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Innovations in Dementia Empowerment and Action


This study will compare two behavioral interventions for lesbian, gay, bisexual, and transgender (LGBT) individuals with Alzheimer's disease or a related dementia and their caregivers. One intervention is Reducing Disability in Alzheimer's Disease (RDAD). The other intervention is similar and addresses risk factors that are known to affect midlife and older LGBT populations.

Minimum Age Maximum Age Gender Healthy Volunteers
50 Years N/A All Yes
December 5, 2018
May 31, 2022

Participants with Alzheimer's

  • Self-identify as LGBT (or sexual or gender non-binary or same-sex sexual behavior)
  • Dementia, including Alzheimer's disease
  • Living in the community, not in a care facility
  • No more than 150 minutes a week of moderate-intensity physical exercise


  • Unpaid caregiver
  • Living in the community, not in a care facility

  • Known terminal illness (with death anticipated within the next 12 months)
  • Hospitalization for a psychiatric disorder in the past 12 months
  • Parkinson's disease, Huntington's disease, traumatic brain injury, or stroke that resulted in persistent muscle weakness or paralysis
  • Blind, unable to hear with hearing aids, or unable to walk
  • Plans to move out of study geographic area during the next 4 months
  • Any physical limitations or chronic conditions preventing participation in an exercise program

LGBT individuals may face social stigma, marginalization, and isolation, which may be barriers to sustaining caregiving. It is necessary to translate evidence-based, culturally adaptable interventions for this underserved population. In this study, researchers will evaluate RDAD, which has been used to train individuals with Alzheimer's disease or a related dementia and their caregivers to better manage behavioral symptoms and, as a result, to reduce stress, delay institutionalization, and increase health-related quality of life. They will compare RDAD to a similar intervention that addresses LGBT-specific risk factors, including identity management, stigma-related adverse/traumatic life events, and lack of social support.

The training involves nine 60-minute, in-person sessions over 6 weeks, plus four 15-minute, follow-up phone sessions over 4 months. The program focuses on increasing physical activities of individuals with Alzheimer's and their caregivers and learning to cope with the behavioral components of dementia. Researchers will look at the interventions' effects on behavioral symptoms, physical activity levels, caregiver stress, and quality of life.

Name City State Zip Status Primary Contact
University of Washington
Seattle Washington 98105 Recruiting Amy Cunningham, MS

University of Washington

Name Role Affiliation
Karen Fredriksen-Goldsen, PhD Principal Investigator University of Washington

Name Phone Email
Heather Wehr 1-888-655-6646


Aging With Pride: Innovations in Dementia Empowerment and Action