Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations

NCT03378245 | Completed

• 1 other identifier: 13-0664-P3H
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate the use of telemedicine-based intervention at urban and rural skilled nursing facilities to recommend multidisciplinary dementia care to residents with dementia who are at risk for unnecessary hospitalization due behavioral or neuropsychiatric symptoms and/or complications as well as caregivers and facility staff. The multidisciplinary team is comprised of trained behavioral neurologists, social workers, advanced practice providers, primary medical team and nurse coordinators.

Conditions

Dementia Alzheimers; Disruptive Behavior

Outcome Measures

Primary Outcomes (1)

• Change in the Neuropsychiatric Inventory (NPI) total score

  The NPI assesses 10 behavioral symptom domains, scoring is based on symptom frequency and severity. The total NPI score sums the products of frequency and severity scores for each domain. Higher scores indicate more behavioral disturbance

  6 months

Secondary Outcomes (2)

• Change in the Resource Utilization in Dementia - Formal Care (RUD-FOCA)

  6 months

• Change in Quality of Life in Alzheimers Dementia (QoL-AD)

  6 months.

Study Arms (1)

Telemedicine Intervention

EXPERIMENTAL

Multidisciplinary telemedicine education of staff and providers on best practices for behavioral modification as well as education on best practices for pharmacologic therapies.

Behavioral: Behavioral modification and education on pharmacologic treatments.

Interventions

Behavioral modification and education on pharmacologic treatments. BEHAVIORAL

Education and counseling of care-giving staff on behavioral modification strategies, as well as education about current standard of care best practices for pharmacologic interventions.

Telemedicine Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Dementia Care facility resident Problematic behavioral problems

You may not qualify if:

• None

Sponsors & Collaborators

• Richard Ronan Murphy: lead

Study Sites (1)

University of Kentucky

Lexington, Kentucky, 40536, United States

Location

MeSH Terms

Conditions

Alzheimer Disease; Problem Behavior

Interventions

Behavior Therapy

Condition Hierarchy (Ancestors)

Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Child Behavior

Intervention Hierarchy (Ancestors)

Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor of Neurology

Study Record Dates

• First Submitted: August 16, 2017
• First Posted: December 19, 2017
• Study Start: September 1, 2013
• Primary Completion: July 31, 2020
• Study Completion: July 31, 2020
• Last Updated: August 16, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)