Evidence map›Paper›PMID 38477423›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Adapted problem adaptation therapy for depression in mild to moderate Alzheimer's disease dementia: A randomized controlled trial.

Robert Howard, Elizabeth Cort, Charlotte Rawlinson, Martin Wiegand, Anne Downey, Vanessa Lawrence, Sube Banerjee, Peter Bentham, Chris Fox, Rowan Harwood and 11 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Evaluating the Use of Anxiety Patient-Reported Outcome Measures (PROMs) in Dementia Clinical Trials: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 13 institutions in 1 country.

Robert HowardDivision of Psychiatry, University College London, London, UK.
Elizabeth CortDivision of Psychiatry, University College London, London, UK.
Charlotte RawlinsonDivision of Psychiatry, University College London, London, UK.
Martin WiegandPriment Clinical Trials Unit, University College London, London, UK.
Anne DowneyPriment Clinical Trials Unit, University College London, London, UK.
Vanessa LawrenceDavid Goldberg Centre (H1.01), King's College London, London, UK.
Sube BanerjeeUniversity of Plymouth, Plymouth, Devon, UK.
Peter BenthamBirmingham and Solihull NHS Trust, Birmingham, UK.
Chris FoxUniversity of East Anglia, Norwich, Norfolk, UK.
Rowan HarwoodUniversity of Nottingham Queen's Medical Centre, Nottingham, UK.
Rachel HunterPriment Clinical Trials Unit, University College London, London, UK.
Gill LivingstonDivision of Psychiatry, University College London, London, UK.
Esme Moniz-CookUniversity of Hull, Hull, UK.
Monica PancaPriment Clinical Trials Unit, University College London, London, UK.
Malgorzata RaczekBrighton and Sussex School of Medicine, Brighton, East Sussex, UK.
Chineze IvensoAneurin Bevan NHS Trust, St Cadoc's Hospital, Newport, South Wales, UK.
Gregor RussellBradford District Care Foundation Trust, Shipley, UK.
Alan ThomasUniversity of Newcastle, Campus for Ageing and Vitality, Newcastle upon Tyne, UK.
Philip WilkinsonDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.
Nicholas FreemantleComprehensive Clinical Trials Unit, University College London, London, UK.
Rebecca GouldDivision of Psychiatry, University College London, London, UK.
University College London · GBMRC Clinical Trials Unit at UCL · GBAneurin Bevan University Health Board · GBBirmingham and Solihull Mental Health NHS Foundation Trust · GBBradford District Care NHS Foundation Trust · GBKing's College London · GBNewcastle Hospitals - Campus for Ageing and Vitality · GBQueen's Medical Centre · GBUniversity of East Anglia · GBUniversity of Hull · GBUniversity of Oxford · GBUniversity of Plymouth · GBUniversity of Sussex · GB

Funding

National Institute for Health Research Health Technology Assessment Programme 16/155/01
6 · The paper itself

Abstract

introductionTrials of effectiveness of treatment options for depression in dementia are an important priority.

methodsRandomized controlled trial to assess adapted Problem Adaptation Therapy (PATH) for depression in mild/moderate dementia caused by Alzheimer's disease.

resultsThree hundred thirty-six participants with mild or moderate dementia, >7 on Cornell Scale for Depression in Dementia (CSDD), randomized to adapted PATH or treatment as usual. Mean age 77.0 years, 39.0% males, mean Mini-Mental State Examination 21.6, mean CSDD 12.9. For primary outcome (CSDD at 6 months), no statistically significant benefit with adapted PATH on the CSDD (6 months: -0.58; 95% CI -1.71 to 0.54). The CSDD at 3 months showed a small benefit with adapted PATH (-1.38; 95% CI -2.54 to -0.21) as did the EQ-5D (-4.97; 95% CI -9.46 to -0.48). DISCUSSION: An eight-session course of adapted PATH plus two booster sessions administered within NHS dementia services was not effective treatment for depression in people with mild and moderate dementia. Future studies should examine the effect of more intensive and longer-term therapy.

Indexed as

Alzheimer DiseaseDementiaAgedDepressionFemaleHumansMalePsychiatric Status Rating ScalesTreatment OutcomeAlzheimer's diseaseclinical trialdepressionmoodproblem adaptation therapypsychologicalpsychotherapy

Identifiers

PMID38477423
PMCPMC11032547
OpenAlexW4392750268

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.