Pragmatic Use of PAIN-Advanced Dementia Scale in Emergency Departments

NCT06370572 | Completed DMC

• 2 other identifiers: CIRB23-1162U54AG063546
• Study Type: interventional
• Target: 714
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to learn if the Pain in Advanced Dementia (PAINAD) scale can improve emergency pain care in persons living with dementia (PLWD). It is hypothesized that a PAINAD electronic health record (EHR) prompt that appears to emergency department (ED) staff will enable them to accurately assess pain levels and lead to better pain treatment for PLWD.

Conditions

Dementia; Hip Pain; Emergency Department Patient; Pain in Advanced Dementia Scale

Outcome Measures

Primary Outcomes (1)

• Percentage of eligible patients receiving a PAINAD assessment upon ED arrival

  Measured by numbers of patients

  10 months post-implementation of PAINAD CDS in the ED

Secondary Outcomes (2)

• Change in time to administration of first analgesic medication

  Baseline (end of 1 year preceding implementation), 10 months

• Change in pain score for patients receiving a repeat PAINAD assessment

  Baseline (end of 1 year preceding implementation), 10 months

Study Arms (2)

Pre-implementation

NO INTERVENTION

PLWD presenting to the ED with reported hip pain in the year preceding implementation of the PAINAD EHR prompt

Post-implementation

EXPERIMENTAL

PLWD presenting to the ED with reported hip pain in the 10 months following implementation of the PAINAD EHR prompt

Other: PAINAD EHR Prompt

Interventions

PAINAD EHR Prompt OTHER

Implementation of PAINAD EHR prompt in the ED workflow for PLWD presenting to the ED with hip pain

Post-implementation

Eligibility Criteria

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

You may qualify if:

• Patients greater than or equal to 65 years old
• ED arrival complaint of hip pain
• History of dementia by past medical history or problem list in EHR

Sponsors & Collaborators

• University of Chicago: lead
• National Institute on Aging (NIA): collaborator
• University of North Carolina, Chapel Hill: collaborator

Study Sites (2)

University of Chicago

Chicago, Illinois, 60637, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

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

Study Officials

• Teresita M Hogan, MD

  University of Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a interrupted time series intervention, which allows a pre- and post-intervention assessment of the effect of PAINAD scale.

Study Record Dates

• First Submitted: April 12, 2024
• First Posted: April 17, 2024
• Study Start: August 19, 2024
• Primary Completion: September 30, 2025
• Study Completion: September 30, 2025
• Last Updated: January 9, 2026

Record last verified: 2025-06

Locations

US (2)