Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients

NCT03325608 | Completed Results

• 2 other identifiers: 16-014731R01AG054574-01
• Study Type: interventional
• Target: 889
• Locations: 1 country
• Sites: 1

Brief Summary

Dementia is a common problem for older patients presenting to emergency departments and for the family caregivers who often lack support, understanding, and skills to manage the problems related to the need for emergency department visits. The purpose of Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients (POISED-CPCIP, here on referred to as POISED) randomized controlled trial is to use previously established quality improvement methods of root cause analysis to uncover reasons for emergency department use and to focus on caregiver activation within a program of dementia care management. The goals of this study are to reduce recurrent emergency department visits and improve caregiver symptoms of depression, anxiety and need for social support.

Conditions

Dementia

Outcome Measures

Primary Outcomes (1)

• Percentage of Participants With an Emergency Department (ED) Visit Within 6 Months After Enrollment

  Percentage of participants who visit the ED within 6 months of being enrolled.

  Up to Month 6

Study Arms (2)

POISED Care

EXPERIMENTAL

Dyads randomized to the POISED Care intervention will work with the POISED care management team - consisting of specially-trained nurses functioning as care managers (CMs) and para-professionals in the role of care manager assistants (CMAs) - to create an individualized care plan through the lens of cognitive impairment with an emphasis on coordinating care with the patient's primary care provider (PCP) and achieving relevance with the goals and capacity of the family care-giver and care-recipient.

Other: POISED Care

Usual Care

NO INTERVENTION

Participants will receive referrals to services at the time of enrollment.

Interventions

POISED Care OTHER

Program of dementia care management.

POISED Care

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Must be in the emergency department for care at the point of recruitment
• Must be English- or Spanish-speaking
• Must have a family member or friend who provides caregiving assistance
• Must have a plan to be discharged to home (ESI = 4 or 5)
• Must have score \<3 on the MiniCog or if using caregiver assessment by IQCODE must be \>3.4
• Must have capacity to consent or have a proxy.

You may not qualify if:

• Care recipient (CR) is a resident of a nursing home or other supportive facility
• CR scores \> 3 on the MiniCog or the caregiver assessment by IQCODE was \< 3.4
• Caregiver (CG) declines participation
• CR is not being discharged to home

Sponsors & Collaborators

• NYU Langone Health: lead
• National Institute on Aging (NIA): collaborator
• National Institutes of Health (NIH): collaborator

Study Sites (1)

New York University School of Medicine

New York, New York, 10016, United States

Location

Related Publications (1)

• Chodosh J, Connor K, Fowler N, Gao S, Perkins A, Grudzen C, Messina F, Mangold M, Smilowitz J, Boustani M, Borson S. Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients: Protocol for a Multisite Randomized Controlled Trial. JMIR Res Protoc. 2022 Oct 20;11(10):e36607. doi: 10.2196/36607.

  PMID: 36264626 DERIVED

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Results Point of Contact

• Title: Joshua Chodosh, MD, MSHS, FACP
• Organization: NYU Langone Health

Joshua.Chodosh@nyumc.org

212-263-6768

Study Officials

• Joshua Chodosh, MD

  NYU Langone Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 25, 2017
• First Posted: October 30, 2017
• Study Start: March 7, 2018
• Primary Completion: November 2, 2021
• Study Completion: November 2, 2021
• Last Updated: October 16, 2024
• Results First Posted: March 31, 2023

Record last verified: 2024-10

Locations

US (1)