Maximizing Independence at Home (MIND at Home)

NCT01283750 | Completed Phase 2

• 2 other identifiers: NA_0001282990032824
• Study Type: interventional
• Target: 303
• Locations: 1 country
• Sites: 1

Brief Summary

Funded by a unique private philanthropy and public coalition through THE ASSOCIATED: Jewish Community Federation of Baltimore, this project seeks to develop effective ways to deliver dementia care to older adults with memory disorders who live in the community. MIND at Home is an 18 month intervention research study whose goals are two-fold: To partner with community organizations to help proactively identify older adults in the Baltimore community who may need help related to memory disorders; To find out if providing person-centered, coordinated care will help older adults with memory disorders remain at home longer, as well other possible benefits. The investigators hypothesize that individuals with memory disorders that receive person-centered, coordinated care will have fewer unmet dementia-related needs, improved quality of life and function, fewer behavioral and depressive symptoms, and will be able to remain in their homes longer compared to individuals who receive augmented usual care.

Conditions

Memory Disorders; Dementia

Keywords

care coordination; dementia care; intervention; unmet needs; community; older adults; caregiver

Outcome Measures

Primary Outcomes (1)

• Change in unmet dementia-related needs from Baseline to 18 months

  Unmet dementia-related needs as measured by the Johns Hopkins Dementia Care Needs Assessment (JHDCNA), clinican-based assessment of 21 domains (92 individual items)

  18 months

Secondary Outcomes (6)

• Change in quality of life from Baseline to 18 months

  18 month

• length of stay

  18 months

• neuropsychiatric behavior symptoms from baseline to 18 months

  18 month

• day-to-day function from baseline to 18 months

  18 month

• health care utilization from baseline to 18 months

  18 month

Study Arms (1)

Augmented Usual Care

NO INTERVENTION

Behavioral: care coordination

Interventions

care coordination BEHAVIORAL

dementia-related care coordination

Augmented Usual Care

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• + years old
• Community living (within one of 28 zip codes in Baltimore)
• Has memory disorder
• Has identified study partner willing to participate
• English-speaking

You may not qualify if:

• Situation at the time of referral is an emergency with risk of danger to individual or others
• Presence of delirium or other rule outs for memory disorder

Sponsors & Collaborators

• Johns Hopkins University: lead
• Jewish Community Federation of Baltimore: collaborator
• Jewish Community Services: collaborator
• Levindale: collaborator
• The Harry & Jeanette Weinberg Foundation, Inc.: collaborator
• Leonard & Helen R. Stulman Charitable Foundation: collaborator
• Hoffberger Foundation: collaborator
• Hirschhorn Foundation: collaborator
• Lois and Irving Blum Foundation: collaborator
• Joseph and Harvey Meyerhoff Family Charitable Funds: collaborator
• The Henry and Ruth Blaustein Rosenberg Foundation: collaborator
• Baltimore County Department of Aging: collaborator
• National Institute of Mental Health (NIMH): collaborator
• National Institute on Aging (NIA): collaborator

Study Sites (1)

Johns Hopkins University

Baltimore, Maryland, 21205, United States

Location

Related Publications (6)

• Johnston D, Samus QM, Morrison A, Leoutsakos JS, Hicks K, Handel S, Rye R, Robbins B, Rabins PV, Lyketsos CG, Black BS. Identification of community-residing individuals with dementia and their unmet needs for care. Int J Geriatr Psychiatry. 2011 Mar;26(3):292-8. doi: 10.1002/gps.2527. Epub 2010 Jul 23.

  PMID: 20658473 BACKGROUND

• Marquardt G, Johnston D, Black BS, Morrison A, Rosenblatt A, Lyketsos CG, Samus QM. Association of the spatial layout of the home and ADL abilities among older adults with dementia. Am J Alzheimers Dis Other Demen. 2011 Feb;26(1):51-7. doi: 10.1177/1533317510387584.

  PMID: 21282278 RESULT

• Marquardt G, Johnston D, Black BS, Morrison A, Rosenblatt A, Lyketsos CG, Samus QM. A Descriptive Study of Home Modifications for People with Dementia and Barriers to Implementation. J Hous Elderly. 2011 Jan 1;25(3):258-273. doi: 10.1080/02763893.2011.595612.

  PMID: 21904419 RESULT

• Black BS, Johnston D, Morrison A, Rabins PV, Lyketsos CG, Samus QM. Quality of life of community-residing persons with dementia based on self-rated and caregiver-rated measures. Qual Life Res. 2012 Oct;21(8):1379-89. doi: 10.1007/s11136-011-0044-z. Epub 2011 Oct 26.

  PMID: 22038392 RESULT

• Samus QM, Johnston D, Black BS, Hess E, Lyman C, Vavilikolanu A, Pollutra J, Leoutsakos JM, Gitlin LN, Rabins PV, Lyketsos CG. A multidimensional home-based care coordination intervention for elders with memory disorders: the maximizing independence at home (MIND) pilot randomized trial. Am J Geriatr Psychiatry. 2014 Apr;22(4):398-414. doi: 10.1016/j.jagp.2013.12.175. Epub 2014 Jan 4.

  PMID: 24502822 RESULT

• Black BS, Johnston D, Rabins PV, Morrison A, Lyketsos C, Samus QM. Unmet needs of community-residing persons with dementia and their informal caregivers: findings from the maximizing independence at home study. J Am Geriatr Soc. 2013 Dec;61(12):2087-2095. doi: 10.1111/jgs.12549.

  PMID: 24479141 RESULT

Related Links

• Johns Hopkins University press release (2/10/14)

MeSH Terms

Conditions

Memory Disorders; Dementia

Condition Hierarchy (Ancestors)

Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Brain Diseases; Central Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Quincy M Samus, PhD

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 24, 2011
• First Posted: January 26, 2011
• Study Start: July 1, 2008
• Primary Completion: December 1, 2011
• Study Completion: December 1, 2012
• Last Updated: November 6, 2018

Record last verified: 2018-11

Locations

US (1)