ED-LEAD: Emergency Departments Leading the Transformation of Alzheimer's and Dementia Care
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 19,200
- 试验地点
- 1
- 主要终点
- Number of Emergency Department (ED) revisits
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 66 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients age 66 and older
- •have at least one ICD-10 visit diagnoses for Alzheimer's Disease or Alzheimer's Disease Related Dementias (AD/ADRD) from an inpatient or outpatient encounter within the last 3 years of the ED visit and are discharged (observation patients included)
排除标准
- •patients who are under 66 years old
研究组 & 干预措施
Two intervention: ECR and NLTC
干预措施: Emergency Care Redesign (ECR) (Behavioral)
Two intervention: ECR and NLTC
干预措施: Nurse-led Telephonic Care (NLTC) (Behavioral)
Two interventions: ECR and CPTI
干预措施: Emergency Care Redesign (ECR) (Behavioral)
Two interventions: ECR and CPTI
干预措施: Community Paramedic-led Transitions Intervention (CPTI) (Behavioral)
Two interventions: NLTC and CPTI
干预措施: Nurse-led Telephonic Care (NLTC) (Behavioral)
Two interventions: NLTC and CPTI
干预措施: Community Paramedic-led Transitions Intervention (CPTI) (Behavioral)
All interventions: ECR, NLTC, and CPTI
干预措施: Emergency Care Redesign (ECR) (Behavioral)
All interventions: ECR, NLTC, and CPTI
干预措施: Nurse-led Telephonic Care (NLTC) (Behavioral)
All interventions: ECR, NLTC, and CPTI
干预措施: Community Paramedic-led Transitions Intervention (CPTI) (Behavioral)
No intervention
No intervention, serving as a usual care control group
Single intervention: Emergency Care Redesign (ECR)
干预措施: Emergency Care Redesign (ECR) (Behavioral)
Single intervention: Nurse-led Telephonic Care (NLTC)
干预措施: Nurse-led Telephonic Care (NLTC) (Behavioral)
Single intervention: Community Paramedic-led Transitions Intervention (CPTI)
干预措施: Community Paramedic-led Transitions Intervention (CPTI) (Behavioral)
结局指标
主要结局
Number of Emergency Department (ED) revisits
时间窗: Up to 30 days
次要结局
- Number of hospitalizations(Up to 6 months)
- Number of healthy days at home(Up to 6 months)
- Number of ED revisits(Up to 6 months)
- Number of ED revisits(Up to 14 days)
- Number of hospitalizations(Up to 14 days)
- Number of hospitalizations(Up to 30 days)