Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

889 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-07

Study Completion Date

2021-11-02

Brief Summary

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Dementia is a common problem for older patients presenting to emergency departments and for the family caregivers who often lack support, understanding, and skills to manage the problems related to the need for emergency department visits. The purpose of Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients (POISED-CPCIP, here on referred to as POISED) randomized controlled trial is to use previously established quality improvement methods of root cause analysis to uncover reasons for emergency department use and to focus on caregiver activation within a program of dementia care management.

The goals of this study are to reduce recurrent emergency department visits and improve caregiver symptoms of depression, anxiety and need for social support.

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Detailed Description

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Conditions

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Dementia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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POISED Care

Dyads randomized to the POISED Care intervention will work with the POISED care management team - consisting of specially-trained nurses functioning as care managers (CMs) and para-professionals in the role of care manager assistants (CMAs) - to create an individualized care plan through the lens of cognitive impairment with an emphasis on coordinating care with the patient's primary care provider (PCP) and achieving relevance with the goals and capacity of the family care-giver and care-recipient.

Group Type EXPERIMENTAL

POISED Care

Intervention Type OTHER

Program of dementia care management.

Usual Care

Participants will receive referrals to services at the time of enrollment.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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POISED Care

Program of dementia care management.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Must be in the emergency department for care at the point of recruitment
* Must be English- or Spanish-speaking
* Must have a family member or friend who provides caregiving assistance
* Must have a plan to be discharged to home (ESI = 4 or 5)
* Must have score \<3 on the MiniCog or if using caregiver assessment by IQCODE must be \>3.4
* Must have capacity to consent or have a proxy.

Exclusion Criteria

* Care recipient (CR) is a resident of a nursing home or other supportive facility
* CR scores \> 3 on the MiniCog or the caregiver assessment by IQCODE was \< 3.4
* Caregiver (CG) declines participation
* CR is not being discharged to home

Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No