ED-LEAD: Emergency Departments Leading the Transformation of Alzheimer's and Dementia Care

Not Applicable

Not yet recruiting

• Conditions: Alzheimer's Disease Related Dementia; Alzheimer Disease
• Interventions: Behavioral: Nurse-led Telephonic Care (NLTC); Behavioral: Emergency Care Redesign (ECR); Behavioral: Community Paramedic-led Transitions Intervention (CPTI)

• Registration Number: NCT06079203
• Lead Sponsor: NYU Langone Health

Brief Summary

The purpose of this study is to improve the care of persons living with dementia (PLWD) and their informal care partners by addressing emergency and post-emergency care through different combinations of three PLWD-care partner dyad focused interventions. The primary aims are to use coaching to help connect PLWD and their care partners with community support and services to improve transitional care, quality of care, care satisfaction and reduce future ED visits and hospitalizations.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-10-06
• Study First Submitted QC: 2023-10-06
• Study First Posted: 2023-10-12
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-16
• Last Update Posted: 2025-04-18
• Study Start: 2025-09-01
• Primary Completion: 2027-08-31
• Study Completion: 2027-08-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 19200

Inclusion Criteria

• patients age 66 and older
• have two or more ICD-10 visit diagnoses (one of which must be ambulatory) for Alzheimer's Disease or Alzheimer's Disease Related Dementias (AD/ADRD)
• care partners age 18 and older

Exclusion Criteria

• patients who are under 66 years old

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Single intervention: Nurse-led Telephonic Care (NLTC)	Nurse-led Telephonic Care (NLTC)	-
Two intervention: ECR and NLTC	Nurse-led Telephonic Care (NLTC)	-
Two interventions: ECR and CPTI	Community Paramedic-led Transitions Intervention (CPTI)	-
Two interventions: ECR and CPTI	Emergency Care Redesign (ECR)	-
Single intervention: Community Paramedic-led Transitions Intervention (CPTI)	Community Paramedic-led Transitions Intervention (CPTI)	-
All interventions: ECR, NLTC, and CPTI	Emergency Care Redesign (ECR)	-
Single intervention: Emergency Care Redesign (ECR)	Emergency Care Redesign (ECR)	-
All interventions: ECR, NLTC, and CPTI	Community Paramedic-led Transitions Intervention (CPTI)	-
Two intervention: ECR and NLTC	Emergency Care Redesign (ECR)	-
Two interventions: NLTC and CPTI	Nurse-led Telephonic Care (NLTC)	-
Two interventions: NLTC and CPTI	Community Paramedic-led Transitions Intervention (CPTI)	-
All interventions: ECR, NLTC, and CPTI	Nurse-led Telephonic Care (NLTC)	-

Primary Outcome Measures

Name	Time	Method
Number of Emergency Department (ED) revisits	Up to 30 days

Secondary Outcome Measures

Name	Time	Method
Number of healthy days at home	Up to 6 months
Number of ED revisits	Up to 6 months
Number of hospitalizations	Up to 6 months

Trial Locations

Locations (1)

NYU Langone Health; 🇺🇸 New York, New York, United States