Telehealth in Lewy Body Dementia

University of Florida

Status: Enrolling

Conditions: Lewy Body Dementia With Behavioral Disturbance; Lewy Body Parkinson Disease; Lewy Body Disease

Treatments: Behavioral: Tele-neurohub

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05014971

IRB202001625

K23AG073575 (U.S. NIH Grant/Contract)

PRO00033145 (Other Identifier)

Details and patient eligibility

About

Lewy body dementia (LBD) is the 2nd most common neurodegenerative dementia in the US. Optimal care requires an interdisciplinary approach, however often faced barriers include rural residence, limited access to specialists, travel distance, limited awareness of resources, and physical, cognitive, and behavioral impairments making travel to appointments challenging. Delivering interdisciplinary care remotely using video technology has the potential to improve access to care for patients with LBD.

Full description

The purpose of this study is to convert an in-person patient-centric interdisciplinary care model to a virtual platform using stakeholder engagement from individuals with LBD, their caregivers and healthcare providers. Subsequently researchers will conduct a prospective, randomized, controlled pilot study implementing the virtual stakeholder developed interdisciplinary care model (tele-neurohub) for 6 month and assess the implementation outcomes of feasibility, acceptability, and appropriateness of the tele-neurohub model. The research goal is to establish and iteratively improve a virtual interdisciplinary model of care allowing patients with LBD and their caregivers to access sub-specialty care from their home.

Enrollment: 106 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Participant with Lewy Body Dementia (LBD) Inclusion Criteria:

• LBD diagnosis by a dementia or movement disorders specialist
• Clinician-determined mild-moderate dementia severity
• Internet access with a Zoom-compatible device
• Caregiver who resides in the patient's home and is willing to participate
• Fluency in English

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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106 participants in 2 patient groups

Tele-neurohub

Experimental group

Description:

This group will receive the tele-neurohub intervention which includes telemedicine appointments with the neurologist, speech therapist, social worker, and nutritionist at baseline, 3 months and 6 months, and PT and OT every 2 weeks for maintenance neuro-rehabilitation.

Treatment:

Behavioral: Tele-neurohub

Usual care group

Active Comparator group

Description:

Receive usual care but will have study visit assessments at baseline and 6 months.

Treatment:

Behavioral: Tele-neurohub