Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 293
- 试验地点
- 1
- 主要终点
- Rate of Participant Long Term Care Planning for Alzheimer's Dementia/Memory Loss
研究概览
简要总结
This study seeks to better understand how older adult aging-in-place/long term care decision making and implementation is impacted by age-related changes (e.g. cognition, health literacy, chronic conditions) and social influences (e.g. caregivers/supporters).
详细描述
Subjects who are part of the National Institute on Aging (NIA)-funded LitCog study will be given access to PlanYourLifespan.org, a web-based decision-making and planning tool. Participants will be followed for up to 42 months to examine the mediating/moderating factors involved in decision-making, timing of decision implementation, and goal concordance. Findings have the potential to inform healthcare providers, caregivers, health/long term care insurers, area agencies on aging, and older adults nationally in supporting aging-in-place decisions and services use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Current participant in the LitCog Trial [R01AG03611]
- •English-speaking
- •Community-dwelling
- •Currently use a computer or tablet with internet
排除标准
- •Previous participation in the Advanced Planning for Home Services study [IH-12-11-4259]
研究组 & 干预措施
Access to Web-Based Intervention
All study participants will be given access to the web-based study intervention, PlanYourLifespan.org.
干预措施: PlanYourLifespan.org (Behavioral)
结局指标
主要结局
Rate of Participant Long Term Care Planning for Alzheimer's Dementia/Memory Loss
时间窗: Assessed at baseline and every 6 months, 36 months reported
Participants were asked "If you developed Alzheimer's or memory loss and could no longer live independently in your home, have you decided what your living preferences (e.g. stay in own home, retirement/long term care community) would be?" Decision-making is measured as a binary ('yes', 'no') outcome at each time-point. Percentage given below is the % of participants who indicated "YES", that they have decided on their living preferences. All statistical analyses for this outcome reflect data at the 36 month assessment.
次要结局
- Rate of Participant Planning for In Home Care in the Event of Alzheimer's Disease/Memory Loss(assessed 0-36 months, month 36 reported)
- Rate of Participant Planning for Memory Care in the Event of Alzheimer's Disease/Memory Loss(Assessed at 0-36 months, month 36 reported)
- Rate of Participant Planning for the Event of Hospitalization Requiring Rehabilitation Outside the Home(Assessed at 0-36 months, month 36 reported)
- Rate of Participant Planning for the Event of Hospitalization Requiring In-home Care(Assessed at 0-36 months, month 36 reported)
- Participant Decision Making Contemplation Rates- Alzheimer's Dementia/Memory Loss (ADML)(Assessed at 0-36 months, month 36 reported)
- Participant Decision Making Contemplation Rates- Hospitalization(Assessed at 0-36 months, month 36 reported)
- Participant Utilization of Long-term Care Services(18 month assessment)
- Previous Health Experiences- Self and Others(Baseline)
- Event and Goal Concordance(Assessed at 0-36 months, month 36 reported)
研究者
Lee Lindquist
Associate Professor of Medicine, Section Chief - Geriatrics
Northwestern University