Study Stopped
Loss of study site
The Dementia Symptom Management at Home Program
DSM-H
1 other identifier
interventional
N/A
1 country
2
Brief Summary
Persons with dementia and their caregivers are often cared for in the community through home healthcare (HHC). While these patients and their caregivers need significant help and often have difficulty maintaining their quality of life, home healthcare clinicians are often unprepared to care for this population. This study will therefore examine the ability of an integrated, multi-pronged evidence-based practice intervention for home healthcare registered nurses, occupational therapists and physical therapists, the DSM-H, to improve the quality of care and quality of life for persons with dementia and their family caregiver. The investigators will enroll persons with dementia and their family caregiver upon admission to the HHC agency and examine their quality of life over 60 days following admission, comparing those who receive the intervention to those who serve as controls.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Aug 2017
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 23, 2015
CompletedFirst Posted
Study publicly available on registry
June 26, 2015
CompletedStudy Start
First participant enrolled
August 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedNovember 2, 2022
September 1, 2018
7 months
June 23, 2015
October 31, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Person With Dementia Quality of Life
Quality of Life in Alzheimer's Disease survey instrument
60 Days
Caregiver Quality of Life
Caregiver Targeted Quality of Life survey instrument
60 Days
Secondary Outcomes (6)
Person with Dementia Pain
60 days
Person with Dementia Neuropsychiatric Symptom Burden
60 days
Caregiver Depression
60 days
Person with Dementia ER Visits
30, 60 days
Person with Dementia Hospital Admissions
30, 60 days
- +1 more secondary outcomes
Study Arms (2)
Intervention
EXPERIMENTALDyads in this arm will receive care provided by an interprofessional team trained through the DSM-H to provide patient/caregiver-centered dementia care through home healthcare.
Control
NO INTERVENTIONDyads in this arm will receive usual care provided in the home healthcare setting.
Interventions
The DSM-H is a multi-modal interprofessional intervention that includes: 1. intensive training of clinician mentors; 2. disseminated online training for Registered Nurses, Physical Therapists, Occupational Therapists; 3. implementation of evidence-based care plans, assessment instruments, and teaching handouts.
Eligibility Criteria
You may qualify if:
- patient-caregiver dyad admitted to the HHC agency
- Patients must be 65 or older and speak English and/or Spanish.
- Patient must have an informal caregiver who is at least 18 years old and spends at least 8 hours per week with the patient.
- Patients must score greater than 4 on the cognitive subscale of the Healthy Aging Brain Care Monitor signifying at least mild impairment
You may not qualify if:
- Patients with concomitant axis I disorders other than dementia, depression, adjustment disorders, sleep disorders.
- Patients being seen only in the behavioral health unit without another skilled need.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- New York Universitylead
- Visiting Nurse Service of New Yorkcollaborator
Study Sites (2)
The New Jewish Home
New York, New York, 10001, United States
New York University College of Nursing
New York, New York, 10010, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Abraham A Brody, RN, PhD, GNP-BC
Assistant Professor
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 23, 2015
First Posted
June 26, 2015
Study Start
August 1, 2017
Primary Completion
March 1, 2018
Study Completion
March 1, 2018
Last Updated
November 2, 2022
Record last verified: 2018-09