to provide informed consent
- Meets criteria for possible dementia (Memory Impairment Screen <= 4)
- Reports difficulty with activities of daily living (dressing, feeding oneself, using toilet, bathing)
- Uses mobility assistance device for indoor ambulation
- Medical conditions that may interfere with participation (e.g., severe untreated psychiatric disorders, unstable cardiovascular conditions, Parkinson's disease)
- Current participation in other interventional studies or clinical trials.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Case-control
Study locations
United States · 1 center
- University of Pittsburgh — Pittsburgh
Identifiers
NCT: NCT07585864 · STUDY25120169 · P30AG024827