Implementation of a Telehealth Palliative Care Model for Persons With Dementia
NCT ID: NCT05001620
Last Updated: 2024-08-13
Study Results
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View full resultsBasic Information
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COMPLETED
NA
16 participants
INTERVENTIONAL
2021-08-04
2023-07-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
SINGLE_GROUP
SUPPORTIVE_CARE
NONE
Study Groups
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Palliative Care Consultation in Post-Acute Care
Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team.
Palliative Care Consultation
The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).
Stakeholder Engagement
We will engage stakeholders in a stakeholder engagement plan that include Palliative Care providers; Social Work (SW) NH champions; post-acute care unit nursing staff and providers (including medial directors); NH leadership, information technology staff; and a PLWD and their care partners in focus groups and one on one semi structured interviews via phone or videoconference.
No interventions assigned to this group
Interventions
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Palliative Care Consultation
The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).
Eligibility Criteria
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Inclusion Criteria
* (1) PC provider
* (2) Social Work (SW) NH champions
* (3) post-acute care unit nursing staff and providers (including medical directors)
* (4) NH leadership, information technology staff
* (5) PLWD and their care partner(s).
Person Living with Dementia (PLWD)
* documented dementia diagnosis
* admitted for post-acute care
* age ≥ 60 years
* if unable to participate in a conversation or lacking capacity to make healthcare decisions as determined by the NH staff/providers, a care partner who can act as a surrogate decision maker in the PCC-PAC.
Exclusion Criteria
-PLWD who receives the intervention
PLWD:
* planned discharge within 48 hours of screening
* currently receiving hospice care
60 Years
ALL
Yes
Sponsors
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National Institute on Aging (NIA)
NIH
University of Maryland, Baltimore
OTHER
Responsible Party
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Joan Carpenter
Principal Investigator
Locations
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Collingswood Rehabilitation and Healthcare Center
Rockville, Maryland, United States
Countries
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Provided Documents
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Document Type: Study Protocol
Other Identifiers
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HP-00095001
Identifier Type: -
Identifier Source: org_study_id
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