All studies
CompletedInterventional

The SENSE-Cog Randomised Controlled Trial (RCT): Comparing individualised sensory intervention to standard care to improve quality of life in people with dementia and their companions

Living with dementia can feel harder when you also have trouble seeing or hearing. The SENSE-Cog study investigates whether testing and supporting these senses can improve quality of life for people with dementia and their family carers. Participants aged 60 and over with mild-to-moderate dementia join the 36-week study alongside a companion. Half will receive full home hearing and vision tests, free glasses or hearing aids if required, and up to 10 home visits from a sensory therapist. The other half receive a home sensory screening and guidance on accessing standard NHS services. Researchers will ask both groups questions about their mood, memory, and everyday activities. The aim is to find out if practical sensory help keeps people feeling more independent, safe, and connected at home.

At a glance

Status
Completed
Sponsor
The University of Manchester
Enrolment target
708
Start
01 Mar 2018
Estimated completion
30 Apr 2021

What is this study about?

When hearing or eyesight begins to decline, everyday tasks can become frustrating. It can be harder to follow conversations, enjoy hobbies, or move around safely. For someone living with dementia, sensory difficulties can make memory problems and confusion feel worse, often leading to feeling isolated or low in confidence.

The SENSE-Cog study explores whether tailored sensory care can make a meaningful difference. Rather than requiring visits to busy hospital clinics, specialists visit participants at home. The researchers want to learn if providing correct glasses, hearing aids, and practical guidance can help people stay engaged and manage daily routines more easily.

Dementia affects families as well as the individual. For this reason, the study also includes a family member or close friend. By reducing communication barriers and frustration, the researchers hope to improve well-being and lower stress for both the person with dementia and their companion. The findings could help shape future NHS care for older adults.

Key takeaways

  • Tests whether home hearing and vision support improves life for people with dementia.
  • Open to people aged 60 and over with mild-to-moderate dementia and sensory problems.
  • A family member, partner, or close friend participates alongside you.
  • All appointments and support sessions take place at home, with no hospital visits needed.
  • Involves no new drugs; half get free devices and therapist visits, half get standard care advice.
  • The study lasts 36 weeks and you can withdraw at any time.

Who may be eligible?

You may be able to take part if you are aged 60 or older and have a clinical diagnosis of mild or moderate Alzheimer's disease, vascular dementia, or a mixture of both. You must also have some difficulties with your vision, your hearing, or both, and live in your own home or sheltered housing.

Because daily support is central to the study, you must have an informal companion who is willing to take part with you. This should be an unpaid carer, such as a spouse, relative, or close friend, who lives with you or visits you at least once a week.

If you take prescription medication for your memory (such as donepezil or memantine), your dose needs to have been unchanged for at least four weeks before joining. You also need to be able to give your consent to take part, or have a family member act as a consultee to agree on your behalf.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. I am aged 60 or over.
  2. I have mild or moderate Alzheimer's disease, vascular dementia, or mixed dementia.
  3. I have difficulties with my eyesight, hearing, or both.
  4. I live in my own home or in sheltered housing.
  5. I have a family member or friend who sees me weekly and can join the study with me.
  6. My memory medications have been at a stable dose for at least 4 weeks.
Answer every question to see your result.

What does participation involve?

Taking part lasts for 36 weeks, and all visits take place in the comfort of your own home. A computer will randomly place you into one of two groups. If you are in the sensory intervention group, an optometrist or audiologist will give you a full check-up at home and provide free glasses or hearing aids if you need them. A sensory support therapist will then visit you once a week for up to 10 weeks to help you get used to your new devices, tackle daily tasks, and connect with local community activities.

If you are placed in the standard care group, you will receive a home screening check and helpful leaflets on how to get sensory care through your usual doctor. Both groups will complete simple questionnaires at the start, middle, and end of the study to track quality of life, memory, and daily routines. No new medicines are tested, and you keep any glasses or hearing aids you receive.

Potential risks and benefits

Participants receive a free home check of their hearing and vision. Those in the support group receive free hearing aids or glasses that they can keep permanently, alongside dedicated support to improve daily life. Because the study does not involve any experimental drugs, physical risks are minimal. There is a small chance that getting used to a new glasses prescription could make you feel unsteady, but optometrists introduce prescription changes gradually to help prevent trips and falls. Taking part is entirely voluntary, and you can stop at any point without your normal NHS care or benefits being affected.

Locations (5)

  • University of Manchester
    Approximate
    Manchester, England
  • University of Athens
    Approximate
    Athens, Greece
  • St. James’s Hospital
    Approximate
    Dublin, Ireland
  • University Hospital of Nice
    City only
    Nice, France
  • European University Cyprus
    Approximate
    Nicosia, Cyprus

Common questions

Will taking part interfere with my current medical treatments?

No. The study does not involve any experimental medications, and you will continue your regular doctor's appointments and prescribed treatments as normal.

Do I have to pay for the glasses or hearing aids?

No. If you are placed in the intervention group, any glasses or hearing aids provided through the study are completely free, and you keep them even after the study ends.

Do we have to travel to hospital clinics?

No. All tests, assessments, and therapist sessions are designed to take place directly in your home.

Can I pick which group I want to be in?

No. A computer assigns participants by chance to ensure the study results are fair and reliable.

What happens if we want to leave the study early?

You are free to leave the trial at any time without giving a reason. Leaving will not affect your standard medical care in any way.

How to find out more

Wai Yeung

Always speak to your GP or specialist before deciding to take part in a study.

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