Caring for Caregivers and People Living With Dementia Under Home-Based Primary Care
NCT ID: NCT05849259
Last Updated: 2025-09-25
Study Results
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View full resultsBasic Information
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COMPLETED
NA
50 participants
INTERVENTIONAL
2023-10-16
2024-12-20
Brief Summary
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The main aims are to:
* Develop and refine HBPC Dementia Care Quality at Home
* Establish feasibility (primary outcome), acceptability, and fidelity of HBPC Dementia Care Quality at Home through an open-pilot trial involving two HBPC practices. Trained clinicians and staff at two HBPC practices will implement the intervention
Relevant stakeholders (caregivers of PLWD, and HBPC clinicians and staff) will participate in qualitative focus groups to provide feedback on the intervention.
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Detailed Description
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The investigators will evaluate the feasibility, acceptability, and fidelity in implementing HBPC Dementia Care Quality at Home in two practices for persons living with dementia and their caregivers through an open pilot. Hypothesis: HBPC Dementia Care Quality at Home will meet benchmarks of feasibility, acceptability, and fidelity by the HBPC practices implementing it and by caregivers of PLWD who experience the intervention. The investigators will assess feasibility of caregivers of PLWD to engage with the intervention, the acceptability of the intervention to caregivers, and the impact of the intervention on caregiver well-being by surveying caregivers at the conclusion of the pilot. In addition, the investigators will assess feasibility, acceptability, and fidelity of the intervention in the practices.
Conditions
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Study Design
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NA
SINGLE_GROUP
SUPPORTIVE_CARE
NONE
Study Groups
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Dementia Care Quality at Home
Caregivers across two HBPC practices receive the Dementia Care Quality at Home intervention.
Dementia Care Quality at Home
Each of the two HBPC practices will identify at least two trained Dementia Care Quality at Home Champions who will be trained in the intervention comprised of 1) a standardized assessment tool to assess PLWD and caregiver needs; 2) six modules created to optimize the well-being of the PLWD and their caregiver; and 3) regular team-based review of persons participating in the program to address care challenges and a team-based case conference approach to solve these challenges.
Interventions
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Dementia Care Quality at Home
Each of the two HBPC practices will identify at least two trained Dementia Care Quality at Home Champions who will be trained in the intervention comprised of 1) a standardized assessment tool to assess PLWD and caregiver needs; 2) six modules created to optimize the well-being of the PLWD and their caregiver; and 3) regular team-based review of persons participating in the program to address care challenges and a team-based case conference approach to solve these challenges.
Eligibility Criteria
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Inclusion Criteria
* be adults (18 years or older)
* have English fluency and literacy
* live in the United States
* live with and care for an individual with Alzheimer's Disease and Alzheimer's Disease Related Dementias (ADRD)
* anticipate providing care for the next 6 months
* provide an average 4 hours of supervision or direct assistance per day for the care recipient and
* have been identified by the practice as experiencing caregiver stress.
Staff participants will:
* be 18 years or older
* have English fluency and literacy and live in the United States and
* be part of a HBPC primary care program or closely connected to the practice.
Exclusion Criteria
* Participants who have no English fluency and literacy and do not live in the United States.
* For caregiver participants, not caring for and living with a patient that is part of a HBPC primary care program or closely connected to the practice.
18 Years
ALL
Yes
Sponsors
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Retirement Research Foundation
OTHER
Massachusetts General Hospital
OTHER
Responsible Party
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Christine S. Ritchie, MD, MPH
Professor of Medicine
Principal Investigators
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Christine S Ritchie, MD, MSPH
Role: PRINCIPAL_INVESTIGATOR
Massachusetts General Hospital
Bruce Leff, MD
Role: PRINCIPAL_INVESTIGATOR
Johns Hopkins University
Locations
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Queens Medical Center
Honolulu, Hawaii, United States
Virginia Commonwealth University
Richmond, Virginia, United States
Countries
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References
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Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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2022P003057
Identifier Type: -
Identifier Source: org_study_id
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