The Hospice Advanced Dementia Symptom Management and Quality of Life Trial

Not Applicable

Completed

• Conditions: Dementia
• Interventions: Behavioral: Dementia symptom management at home hospice edition; Behavioral: Education and Training

• Registration Number: NCT03681119
• Lead Sponsor: NYU Langone Health

Brief Summary

Alzheimer's Disease and Related Disorders (dementia) are a group of serious life limiting illness that cause significant challenges to our public health system, with significant illness burden for both the person with dementia and the caregiver. At the end of life, over 230,000 persons with dementia annually are cared for in hospice, yet hospice agencies are ill prepared to care for this population and often resort to inappropriate pharmacologic measures such as antipsychotics that reduce quality of life rather than improve it. This study will therefore through its two phases refine and then implement, using a pragmatic stepped wedge trial design, the Dementia Symptom Management at Home Program Hospice Edition, with the goal improving quality of care for the person with dementia and their caregiver, reducing antipsychotic use, and increasing bereaved caregiver satisfaction in the hospice setting.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-09-20
• Study First Submitted QC: 2018-09-20
• Study First Posted: 2018-09-21
• Study Start: 2019-02-11
• Primary Completion: 2019-06-12
• Study Completion: 2019-06-12
• Results First Submitted: 2020-07-07
• Results First Submitted QC: 2020-07-07
• Results First Posted: 2020-07-23
• Status Verified: 2020-08
• Last Update Submitted: 2020-08-11
• Last Update Posted: 2020-08-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 83

Inclusion Criteria

• Must have dementia as primary diagnosis for admission to hospice
• Must be newly admitted to a participating hospice
• Must be 50 years or older

Clinicians:

• Must be a skilled clinician or home health aide who provides care through an eligible home health agency
• Must be 18 years or older

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Exclusion Criteria

Persons with Dementia:

• None

Clinicians:

• None

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Advanced Demential Patients	Dementia symptom management at home hospice edition	-
Hospice IDT Members	Education and Training	-

Primary Outcome Measures

Name	Time	Method
Percentage of Hospice IDT Members Who Complete Required Education and Training	2 Months	Percentage of Hospice IDT Members who Complete Required Education and Training

Trial Locations

Locations (1)

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