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Dementia Symptom Management at Home Program

NYU Langone Health logo

NYU Langone Health

Status

Completed

Conditions

Dementia

Treatments

Behavioral: Standard of Care
Behavioral: DSM-H

Study type

Interventional

Funder types

Other

Identifiers

NCT03255967
17-00810

Details and patient eligibility

About

Alzheimer's Disease and Related Disorders (dementia) poses a significant challenge to our public health. While many persons with dementia are cared for by friends and family in the community with the assistance of home healthcare, most home healthcare clinicians and agencies are ill prepared to care for this population and therefore have difficulty assisting patients and caregivers in maintaining quality of life leading to adverse patient outcomes, increased caregiver stress and burnout, and healthcare utilization. This study will therefore utilize a cluster randomized controlled design at 3 study sites to examine the ability of a multi-component evidence-based practice primary palliative care quality improvement program for home healthcare registered nurses, occupational therapists and physical therapists to improve the quality of life and reduce healthcare utilization for persons with dementia and their informal caregiver.

Enrollment

217 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • PWD over the age of 65
  • Admitted to one of the three HHC agencies
  • The patient and family caregiver speak English and/or Spanish.
  • The informal caregiver is ≥18 years of age and spends at least 8 hours per week with the patient.
  • Patients who score ≥6 on the Quick Dementia Rating Scale (at least mild impairment).

Exclusion criteria

  • Patients with a separate Axis 1 diagnosis other than forms of dementia, depression or anxiety.
  • PWD residing in assisted living facilities or board and care homes
  • PWD solely receiving infusion or home health aide services.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

217 participants in 2 patient groups

QI program care
Experimental group
Description:
DSM-H performance improvement program Patients in the performance improvement group will receive care from a care team who has received the DSM-H performance improvement program
Treatment:
Behavioral: DSM-H
Control
Active Comparator group
Description:
Receive usual care from a care team who has not received the performance improvement program
Treatment:
Behavioral: Standard of Care

Trial documents
1

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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