Video-Enhanced Care Management for Medically Complex Veterans

NCT02962687 | Completed Results

• 1 other identifier: PPO 15-425
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to examine the feasibility and acceptability of a 12-week care management program for medically complex Veterans with cognitive impairment, delivered via telephone or videoconferencing.

Conditions

Multimorbidity; Cognitive Impairments

Keywords

Veterans; Cognitive impairments; Nursing care management; Videoconferencing

Outcome Measures

Primary Outcomes (3)

• Number of Participants Reporting That They Would Be Likely to See a Healthcare Provider Using Videochat

  Acceptability will be assessed using the measure of likelihood of seeing a healthcare provider using videochat.

  14 weeks

• Number of Scheduled Intervention Phone or Video Calls Completed by Participants

  Feasibility will be assessed by examining rates of adherence to intervention phone/video calls.

  14 weeks

• Usability of Video-Enhanced Care Management for Medically Complex Veterans With CI

  Usability of the video-enhanced care management program will be examined using the System Usability Scale (SUS; range 0 - 100; higher scores are better).

  14 weeks

Other Outcomes (6)

• Number of Participants With Hospitalizations or Emergency Department Visits

  14 weeks

• Physical Activity

  14 weeks

• Quality of Life Outcome

  14 weeks

Study Arms (2)

Videoconference care management

EXPERIMENTAL

12-week nurse care management for medically complex Veterans with CI delivered via videoconferencing

Behavioral: Care management via videoconference

Telephone care management

ACTIVE COMPARATOR

12-week nurse care management for medically complex Veterans with CI delivered via telephone calls

Behavioral: Care management via telephone calls

Interventions

Care management via videoconference BEHAVIORAL

12-week nurse care management for medically complex Veterans with CI delivered via videoconference

Videoconference care management

Care management via telephone calls BEHAVIORAL

12-week nurse care management for medically complex Veterans with CI delivered via telephone calls

Telephone care management

Eligibility Criteria

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

You may qualify if:

• Receive primary care from a Durham Veterans Affairs Medical Center (VAMC) affiliated primary care clinic (1 visit within the previous 12 months)
• Age \> or = 65
• CAN score \> or = 90
• Valid telephone number in the medical record
• Identifies a friend or family member that we may contact for study participation as the Care Partner
• Telephone Instrument for Cognitive Status - modified (TICS-m) score 20-31

You may not qualify if:

• Cognitive impairment or dementia (identified via ICD diagnosis codes or Primary Care Provider note in previous 2 years)
• Enrolled in or have an active consult for a special population Patient Aligned Care Teams (PACT), e.g.:
• GeriPACT
• Home Based Primary Care
• Mental Health
• Post-Deployment, etc.
• Serious mental illness defined as diagnosis of psychosis of any type:
• schizophrenia
• bipolar disorder
• psychiatric hospitalization in the previous year
• or current high-risk suicide flag in their Computerized Patient Record System (CPRS) medical record
• Active substance abuse, documented in the medical record within the previous year
• Eligible for hospice, palliative care, or prognosis of less than 6 months to live
• Lacks decision-making capacity, documented in the medical record
• Referred to institutional care or residing in nursing home

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Durham VA Medical Center, Durham, NC

Durham, North Carolina, 27705, United States

Location

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Limitations and Caveats

Perceived value associated with each delivery method was removed as an outcome on 2/13/19 because data are being analyzed as qualitative data; there are no quant data to report.

Results Point of Contact

• Title: Susan N Hastings
• Organization: Durham VA HSR&D

susan.hastings@va.gov

919-286-6986

Study Officials

• Susan N. Hastings, MD

  Durham VA Medical Center, Durham, NC

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 25, 2016
• First Posted: November 11, 2016
• Study Start: May 31, 2017
• Primary Completion: February 12, 2018
• Study Completion: February 28, 2018
• Last Updated: September 13, 2019
• Results First Posted: September 13, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will share

Locations

US (1)