Multi-Stakeholder Engagement for Interdisciplinary Telehealth in Lewy Body Dementia
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 106
- 试验地点
- 2
- 主要终点
- Number of completed tele-health visits
研究概览
简要总结
Lewy body dementia (LBD) is the 2nd most common neurodegenerative dementia in the US. Optimal care requires an interdisciplinary approach, however often faced barriers include rural residence, limited access to specialists, travel distance, limited awareness of resources, and physical, cognitive, and behavioral impairments making travel to appointments challenging. Delivering interdisciplinary care remotely using video technology has the potential to improve access to care for patients with LBD.
详细描述
The purpose of this study is to convert an in-person patient-centric interdisciplinary care model to a virtual platform using stakeholder engagement from individuals with LBD, their caregivers and healthcare providers. Subsequently researchers will conduct a prospective, randomized, controlled pilot study implementing the virtual stakeholder developed interdisciplinary care model (tele-neurohub) for 6 month and assess the implementation outcomes of feasibility, acceptability, and appropriateness of the tele-neurohub model. The research goal is to establish and iteratively improve a virtual interdisciplinary model of care allowing patients with LBD and their caregivers to access sub-specialty care from their home.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •LBD diagnosis by a dementia or movement disorders specialist
- •Clinician-determined mild-moderate dementia severity
- •Internet access with a Zoom-compatible device
- •Caregiver who resides in the patient's home and is willing to participate
- •Fluency in English
排除标准
- 未提供
研究组 & 干预措施
Usual care group
Receive usual care but will have study visit assessments at baseline and 6 months.
干预措施: Tele-neurohub (Behavioral)
Tele-neurohub
This group will receive the tele-neurohub intervention which includes telemedicine appointments with the neurologist, speech therapist, social worker, and nutritionist at baseline, 3 months and 6 months, and PT and OT every 2 weeks for maintenance neuro-rehabilitation.
干预措施: Tele-neurohub (Behavioral)
结局指标
主要结局
Number of completed tele-health visits
时间窗: 6 months
Feasibility will be determined by completion of at least 75% telehealth visits by the intervention cohort
次要结局
- Satisfaction assessed by Patient Assessment of Communication of Telehealth questionnaire.(6 months)
- Appropriateness assessed by Intervention Appropriateness Measure(6 months)