Maximizing Independence at Home (MIND at Home)

Phase 2

Completed

• Conditions: Memory Disorders; Dementia
• Interventions: Behavioral: care coordination

• Registration Number: NCT01283750
• Lead Sponsor: Johns Hopkins University

Brief Summary

Funded by a unique private philanthropy and public coalition through THE ASSOCIATED: Jewish Community Federation of Baltimore, this project seeks to develop effective ways to deliver dementia care to older adults with memory disorders who live in the community. MIND at Home is an 18 month intervention research study whose goals are two-fold: To partner with community organizations to help proactively identify older adults in the Baltimore community who may need help related to memory disorders; To find out if providing person-centered, coordinated care will help older adults with memory disorders remain at home longer, as well other possible benefits. The investigators hypothesize that individuals with memory disorders that receive person-centered, coordinated care will have fewer unmet dementia-related needs, improved quality of life and function, fewer behavioral and depressive symptoms, and will be able to remain in their homes longer compared to individuals who receive augmented usual care.

Detailed Description

Not available

Study Timeline

• Study Start: 2008-07
• Study First Submitted: 2011-01-24
• Study First Submitted QC: 2011-01-25
• Study First Posted: 2011-01-26
• Primary Completion: 2011-12
• Study Completion: 2012-12
• Status Verified: 2018-11
• Last Update Submitted: 2018-11-02
• Last Update Posted: 2018-11-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 303

Inclusion Criteria

• 70+ years old
• Community living (within one of 28 zip codes in Baltimore)
• Has memory disorder
• Has identified study partner willing to participate
• English-speaking

Exclusion Criteria

• Situation at the time of referral is an emergency with risk of danger to individual or others
• Presence of delirium or other rule outs for memory disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Augmented Usual Care	care coordination	-

Primary Outcome Measures

Name	Time	Method
Change in unmet dementia-related needs from Baseline to 18 months	18 months	Unmet dementia-related needs as measured by the Johns Hopkins Dementia Care Needs Assessment (JHDCNA), clinican-based assessment of 21 domains (92 individual items)

Secondary Outcome Measures

Name	Time	Method
depression from baseline to 18 months	18 month	Participant depression measured by the Cornell Scale for Depression (CSDD) in Dementia. Caregiver depression measured by the Geriatric Depression Scale (GDS).
neuropsychiatric behavior symptoms from baseline to 18 months	18 month	Neuropsychiatric behavior measured by the Neuropsychiatry Inventory Questionnaire
health care utilization from baseline to 18 months	18 month	Inpatient, residential, Alzheimer Disease-related, mental health, and medical health care use measured by the SURFS
day-to-day function from baseline to 18 months	18 month	Day-to-day function assessed by the Instrumental Activities of Daily Living Scale and the Psycho-geriatric Dependency Rating Scale
Change in quality of life from Baseline to 18 months	18 month	Participant quality of life measured by Quality of Life in Alzheimers Disease (QOL-AD) and Alzheimer's Disease Related Quality of life scale (ADRQL). Caregiver quality of life measured by SF-12.
length of stay	18 months	Length of stay in the community assessed by number of days from initial study assessment to end of study observation or to date that the subject leaves their community-based residence (e.g. move to nursing home, assisted living, death) prior to end of study observation.

Trial Locations

Locations (1)

Johns Hopkins University; 🇺🇸 Baltimore, Maryland, United States