Collaborative Care Coordination Program for Alzheimer's Disease and Related Dementias (Co-CARE-AD)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 2,160
- 试验地点
- 1
- 主要终点
- All-cause emergency department visits
研究概览
简要总结
This is a randomized, pragmatic clinical trial to evaluate the effectiveness of a collaborative care-coordination program embedded in a health plan for people living with Alzheimer's disease and related dementias (ADRD) and their care partners versus usual care. The study population will include community-dwelling Medicare Advantage members living with ADRD and their care partners. Outcomes will be healthcare utilization outcomes of individuals with ADRD and include emergency department visits, outpatient visits, avoidable emergency department visits, and admission to long-term care facilities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Community-dwelling Tufts Health Plan Medicare Advantage members with ADRD and their caregivers will be selected to participate in the trial based on the following inclusion/
排除标准
- •Inclusion Criteria (for members with ADRD)
- •Member of Tufts Health Plan Medicare Advantage plan
- •Medical and pharmacy insurance coverage in at least the prior 12 months
- •Have ≥1 ICD-10-CM diagnosis code for ADRD or dispensing for pharmacological treatment for ADRD in the prior 12 months
- •Exclusion Criteria (for members with ADRD):
- •Reside in a nursing home or skilled nursing facility
- •Enrolled in a hospice program
- •Receiving or have received the Dementia Care Consultation program as part of the existing program at the time of enrollment
- •Inclusion Criteria (for caregivers)
- •Age 18 years or older
- •Assume primary responsibility for members
研究组 & 干预措施
Dementia Care Consultation program
The Dementia Care Consultation program provides an in-depth, personalized service for individuals and families facing ADRD.
干预措施: Dementia Care Consultation program (Behavioral)
Routine Care
Members randomized into the control group will receive routine care.
结局指标
主要结局
All-cause emergency department visits
时间窗: by 6 months
Number of all-cause emergency department visits per member living with ADRD over the 6-month follow-up period.
All-cause emergency department visits
时间窗: by 12 months
Number of all-cause emergency department visits per member living with ADRD over the 12-month follow-up period.
次要结局
- Avoidable emergency department visits(by 6 months)
- Admission to long-term care facilities(by 6 months)
- Outpatient visits(by 6 months)
- Outpatient visits(by 12 months)
- Avoidable emergency department visits(by 12 months)
- Admission to long-term care facilities(by 12 months)
研究者
Xiaojuan Li
Instructor in Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute
Harvard Pilgrim Health Care