The Dementia Symptom Management at Home Program Hospice Edition

Not Applicable

Terminated

• Conditions: Dementia
• Interventions: Behavioral: DSM-H Hospice Edition performance improvement program; Behavioral: Usual Care

• Registration Number: NCT03352791
• Lead Sponsor: NYU Langone Health

Brief Summary

Alzheimer's Disease and Related Disorders (dementia) poses a significant challenge to our public health. While many persons with dementia are cared for by friends and family in the community with the assistance of home healthcare and hospice, most clinicians and agencies are ill prepared to care for this population and therefore have difficulty assisting patients and caregivers in maintaining quality of life leading to adverse patient outcomes, increased caregiver stress and burnout, and healthcare utilization. This study will utilize a cluster randomized controlled design with 6 care teams at a single study site to examine the ability of a multi-component evidence-based practice hospice care quality improvement program for registered nurses, social workers and chaplains to improve the quality of life and reduce healthcare utilization for persons with dementia and their informal caregiver.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-11-21
• Study First Submitted QC: 2017-11-21
• Study First Posted: 2017-11-24
• Study Start: 2018-08-01
• Primary Completion: 2018-10-05
• Study Completion: 2018-10-05
• Status Verified: 2019-12
• Last Update Submitted: 2019-12-02
• Last Update Posted: 2019-12-04

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 2

Inclusion Criteria

• PWD over the age of 65
• Admitted to MJHS hospice agency
• The patient and family caregiver speak English and/or Spanish.
• The informal caregiver is ≥18 years of age and spends at least 8 hours per week with the patient.
• Patients who score ≥6 on the Quick Dementia Rating Scale (at least mild impairment).

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Exclusion Criteria

• Patients with a separate Axis 1 diagnosis other than forms of dementia, depression or anxiety.
• PWD residing in assisted living facilities, nursing homes or board and care homes
• PWD solely receiving infusion or home health aide services.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
DSM-H Hospice Edition	DSM-H Hospice Edition performance improvement program	training, assigning of champions to serve as mentors and performance improvement leads, and workflow changes including caregiver education pamphlets, interdisciplinary care plans, treatment algorithms, and assessment instruments.
Control Arm	Usual Care	Usual Care

Primary Outcome Measures

Name	Time	Method
Reduction in Behavioral and Psychological Symptoms of Dementia (BPSD) using Neuropsychiatric Inventory Questionnaire (NPI-Q):	Day 0 and Day 30	13-item tool that measures caregiver perception of BPSD presence and severity in PWD
Reduction in pain (PAINAD)	Day 0 and Day 30	pain assessment tool for use in persons with moderate to severe dementia who cannot provide reliable report, and will be used if the QDRS\>12

Trial Locations

Locations (1)

New York University School of Medicine; 🇺🇸 New York, New York, United States