Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations

Not Applicable

Completed

• Conditions: Disruptive Behavior; Dementia Alzheimers
• Interventions: Behavioral: Behavioral modification and education on pharmacologic treatments.

• Registration Number: NCT03378245
• Lead Sponsor: Richard Ronan Murphy

Brief Summary

The purpose of this study is to investigate the use of telemedicine-based intervention at urban and rural skilled nursing facilities to recommend multidisciplinary dementia care to residents with dementia who are at risk for unnecessary hospitalization due behavioral or neuropsychiatric symptoms and/or complications as well as caregivers and facility staff. The multidisciplinary team is comprised of trained behavioral neurologists, social workers, advanced practice providers, primary medical team and nurse coordinators.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-09
• Study First Submitted: 2017-08-16
• Study First Submitted QC: 2017-12-17
• Study First Posted: 2017-12-19
• Primary Completion: 2020-07-31
• Study Completion: 2020-07-31
• Status Verified: 2021-08
• Last Update Submitted: 2021-08-09
• Last Update Posted: 2021-08-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 16

Inclusion Criteria

Dementia Care facility resident Problematic behavioral problems

Exclusion Criteria

None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Telemedicine Intervention	Behavioral modification and education on pharmacologic treatments.	Multidisciplinary telemedicine education of staff and providers on best practices for behavioral modification as well as education on best practices for pharmacologic therapies.

Primary Outcome Measures

Name	Time	Method
Change in the Neuropsychiatric Inventory (NPI) total score	6 months	The NPI assesses 10 behavioral symptom domains, scoring is based on symptom frequency and severity. The total NPI score sums the products of frequency and severity scores for each domain. Higher scores indicate more behavioral disturbance

Secondary Outcome Measures

Name	Time	Method
Change in the Resource Utilization in Dementia - Formal Care (RUD-FOCA)	6 months	The RUD-FOCA records the care time in three areas: activities of daily living (ADL), instrumental activities of daily living (IADL) and supervision.
Change in Quality of Life in Alzheimers Dementia (QoL-AD)	6 months.	13 quality of life items are rated on a four point scale, with 1 being poor and 4 being excellent. Total scores range from 13 to 52. It generally takes caregivers about 5 minutes to complete the measure.

Trial Locations

Locations (1)

University of Kentucky; 🇺🇸 Lexington, Kentucky, United States