The Dementia Symptom Management at Home Program Hospice Edition

NYU Langone Health

Status: Terminated

Conditions: Dementia

Treatments: Behavioral: Usual Care; Behavioral: DSM-H Hospice Edition performance improvement program

Study type: Interventional

Funder types: Other

Identifiers

NCT03352791

17-01080

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 and hospice, most 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 utilize a cluster randomized controlled design with 6 care teams at a single study site to examine the ability of a multi-component evidence-based practice hospice care quality improvement program for registered nurses, social workers and chaplains to improve the quality of life and reduce healthcare utilization for persons with dementia and their informal caregiver.

Enrollment: 2 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• PWD over the age of 65
• Admitted to MJHS hospice agency
• 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, nursing homes or board and care homes
• PWD solely receiving infusion or home health aide services.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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2 participants in 2 patient groups

DSM-H Hospice Edition

Active Comparator group

Description:

training, assigning of champions to serve as mentors and performance improvement leads, and workflow changes including caregiver education pamphlets, interdisciplinary care plans, treatment algorithms, and assessment instruments.

Treatment:

Behavioral: DSM-H Hospice Edition performance improvement program

Control Arm

Active Comparator group

Description:

Usual Care

Treatment:

Behavioral: Usual Care