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COMPLETED
NCT03272230
NA

Assessment of Apathy in a Real-life Situation, With a Video and Sensors-based System

Sponsor: Institut National de la Santé Et de la Recherche Médicale, France

View on ClinicalTrials.gov

Summary

Apathy is defined as a quantitative reduction in voluntary and goal-directed behavior. To address this, the investigators propose an ethological approach to assess apathy objectively and quantitatively by observing patients in real-life situations. The ECOCAPTURE paradigm involves a structured, multi-step scenario conducted in a functional exploration platform. This platform is equipped with an advanced data acquisition system integrating video recordings and sensors to precisely monitor and analyze participants' behavior. Primary objective: Develop a diagnostic tool for apathy using metrics derived from video recordings and sensor data. This tool aims to provide objective measures to identify and quantify apathy. Secondary Objectives: * Validation of ICM\_APATHY\_TASKS: This novel experimental task is designed to evaluate three primary mechanisms thought to underlie apathy: Motivation, Cognitive inertia (difficulty initiating tasks), The interaction between motivation and action execution. * Identification of the pathophysiological mechanisms of apathy by investigate the cognitive, behavioral, neural, and neurohormonal underpinnings of apathy. This will enable the classification of apathetic patients into subtypes (or several forms of apathy) based on the dominant mechanisms and provide insights into which processes best explain apathy in individual cases. This innovative framework aims to deepen the understanding of apathy, improve diagnostic precision, and pave the way for tailored interventions.

Official title: Assessment of Apathy in a Real-life Situation, With a Video and Sensors-based System in Healthy Subject and Patient With Cerebral Disease

Key Details

Gender

All

Age Range

40 Years - 85 Years

Study Type

INTERVENTIONAL

Enrollment

66

Start Date

2017-09-06

Completion Date

2024-05-08

Last Updated

2026-05-20

Healthy Volunteers

Yes

Interventions

BEHAVIORAL

ECOCAPTURE

45 minutes observational session for tracking goal directed behavior into a waiting room equipped with video and sensor-based data acquisition system

BEHAVIORAL

Cognitive and Behavioral experimental tasks

Cognitive and Behavioral experimental tasks to explore additional frontal cognitive and behavioral dimensions and functions

DIAGNOSTIC_TEST

Neuropsychological assessment

STARKSTEIN APATHY SCALE (SAS) / DAS / MMSE / MADRS / EBI / MINI-SEA / FAB / HAD / MATTIS / HAYLING / STROOP / Verbal Span / Lexical verbal fluency / TMT / CDRS

BEHAVIORAL

ICM_APATHY_TASKS

Apathy experimental task

OTHER

MRI

T1 / T2 / rs-fMRI / MS-DWI

BIOLOGICAL

Neurohormonal mechanisms

Hormonal dosage / Diabetic dosage / Ionogramme dosage / Inflammatory dosage / Hepatic dosage / Lipidic dosage / Thyroid dosage

Locations (1)

Paris Brain Institute / ICM / Pitié-Salpêtrière Hospital AP-HP / CIC

Paris, France