NCT07839286

Brief Summary

This study will evaluate Jigsawdio, a personalized multisensory jigsaw puzzle platform, for adults aged 60 years and older with mild cognitive impairment or mild dementia. Approximately 80 participants will be randomly assigned to either the Jigsawdio group or a control group using standard dementia-friendly jigsaw puzzles. Both groups will complete two 30- to 40-minute puzzle sessions per week for six weeks, for a total of 12 sessions. Jigsawdio combines transparent physical puzzle pieces with personalized images, stories, and audio presented through an iPad. The study will compare changes in depression, anxiety, quality of life, cognition, engagement, satisfaction, and program feasibility. Assessments will be completed at baseline, after the six-week program, and at a 12-week follow-up. Information may also be collected from participants' caregivers or informants.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable alzheimer-disease

Timeline
7mo left

Started Oct 2026

Shorter than P25 for not_applicable alzheimer-disease

Geographic Reach
1 country

2 active sites

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress1%
Oct 2026May 2027

First Submitted

Initial submission to the registry

August 13, 2026

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 24, 2026

Completed
7 days until next milestone

Study Start

First participant enrolled

October 1, 2026

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2027

Last Updated

September 25, 2026

Status Verified

September 1, 2026

Enrollment Period

7 months

First QC Date

August 13, 2026

Last Update Submit

September 23, 2026

Conditions

Keywords

JigsawdioMultisensory Jigsaw PuzzleCognitive EngagementNonpharmacological InterventionOlder AdultsQuality of LifeEmotional Well-BeingMultisensory EngagementPersonalized Activitiesdementia engagement

Outcome Measures

Primary Outcomes (3)

  • Change in Quality of Life Measured by the Quality of Life in Alzheimer's Disease Scale

    Quality of life will be measured using the Quality of Life in Alzheimer's Disease scale (QoL-AD). Total scores range from 13 to 52, with higher scores indicating better quality of life.

    Baseline, Week 6, and Week 12

  • Change in Depressive Symptoms Measured by the Geriatric Depression Scale-15

    Depressive symptoms will be measured using the 15-item Geriatric Depression Scale (GDS-15). Total scores range from 0 to 15, with higher scores indicating greater depressive symptoms.

    Baseline, Week 6, and Week 12

  • Change in Anxiety Symptoms Measured by the Generalized Anxiety Disorder-7

    Anxiety symptoms will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scores range from 0 to 21, with higher scores indicating greater anxiety symptoms.

    Baseline, Week 6, and Week 12

Secondary Outcomes (9)

  • Change in Global Cognition Measured by the Montreal Cognitive Assessment

    Baseline, Week 6, and Week 12

  • Change in PROMIS® Cognitive Function v2.0. Short Form 6a T-score

    Baseline, Week 6, and Week 12

  • Change in Caregiver-Reported Quality of Life

    Baseline, Week 6, and Week 12

  • Participant Engagement During Puzzle Sessions

    During each of the 12 puzzle sessions over Weeks 1-6

  • Session Completion and Program Adherence

    Through Week 6

  • +4 more secondary outcomes

Study Arms (2)

Jigsawdio Multisensory Puzzle Program

EXPERIMENTAL

Participants will complete two 30 to 40 minute Jigsawdio sessions per week for six weeks, for a total of 12 sessions. Jigsawdio combines transparent physical puzzle pieces with personalized images, stories, and audio presented through an iPad.

Behavioral: Jigsawdio Multisensory Puzzle Platform

Standard Jigsaw Puzzle Program

ACTIVE COMPARATOR

Participants will complete two approximately 30- to 40-minute standard jigsaw puzzle sessions per week for six weeks, for a total of 12 sessions. Commercially available dementia-friendly puzzles will be used as the comparison activity.

Behavioral: Standard Jigsaw Puzzle Activity

Interventions

Jigsawdio is a personalized multisensory puzzle platform that combines transparent physical puzzle pieces with images, stories, and audio presented through an iPad. Participants will complete two approximately 30- to 40-minute Jigsawdio sessions per week for six weeks, for a total of 12 sessions.

Jigsawdio Multisensory Puzzle Program

Participants will complete two approximately 30- to 40-minute standard jigsaw puzzle sessions per week for six weeks, for a total of 12 sessions. Commercially available dementia-friendly puzzles will be used as the comparison activity.

Standard Jigsaw Puzzle Program

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age: 60 years or older.
  • Able to communicate fluently in English.
  • Mild cognitive impairment or mild dementia based on an existing diagnosis or study screening procedures.
  • Has an informant and a puzzle creator who know the participant and are willing to participate in the study; the same person may serve in both roles.

You may not qualify if:

  • Severe uncorrected visual or hearing impairment that would prevent puzzle use.
  • Severe motor impairment that would prevent puzzle use.
  • Concurrent participation in a similar program or Alzheimer's disease intervention study.
  • Current hospice care or terminal illness.
  • Plans to relocate within three months after the baseline assessment.
  • History of a serious mental illness, such as bipolar disorder or schizophrenia, that would interfere with study participation.
  • Unable to provide informed consent and no legally authorized representative is available

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Duke University

Durham, North Carolina, 27710, United States

Location

Texas A&M University

College Station, Texas, 77843, United States

Location

MeSH Terms

Conditions

Alzheimer DiseaseDementiaCognitive Dysfunction

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental DisordersCognition Disorders

Study Officials

  • Junhyoung Kim, PhD

    Texas A&M University

    PRINCIPAL INVESTIGATOR
  • Maria Marquine, PhD

    Duke University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Amy M Young, BBA

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 13, 2026

First Posted

September 24, 2026

Study Start

October 1, 2026

Primary Completion (Estimated)

May 1, 2027

Study Completion (Estimated)

May 1, 2027

Last Updated

September 25, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will share

Deidentified individual participant data underlying the study results will be shared through the Texas Data Repository. Shared data may include sociodemographic information, survey outcome data, and coded qualitative interview data. Direct identifiers and identifiable raw interview data will not be shared. Supporting materials may include metadata, codebooks, permitted data collection instruments, the study protocol, and analytic code. Access and reuse will be consistent with participant consent, applicable IRB requirements, and institutional data-sharing policies.

Time Frame
Deidentified individual participant data will be made available following publication of the primary study results and will be preserved for long-term access in accordance with repository policies.
Access Criteria
Deidentified individual participant data will be available through the Texas Data Repository to qualified researchers for purposes consistent with participant consent and applicable ethical requirements. Access will be subject to applicable institutional and IRB requirements and the repository's terms of access.

Locations