Multi-Stakeholder Engagement for Interdisciplinary Telehealth in Lewy Body Dementia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- University of Florida
- Enrollment
- 106
- Locations
- 2
- Primary Endpoint
- Number of completed tele-health visits
Study Overview
Brief Summary
Lewy body dementia (LBD) is the 2nd most common neurodegenerative dementia in the US. Optimal care requires an interdisciplinary approach, however often faced barriers include rural residence, limited access to specialists, travel distance, limited awareness of resources, and physical, cognitive, and behavioral impairments making travel to appointments challenging. Delivering interdisciplinary care remotely using video technology has the potential to improve access to care for patients with LBD.
Detailed Description
The purpose of this study is to convert an in-person patient-centric interdisciplinary care model to a virtual platform using stakeholder engagement from individuals with LBD, their caregivers and healthcare providers. Subsequently researchers will conduct a prospective, randomized, controlled pilot study implementing the virtual stakeholder developed interdisciplinary care model (tele-neurohub) for 6 month and assess the implementation outcomes of feasibility, acceptability, and appropriateness of the tele-neurohub model. The research goal is to establish and iteratively improve a virtual interdisciplinary model of care allowing patients with LBD and their caregivers to access sub-specialty care from their home.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •LBD diagnosis by a dementia or movement disorders specialist
- •Clinician-determined mild-moderate dementia severity
- •Internet access with a Zoom-compatible device
- •Caregiver who resides in the patient's home and is willing to participate
- •Fluency in English
Exclusion Criteria
- Not provided
Arms & Interventions
Usual care group
Receive usual care but will have study visit assessments at baseline and 6 months.
Intervention: Tele-neurohub (Behavioral)
Tele-neurohub
This group will receive the tele-neurohub intervention which includes telemedicine appointments with the neurologist, speech therapist, social worker, and nutritionist at baseline, 3 months and 6 months, and PT and OT every 2 weeks for maintenance neuro-rehabilitation.
Intervention: Tele-neurohub (Behavioral)
Outcomes
Primary Outcomes
Number of completed tele-health visits
Time Frame: 6 months
Feasibility will be determined by completion of at least 75% telehealth visits by the intervention cohort
Secondary Outcomes
- Satisfaction assessed by Patient Assessment of Communication of Telehealth questionnaire.(6 months)
- Appropriateness assessed by Intervention Appropriateness Measure(6 months)