Integrated Dementia Care Interventions for Alzheimer's and Dementia

Recruiting in Palo Alto (17 mi)

Overseen byJoshua Chodosh, MD

Age: 65+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: NYU Langone Health

No Placebo Group

Trial Summary

What is the purpose of this trial?The purpose of this study is to improve the care of persons living with dementia (PLWD) and their informal care partners by addressing emergency and post-emergency care through different combinations of three PLWD-care partner dyad focused interventions. The primary aims are to use coaching to help connect PLWD and their care partners with community support and services to improve transitional care, quality of care, care satisfaction and reduce future ED visits and hospitalizations.

Eligibility Criteria

This trial is for people aged 66 and older diagnosed with Alzheimer's or related dementias, who have had multiple health visits for these conditions. Their care partners must be adults over 18. It's not open to patients under the age of 66.

Inclusion Criteria

My care partner is 18 years old or older.

I have been diagnosed with Alzheimer's or related dementia at least twice, once in an outpatient setting.

I am 66 years old or older.

Exclusion Criteria

I am younger than 66 years old.

Participant Groups

The study tests three interventions: Nurse-led Telephonic Care (NLTC), Emergency Care Redesign (ECR), and Community Paramedic-led Transitions Intervention (CPTI) to improve post-emergency care for dementia patients.

8Treatment groups

Experimental Treatment

Active Control

Group I: Two interventions: NLTC and CPTIExperimental Treatment2 Interventions

Group II: Two interventions: ECR and CPTIExperimental Treatment2 Interventions

Group III: Two intervention: ECR and NLTCExperimental Treatment2 Interventions

Group IV: Single intervention: Nurse-led Telephonic Care (NLTC)Experimental Treatment1 Intervention

Group V: Single intervention: Emergency Care Redesign (ECR)Experimental Treatment1 Intervention

Group VI: Single intervention: Community Paramedic-led Transitions Intervention (CPTI)Experimental Treatment1 Intervention

Group VII: All interventions: ECR, NLTC, and CPTIExperimental Treatment3 Interventions

Group VIII: No interventionActive Control1 Intervention

No intervention, serving as a usual care control group