Recruiting

Smart Speaker Program

Sponsor:

Emory University

Code:

NCT06982261

Conditions

Mild Cognitive Impairment

Eligibility Criteria

Sex: All

Age: 55+

Healthy Volunteers: Not accepted

Interventions

Voice-activated smart speakers

Study Details

Brief summary:

This study aims to test a new technology-based program designed to help improve the ability to manage chronic conditions.

This program includes daily smart speaker use for managing different tasks and technology learning.

Proper self-management of chronic conditions is critical to the maintenance of health. Digital technologies offer substantial potential to enhance self-management behaviors. Voice-operated smart speakers hold promise due to their ability to provide functional, cognitive, and social stimulation, send targeted reminders, and assist with daily schedules. Unfortunately, many older adults who live in low-income communities lack the resources and proficiency to take advantage of these options. Additionally, cognitive impairment is prevalent in independent living older adults, more prevalent in low-income older adults.

The goal is to address these critical challenges by identifying smart speaker-based functions preferred by older adults, exploring their technology challenges, introducing them to these functions, and providing necessary technology training to improve self-efficacy in managing chronic conditions and enhance their engagement in self-management behaviors.

Conditions

Mild Cognitive Impairment

Study ID

NCT06982261

Start date

Jul 15, 2025

Status verified date

Jul, 2026

Completion date

Oct, 2026

Anticipated

Primary completion date

Oct, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 55+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Persons 55 years of age and older,
  • Living in subsidized housing or with a housing voucher and having an annual income less than $30K,
  • One or more chronic conditions,
  • Having probable mild cognitive impairment (MCI), based on the education-adjusted Montreal Cognitive Assessment (MoCA) score less than 24 and greater than or equal to 18,
  • Living alone independently, and
  • Able to speak and read English.

Exclusion Criteria:

  • Severe visual/hearing impairment requiring assistance in participating in interactions with the smart speaker and integrated devices,
  • Self-reported diagnoses of Alzheimer's disease and related dementias,
  • Significant medical illness interfering with the study assessments and activities,
  • Inability to provide informed consent, and
  • Nursing home residents.
  • Eligibility will not be limited to smart speaker ownership.

Study Design

Enrollment

20 participants

Anticipated

Intervention Model

Single group

Primary purpose

Prevention

Interventions and Outcome Measures

Arms

experimental: Voice-activated smart speakers

Participants will complete a set of standardized questionnaires. A list of smart speaker-based tasks will be introduced. Participants will then be asked to choose three tasks from a list.

Interventions

Voice-activated smart speakers

Participants will attend a single 90 to 120-minute in-person baseline visit to complete standardized questionnaires and review a list of smart speaker-based tasks. They will select three tasks; all will receive an Echo Show and a Fitbit Versa. Additional digital health devices (e.g., blood pressure monitor, in-home motion sensors) will be provided based on their selections. Participants will learn to interact with Alexa, followed by a second home visit one week later for task-specific setup and device installation.

The team will conduct weekly or bi-weekly check-in calls for two months, with additional home visits as needed. At two months, a home visit will include questionnaires and a 30-60 minute interview on intervention feasibility. Participants will then use the devices independently for one month, with a final home visit at three months for questionnaires and a closing interview.

Primary outcome measure

  • Retention Rate [ Time Frame: 3 months ]
  • System Usability Scale [ Time Frame: Baseline, 2 months, and 3 months ]
  • Patient-Reported Outcomes Measurement Information System (PROMIS) Item Bank v1.0 Self-Efficacy for Managing Chronic Conditions - Managing Medications and Treatment [ Time Frame: Baseline, 2 months, and 3 months ]
  • Self-Care of Chronic Illness Inventory (V.4C) [ Time Frame: Baseline, 2 months, and 3 months ]
  • Modified Computer Self-Efficacy Scale [ Time Frame: Baseline, 2 months, and 3 months ]
  • Patient-Reported Outcomes Measurement Information System (PROMIS)-29 Adult Profile questionnaire [ Time Frame: Baseline, 2 months, and 3 months ]
  • Engagement in Self-Management Behaviors determined by smart speaker interaction logs [ Time Frame: 2 months and 3 months ]

Central Contacts and Locations

Central contacts

Jane Chung, PhD, RN

404-544-9589Jane.chung@emory.edu

Locations

Emory University

Recruiting

Atlanta, Georgia, United States, 30329

More Information

Sponsor

Emory University

Last update posted

Jul 7, 2026

Last verified

Jul, 2026

Keywords

  • Low income older adults
  • Artificial Intelligence
  • Voice activated smart speakers (SS)

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Emory University on 2026-07-07.