Optimizing Rural Community Health Through Dementia Detection and Care
NCT ID: NCT05760521
Last Updated: 2023-10-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
336 participants
INTERVENTIONAL
2022-04-01
2023-09-30
Brief Summary
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Detailed Description
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The community education intervention is a 6-week culturally-relevant educational program focused on brain health promotion. Effects of the community intervention on dementia knowledge and literacy will be assessed with a pre-post analytic approach using paired t-tests to compare changes in mean AD knowledge and literacy. The provider dementia educational intervention uses a cluster-randomized trial design with participating primary care provider offices randomly assigned to either receive the intervention (Arm A) or the control group (Arm B). Providers assigned to Arm A receive an educational intervention that includes training in ADRD detection, diagnosis, and care management. Providers assigned to Arm B do not receive educational intervention. Both groups receive the following: detailed reports from neuropsychological testing performed by a study clinician, hands-on training of provider office staff on dementia screening tools, and support with referrals to local support services. The two study groups (Arms A and B) will be compared on: 1) change in provider dementia knowledge and confidence, caregiver burden and self-efficacy; and 2) rates of dementia diagnosis and treatment, rates of dementia-related hospital admissions, and rates of referral to support service. A generalized linear mixed model analytic approach will be used to assess the effect of the provider intervention on study outcomes.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
SINGLE
Study Groups
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Arm A: Provider Educational Intervention
Providers receiving education/support from neurology teams, Adult Gerontological Nurse Practitioner (AGNP) assessments/recommendations, and training of office staff regarding ADRD and community resources support for patients/caregivers.
Provider Educational Intervention
Following the informed consent (10 min) and sociodemographic survey (5 minutes), the providers in Arm A will be offered education of two days, six hours each day, with support and follow-up. They will also be asked to complete brief knowledge and confidence surveys pre-post-intervention (30 minutes total).
Arm B: Provider Control
Providers receiving AGNP assessments/recommendations only.
No interventions assigned to this group
Interventions
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Provider Educational Intervention
Following the informed consent (10 min) and sociodemographic survey (5 minutes), the providers in Arm A will be offered education of two days, six hours each day, with support and follow-up. They will also be asked to complete brief knowledge and confidence surveys pre-post-intervention (30 minutes total).
Eligibility Criteria
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Inclusion Criteria
* Lives in the Glades Area of Florida
* Lives in the community/ be non-institutionalized
* Has no known diagnosis of Alzheimer's Disease and Related Dementias
* Speaks either English, Spanish, or Creole
* Has no known plans to move out of the Glades Area in the next 12 months
Exclusion Criteria
* Aged under 50 years
50 Years
ALL
Yes
Sponsors
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University of Miami
OTHER
Palm Beach State College
UNKNOWN
Florida Atlantic University
OTHER
Responsible Party
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Lisa A Wiese
Associate Professor, Nursing
Principal Investigators
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Lisa A Wiese
Role: PRINCIPAL_INVESTIGATOR
Florida Atlantic University, C.E. Lynn College of Nursing
Magdalena I Tolea, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Miami
Joanne Pulido
Role: PRINCIPAL_INVESTIGATOR
Palm Beach State College
Locations
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Palm Beach State College
Belle Glade, Florida, United States
Florida Atlantic University
Boca Raton, Florida, United States
Countries
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Other Identifiers
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1851318
Identifier Type: -
Identifier Source: org_study_id
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