ED-LEAD: Emergency Departments Leading the Transformation of Alzheimer's and Dementia Care

NYU Langone Health

Status: Not yet enrolling

Conditions: Alzheimer Disease; Alzheimer's Disease Related Dementia

Treatments: Behavioral: Nurse-led Telephonic Care (NLTC); Behavioral: Emergency Care Redesign (ECR); Behavioral: Community Paramedic-led Transitions Intervention (CPTI)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06079203

U19AG078105-01A1 (U.S. NIH Grant/Contract)

23-00516

Details and patient eligibility

About

The purpose of this study is to improve the care of persons living with dementia (PLWD) and their informal care partners by addressing emergency and post-emergency care through different combinations of three PLWD-care partner dyad focused interventions. The primary aims are to use coaching to help connect PLWD and their care partners with community support and services to improve transitional care, quality of care, care satisfaction and reduce future ED visits and hospitalizations.

Enrollment: 19,200 estimated patients

Sex: All

Ages: 66+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients age 66 and older
• have at least one ICD-10 visit diagnoses for Alzheimer's Disease or Alzheimer's Disease Related Dementias (AD/ADRD) from an inpatient or outpatient encounter within the last 3 years of the ED visit and are discharged (observation patients included)

Exclusion criteria

• patients who are under 66 years old

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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19,200 participants in 8 patient groups

No intervention

No Intervention group

Description:

No intervention, serving as a usual care control group

Single intervention: Emergency Care Redesign (ECR)

Experimental group

Treatment:

Behavioral: Emergency Care Redesign (ECR)

Single intervention: Nurse-led Telephonic Care (NLTC)

Experimental group

Treatment:

Behavioral: Nurse-led Telephonic Care (NLTC)

Single intervention: Community Paramedic-led Transitions Intervention (CPTI)

Experimental group

Treatment:

Behavioral: Community Paramedic-led Transitions Intervention (CPTI)

Two intervention: ECR and NLTC

Experimental group

Treatment:

Behavioral: Nurse-led Telephonic Care (NLTC)

Behavioral: Emergency Care Redesign (ECR)

Two interventions: ECR and CPTI

Experimental group

Treatment:

Behavioral: Community Paramedic-led Transitions Intervention (CPTI)

Behavioral: Emergency Care Redesign (ECR)

Two interventions: NLTC and CPTI

Experimental group

Treatment:

Behavioral: Community Paramedic-led Transitions Intervention (CPTI)

Behavioral: Nurse-led Telephonic Care (NLTC)

All interventions: ECR, NLTC, and CPTI

Experimental group

Treatment:

Behavioral: Community Paramedic-led Transitions Intervention (CPTI)

Behavioral: Nurse-led Telephonic Care (NLTC)

Behavioral: Emergency Care Redesign (ECR)