Collaborative Care Coordination Program for Alzheimer's Disease and Related Dementias (Co-CARE-AD)

Harvard Pilgrim Health Care

Status: Completed

Conditions: Alzheimer's Disease and Related Dementias (ADRD)

Treatments: Behavioral: Dementia Care Consultation program

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05281744

AH000843

5U54AG063546-03 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This is a randomized, pragmatic clinical trial to evaluate the effectiveness of a collaborative care-coordination program embedded in a health plan for people living with Alzheimer's disease and related dementias (ADRD) and their care partners versus usual care. The study population will include community-dwelling Medicare Advantage members living with ADRD and their care partners. Outcomes will be healthcare utilization outcomes of individuals with ADRD and include emergency department visits, outpatient visits, avoidable emergency department visits, and admission to long-term care facilities.

Enrollment: 2,160 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Community-dwelling Tufts Health Plan Medicare Advantage members with ADRD and their caregivers will be selected to participate in the trial based on the following inclusion/exclusion criteria:

Inclusion Criteria (for members with ADRD)

• Member of Tufts Health Plan Medicare Advantage plan
• Medical and pharmacy insurance coverage in at least the prior 12 months
• Have ≥1 ICD-10-CM diagnosis code for ADRD or dispensing for pharmacological treatment for ADRD in the prior 12 months

Exclusion Criteria (for members with ADRD):

• Reside in a nursing home or skilled nursing facility
• Enrolled in a hospice program
• Receiving or have received the Dementia Care Consultation program as part of the existing program at the time of enrollment

Inclusion Criteria (for caregivers)

• Age 18 years or older
• Assume primary responsibility for members

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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2,160 participants in 2 patient groups

Dementia Care Consultation program

Experimental group

Description:

The Dementia Care Consultation program provides an in-depth, personalized service for individuals and families facing ADRD.

Treatment:

Behavioral: Dementia Care Consultation program

Routine Care

No Intervention group

Description:

Members randomized into the control group will receive routine care.