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Additional Alzheimer’s Web Resouces

Scientific and Medical Information

American Psychiatric Association Public Information on Alzheimer’s Disease

http://www.psych.org/public_info/alzheim.cfm

Provides a good general description of the disease, its diagnosis and treatment, and provides guidance for family members and caregivers.

American Academy of Family Physicians: Early Diagnosis of Dementia

http://www.aafp.org/afp20010215/703.html

Outlines the diagnostic process an includes examples of standard tests.

Pub/Med

http://www.ncbi.nlm.nih.gov/PubMed/

A crown jewel of the Internet, Pub Med is a medical literature database maintained by the National Library of Medicine, with citations and abstracts from thousands of peer-reviewed scientific and medical journals. Free to the public.

News

Medline Plus: Health Information on Alzheimer’s Disease

http://www.nlm.nih.gov/medlineplus/alzheimersdisease.html

Maintained by the National Library of Medicine, this is a one-stop index of news, articles on care giving, glossary, support organizations and many other useful resources.

Doctor’s Guide

http://www.docguide.com/

News Written for a Medical Readership

Clinical Trials

A highly Unsatisfying situation. There is no single web resource that collects information on all ongoing clinical trials and their locations. One has to piece together information from multiple web sites.

Alzheimer’s Disease Clinical Trials Database

http://www.alzheimers.org/trials/index.html

A joint project of the FDA and National Institute on Aging, this searchable database includes at present only those clinical trials that are funded by the NIH or by foundations.

CenterWatch Clinical Trials Listing Service: Alzheimer’s Disease

http://www.centerwatch.com/patient/studies/CAT11.html

Information on clinical trials sites, but not comprehensive, and contains only sketchy information about the drugs in the clinical trials.

Veritas Medicine

http://www.veritasmedicine.com/d_index.cfm

This company matches patients to clinical trials via a secure web interface. Again, the list of trials is not yet comprehensive, and there is little information available on the site about specific compounds.

Advice and resources

Common Problems in Early Alzheimer’s Disease

http://www.alzmass.org/about_ad.htm

This article by Paul Raia of the Alzheimer’s Association Massachusetts chapter provides a wealth of useful advice for family members and caregivers of people with early-stage Alzheimer’s.

Alzheimer’s, Dementia and Driving

http://www.thehartford.com/alzheimers/

A practical guide based on a series of in-depth interviews that examined how 45 caregivers and nine persons with dementia coped with the problem of balancing independence and safety. Co-developed by M.I.T.’s AgeLab and Hartford Financial Services Group, a leading provider of auto insurance for drivers over 50.

Alzheimer’s and Exercise

http://www.ncpad.org/whtpprs/alzheimer’s.htm

This article from the National Center on Physical Activity and Disability at the University of Illinois, Chicago, describes results of studies showing cognitive and behavioral improvement in Alzheimer patients who follow an exercise regimen. The site offers practical tips for incorporation physical exercise into a patient and caregiver’s routine.

Ageless Design

http://www.agelessdesign.com/

A web site devoted to issues of designing safe homes and environments for Alzheimer patients. It is maintained by Ageless Design, a Florida-based consulting firm. Includes links the Alzheimer’s Store, an online shopping center featuring products related to care of patients with dementia.

Support Communities

Family Caregiving 101

http://www.familycaregiving101.org/

ElderCare Online

http://www.ec-online.net/index.htm

Information, education and support for people caring for the elderly, especially those coping with Alzheimer’s Disease and related dementias. Features an extensive message board:

http://216.122.139.136/cgi-bin/ultimatebb.cgi

ElderCare Online maintains a busy live chat series, including support groups and moderated Q&A with experts from Columbia University’s Taub Institute for Research on Alzheimer’s Disease and the Aging Brain.

http://www.ec-online.net/Community/chatschedule.htm

BrainTalk Communities (Massachusetts General Hospital Neurology Web)

http://neuro-mancer.mgh.harvard.edu/cgi-bin/Ultimate.cgi

This is an enormous message board for a multitude of neurological disorders. The quality depends largely on the individuals who post messages there. Some, such as the ALS group. Are very actively involved in investigating therapeutics.

The Alzheimer Research Forum

http://www.alzforum.org

Mission: To create an online scientific community dedicated to developing treatments and preventions for Alzheimer’s disease.

From its inception, we felt it was important for the Forum to be

  • Not-for-profit
  • Independent
  • Professionally managed
  • Diverse and inclusive
  • Collaborative

The initial focus was to create a web-based “metajournal” that compiles weekly lists of newly published articles and ties them into an information network of news, commentary, discussion forums and data directories. For Example:

Papers of the Week

http://www.alzforum.org/pap/result.asp?type=current

Weekly updated list of citations with commentary by the research community.

Research News

http://www.alzforum.org/new/default.asp#researchnews

Our own independently reported news on important developments in Alzheimer research and related fields of applied and basic science.

Live Discussions

http://www.alzforum.org/res/for/journal/default.asp

Forums on hot scientific topics and controversies. We use both live chat rooms and email postings, to accommodate as many participants as possible.

Data directory: Mutations

http://www.alzforum.org/res/com/mut/default.asp

All reported mutations in genes that cause familial Alzheimer’s disease and frontotemporal dementia with Parkinsonism (FTDP-17).

Although the intended audience is Alzheimer researchers, the site has always been open to the public at large. We want information to empower patients and caregivers, and so have developed some services with a more diverse readership in mind:

Disease Management

http://www.alzforum.org/dis/default.asp

A guide for the public on basic facts, diagnosis, treatment and care giving

Drugs in Clinical Trials

http://www.alzforum.org/dis/tre/drc/default.asp

A searchable database of drugs in clinical trials (Phase II and beyond) for Alzheimer therapy.

What’s missing: information on trial locations.

Ask the Expert

http://www.alzforum.org/dis/exp/ask/default.asp

Questions about diagnosis and treatment are answered by experienced practitioners. We will be adding a Product Review section to provide facts and independent evaluations of commercial diagnostic products.

Hypothesis Factory

http://www.alzforum.org/res/adh/hyp/default.asp

A place where experts and lay people alike can post anecdotal observations and speculations. Who knows where the next good idea might come from?

ElderCare Online joint projects

http://www.ec-online.net/chat.html

The Forum collaborates with ElderCare online to maintain a chat. Chats range from support groups and caregiver advice to highly technical scientific discussions. Our philosophy is that having a shared resource helps bring together communities that need to be more informed about one another.

Future Directions

We will invest in web-based systems to forge closer ties between patients, caregivers, physicians and researchers. We will do this in a collaborative way, in close consultation with all of the communities we will be serving.

Some proposals:

  • Research subject outreach and education. Patients and families are vitally important for research directed at understanding the genetic and environmental factors that contribute to Alzheimer’s disease. We propose to develop information for individuals and families explaining why their participation as research subjects is so important, what to expect, what informed consent means, what intellectual property issues might arise, and so forth. We will post a national directory of Alzheimer genetics research centers.
  • Capturing patient data. We propose to develop a secure web site where physicians can enter data on patients’ medication information and clinical status using standardized forms. The system would enable physicians and researchers to analyze the effects of different medications on disease progression in patients who are not enrolled in clinical trials. This could be an interesting and cost-effective adjunct to clinical trials. Our model is a system developed by the ALS Therapy Development Foundation.
  • Clinical trial sites database. To build on our drug database, we want to include comprehensive information on clinical trial sites. This is not trivial: drug companies are reluctant to post this information publicly. We would like to explore ways to make this information available to patients who need it, while safeguarding companies’ proprietary information.

Conclusions

The Web is a powerful medium that has much to offer, but information is unmonitored and must be approached with common sense guidelines.

This technology also has great potential to transform biomedical research in ways that are just beginning to be explored. All of us who have an interest in how this technology is deployed need to be involved in designing the tools that will tap the power of the Web.

The Alzheimer Research Forum
http://www.alzforum.org

Networking for a cure

 
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