A Telehealth Advance Care Planning Intervention in Those With Mild Cognitive Impairment or Unrecognized Dementia (ACP)

Wake Forest University (WFU)

Status: Completed

Conditions: Unrecognized Dementia; Mild Cognitive Impairment; Advance Care Planning; Telemedicine; Dementia

Treatments: Behavioral: Telehealth visit

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04912245

U54AG063546 (U.S. NIH Grant/Contract)

IRB00074429

Details and patient eligibility

About

The purpose of this study is to pilot test a telehealth Advance Care Planning (ACP) intervention among those with either mild cognitive impairment (MCI) or unrecognized dementia. Our goal is to pilot-test and evaluate a pragmatic Telehealth ACP intervention among patients with either the diagnosis of mild cognitive impairment (MCI) or unrecognized dementia.

Full description

Telehealth has the potential to overcome barriers related to timing and travel restraints and to provide patients and their caregivers with an opportunity to discuss their goals, values, and priorities for their healthcare within their home setting. Recent studies have demonstrated patients' willingness to use telehealth and have shown that it can play an integral role in dementia care management.

Enrollment: 152 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Diagnosis of recognized or probable Mild cognitive impairment (MCI) or mild dementia determined by either ICD10 diagnostic codes or electronic health record (EHR) Risk of Alzheimer's and Dementia Assessment Rule (eRADAR)
• Have decisional capacity according to their primary care physician (PCP) to complete ACP
• Completed visit with their PCP within the past 12 months
• Affiliated with an Accountable Care Organization.
• English-speaking

Exclusion criteria

• Moderate to severe hearing loss that would preclude participating in a video or telephone intervention
• No phone number available for patient.
• Lives in a long-term care facility

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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152 participants in 1 patient group

Telehealth visit

Other group

Description:

Patients with either MCI or unrecognized dementia and their care partners (if available) will be approached to participate in a telehealth Advance Care Planning (ACP) visit with a member of the patient's primary care team via either telephone or video. Patients without willing or available care partners are still eligible to participate in the study.

Treatment:

Behavioral: Telehealth visit