Helping Patients, Families, and Clinicians Make Shared Decisions About Therapies for Dementia
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- University of Colorado, Denver
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Decisional Conflict
- Status
- Not Yet Recruiting
- Last Updated
- 7 months ago
Overview
Brief Summary
The purpose of this study is to develop a decision aid to support patients and families making decisions about medications for dementia.
Investigators
Eligibility Criteria
Inclusion Criteria
- •UCHealth patient
- •Ages 18 y/o and above
- •Documented neurocognitive deficits suggestive of mild cognitive impairment or early dementia as determined by their treating clinician.
- •English or Spanish speaking
- •Ages 18 y/o and above
- •Identified by the study participant as the person who helps the most with their medical care outside the hospital or clinic.
- •English or Spanish speaking
- •Clinicians:
- •Neurologists, primary care clinicians, pharmacists, or psychologists involved in dementia decision-making.
- •English or Spanish speaking
Exclusion Criteria
- •Not English or Spanish-speaking
- •Neurocognitive deficits suggestive of moderate or severe cognitive impairment or late stage dementia.
- •Not able to consent for themselves
- •Ages 17 y/o and below
- •Not English or Spanish-speaking
- •Clinicians:
- •Neurologists, primary care clinicians, pharmacists, or psychologists involved in dementia decision-making.
- •English or Spanish-speaking
Outcomes
Primary Outcomes
Decisional Conflict
Time Frame: From enrollment at start of year 2 to the end of year 2
To access the preliminary efficacy on decisional conflict including personal perceptions of uncertainty in choosing options, factors that contribute to feelings of uncertainty and effective decision making. Decisional Conflict Scale - Higher numbers mean more uncertainty. O'Connor, A. M. (1995). Validation of a decisional conflict scale. Medical decision making, 15(1), 25-30. https://decisionaid.ohri.ca/docs/develop/User\_Manuals/UM\_Decisional\_Conflict.pdf
Shared Decision Making
Time Frame: From enrollment at start of year 2 to the end of year 2
To determine the extent that health care providers engage with patients as a part of their shared decision making, specifically looking at the discussion of treatment options and their pros and cons as well as the patient's preferences. Shared Decision Making Process Scale - Higher numbers mean more shared decision making. https://mghdecisionsciences.org/tools-training/sdm-process-survey/
Decisional Self-Efficacy
Time Frame: From enrollment at start of year 2 to the end of year 2
To determine the patient's perception of their self-efficacy in decision making including measuring their self-confidence in their ability to make decisions. Decision Self-Efficacy Scale where higher numbers mean they patient has a higher perception of self-efficacy. https://decisionaid.ohri.ca/docs/develop/Tools/Decision\_SelfEfficacy.pdf