A Randomized Control Trial of the Coordinated-Transitional Care (C-TraC) Intervention for Dementia Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 584
- 试验地点
- 2
- 主要终点
- Change from baseline in rehospitalizations at 14, 30 and 90-days
研究概览
简要总结
The goal of the project is to conduct a prospective, randomized-controlled clinical trial to determine the extent to which the Coordinated-Transitional Care (C-TraC) program impacts transitional care quality, patient cognition/function, caregiver stress and 30-day rehospitalizations in patients with documented diagnoses of dementia discharged from the hospital to the community.
详细描述
Patients with dementia often experience poor quality transitions from the hospital to the community. In response, the investigators developed and piloted the Coordinated-Transitional Care (C-TraC) program--a low-cost, telephone-based intervention designed to improve care coordination and outcomes in hospitalized patients with dementia or other high-risk conditions discharged to community settings.
A single-blind, prospective, randomized-controlled trial will be used with participants being randomly assigned to receive usual (i.e. standard) care, or usual care plus the C-TraC intervention. Outcomes will be assessed via scheduled phone-calls at 14, 30, and 90 days post-hospitalization. A 45-day phone call will also be conducted to complete a brief satisfaction survey with the caregiver about their post-hospital experience.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •English-speaking
- •Have a working telephone
- •Hospitalized on medical inpatient wards at UWHC
- •A documented pre-hospitalization diagnosis of dementia.
- •Alzheimer's Disease Cooperative Study - Clinical Dementia Rating (ADCS-CDR) score of > 0
- •Have a family member/informal caregiver who has regular contact with them in the community setting
- •Caregiver Inclusion Criteria:
- •English-speaking
- •Have a working telephone
- •Have contact with patient a minimum of once per week
排除标准
- •Discharged to institutional settings
- •No identified caregiver
- •Discharged to hospice
- •Followed by complex case management or any form of intensive case management (e.g. transplant, congestive heart failure, dialysis)
- •Score moderate-high on modified ASSIST tool for alcohol
结局指标
主要结局
Change from baseline in rehospitalizations at 14, 30 and 90-days
时间窗: 14, 30 and 90-days
The presence of any rehospitalization will be assessed through a combination of 14, 30 and 90 day structured phone calls directly to patients/caregivers, a detailed review of medical records associated with any of these caregiver/patient reported rehospitalizations, and a detailed review of the patient's UWHC medical records after all phone calls are completed.
次要结局
- Patient functional maintenance/recovery(14, 30 and 90-days)
- Increase in patient delirium prevention/resolution(14, 30 and 90-days)
- Patient falls prevention(14, 30 and 90-days)
- Decrease caregiver stress(14, 30 and 90-days)