The Dementia Symptom Management at Home Program Hospice Edition

NCT ID: NCT03352791

Last Updated: 2019-12-04

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: NA
• Total Enrollment: 2 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-08-01
• Study Completion Date: 2018-10-05

Brief Summary

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.

Conditions

Dementia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

DSM-H Hospice Edition

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.

Group Type: ACTIVE_COMPARATOR

DSM-H Hospice Edition performance improvement program

Intervention Type: BEHAVIORAL

Patients in the performance improvement group will receive care from a care team who has received the DSM-H Hospice Edition performance improvement program

Control Arm

Usual Care

Group Type: ACTIVE_COMPARATOR

Usual Care

Intervention Type: BEHAVIORAL

control will receive usual care from a care team who has not received the performance improvement program.

Interventions

DSM-H Hospice Edition performance improvement program

Patients in the performance improvement group will receive care from a care team who has received the DSM-H Hospice Edition performance improvement program

Intervention Type: BEHAVIORAL

Usual Care

control will receive usual care from a care team who has not received the performance improvement program.

Intervention Type: BEHAVIORAL

Eligibility Criteria

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.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

NYU Langone Health

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Abraham Brody, PhD

Role: PRINCIPAL_INVESTIGATOR

NYU Langone Health

Locations

New York University School of Medicine

New York, New York, United States

Countries

United States

Other Identifiers

17-01080

Identifier Type: -

Identifier Source: org_study_id