Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients

Not Applicable

Completed

• Conditions: Dementia
• Interventions: Other: POISED Care

• Registration Number: NCT03325608
• Lead Sponsor: NYU Langone Health

Brief Summary

Dementia is a common problem for older patients presenting to emergency departments and for the family caregivers who often lack support, understanding, and skills to manage the problems related to the need for emergency department visits. The purpose of Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients (POISED-CPCIP, here on referred to as POISED) randomized controlled trial is to use previously established quality improvement methods of root cause analysis to uncover reasons for emergency department use and to focus on caregiver activation within a program of dementia care management.

The goals of this study are to reduce recurrent emergency department visits and improve caregiver symptoms of depression, anxiety and need for social support.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-10-25
• Study First Submitted QC: 2017-10-27
• Study First Posted: 2017-10-30
• Study Start: 2018-03-07
• Primary Completion: 2021-11-02
• Study Completion: 2021-11-02
• Results First Submitted: 2022-12-13
• Results First Submitted QC: 2023-03-29
• Results First Posted: 2023-03-31
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-11
• Last Update Posted: 2024-10-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 889

Inclusion Criteria

• Must be in the emergency department for care at the point of recruitment
• Must be English- or Spanish-speaking
• Must have a family member or friend who provides caregiving assistance
• Must have a plan to be discharged to home (ESI = 4 or 5)
• Must have score <3 on the MiniCog or if using caregiver assessment by IQCODE must be >3.4
• Must have capacity to consent or have a proxy.

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Exclusion Criteria

• Care recipient (CR) is a resident of a nursing home or other supportive facility
• CR scores > 3 on the MiniCog or the caregiver assessment by IQCODE was < 3.4
• Caregiver (CG) declines participation
• CR is not being discharged to home

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
POISED Care	POISED Care	Dyads randomized to the POISED Care intervention will work with the POISED care management team - consisting of specially-trained nurses functioning as care managers (CMs) and para-professionals in the role of care manager assistants (CMAs) - to create an individualized care plan through the lens of cognitive impairment with an emphasis on coordinating care with the patient's primary care provider (PCP) and achieving relevance with the goals and capacity of the family care-giver and care-recipient.

Primary Outcome Measures

Name	Time	Method
Percentage of Participants With an Emergency Department (ED) Visit Within 6 Months After Enrollment	Up to Month 6	Percentage of participants who visit the ED within 6 months of being enrolled.

Trial Locations

Locations (1)

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