Artificial Intelligence + Care Coach Intervention

Not Applicable

Completed

• Conditions: Caregiver; Artificial Intelligence; Care Transition; Dementia; Emergency Department
• Interventions: Other: NeuViCare application

• Registration Number: NCT05352399
• Lead Sponsor: Yale University

Brief Summary

The purpose of this research study is to develop and test an artificial intelligence intervention for emergency department (ED) discharge care transitions experienced by caregivers of older adults with cognitive impairment.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-04-18
• Study First Submitted QC: 2022-04-26
• Study First Posted: 2022-04-28
• Study Start: 2023-03-20
• Primary Completion: 2024-06-30
• Study Completion: 2024-06-30
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-09
• Last Update Posted: 2025-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 290

Inclusion Criteria

• age ≥65 years with a diagnosis of dementia within the electronic health record OR new cognitive impairment identified during an ED visit
• be fluent in English or Spanish
• discharge after an ED visit
• possession of a smart device (either a phone, tablet, or computer) that has internet access to utilize and interact with NeuViCare AI services

Exclusion Criteria

• evidence of delirium, by the 4-AT screening tool

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention (NeuViCare AI)	NeuViCare application	An anticipated 55 participants will be part of the Intervention arm participants and will engage with NeuViCare AI, including all variations of its 5 components described further below.

Primary Outcome Measures

Name	Time	Method
Feasibility of Intervention Measure	Day 30	Feasibility is defined as the extent to which a new innovation can be successfully used or carried out within a given setting. The measure consists of 4 questions, with an overall score range of 4-20 (higher scores suggest increased feasibility). Administration time is 1-2 minutes. Measured by survey.
System Usability Scale	Day 30	Usability encapsulates several aspects including subjective component assessments of effectiveness, efficiency, and satisfaction. The System Usability Scale consists of 10 questions on effectiveness, efficiency, and satisfcation, with an overall score range of 10-50 (higher scores suggest increased usability). Administration time is 3-5 minutes. Measured by survey.
Intervention Appropriateness Measure	Day 30	Appropriateness is defined as the perceived fit, relevance, or compatibility of the innovation for a given setting or consumer, and/or perceived fit of the innovation to address a particular issue or problem. The measure consists of 4 questions, with an overall score range of 4-20 (higher scores suggest increased appropriateness). Administration time is 1-2 minutes. Measured by survey.
Acceptability of Intervention Measure	Day 30	Acceptability is defined as the perception that a given innovation is agreeable, palatable, or satisfactory. The measure consists of 4 questions, with an overall score range of 4-20 (higher scores suggest increased acceptability). Administration time is 1-2 minutes. Measured by survey.

Secondary Outcome Measures

Name	Time	Method
Zarit Caregiver Burden Scale	Day 30	The Zarit Caregiver Burden Scale consists of 22 items rated on a 5-point Likert scale that ranges from 0 (never) to 4 (nearly always) with the sum of scores ranging between 0-88. Higher scores indicate greater burden. Administration time is approximately 10-15 minutes. Measured by survey.
Dementia Knowledge Assessment Scale	Day 30	The Dementia Knowledge Assessment Scale is a reliable and valid measure of dementia knowledge for health professionals and members of the general public that is capable of elucidating knowledge characteristics across four coherent domains: 1) Causes and Characteristics, 2) Communication and Behaviour, 3) Care Considerations, and 4) Risks and Health Promotion. Statements are true/false for the respondent to answer with scores ranging from 0-21. Administration time is approximately 10-15 minutes. Measured by survey.
General Self-Efficacy Scale	Day 30	The General Self-Efficacy Scale is used to evaluate the coping ability of daily living. The measure is 10 items with overall scores ranging from 10-40, with higher scores representing greater self-efficacy. Administration time is approximately 3-5 minutes. Measured by survey.
Emergency Department revisits	Day 30	Repeat visit to the ED by electronic health record, supplemented with self-report survey to identify those not with the institution's EDs.
Hospitalizations	Day 30	Hospitalizations by electronic health record, supplemented with self-report survey to identify those not with the institution's hospitals.

Trial Locations

Locations (1)

Yale New Haven Hospital; 🇺🇸 New Haven, Connecticut, United States