A Cognitive Risk Calculator and Screening Tool for Primary Care Settings
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Effectiveness of RC and BACH: Frequency of MCI/ADRD, Sleep Disorders, and Depression Diagnoses
研究概览
简要总结
This mixed-methods pragmatic trial will use a stepped wedge cluster randomized design to implement a cognitive risk-calculator and automated cognitive screening tool (BACH) in eight internal medicine clinics in the Cleveland Clinic Health System. Administrative and EHR data will provide quantitative metrics of adoption (tool use) and effectiveness (change in provider behavior) while observations, interviews, and questionnaires will assess fidelity, acceptability, and feasibility for all stakeholders. Analyses will consider provider characteristics, clinic attributes, and regional variations in patient characteristics (e.g., SES, race/ethnicity).
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
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Provider Inclusion Criteria:
- •Must see adults aged 60 years or older in their practice.
- •Must be a prescribing provider.
排除标准
- •Provider sees patients at more than one participating study site.
结局指标
主要结局
Effectiveness of RC and BACH: Frequency of MCI/ADRD, Sleep Disorders, and Depression Diagnoses
时间窗: Monthly assessment over the study duration (up to 1 year)
Incidence of new diagnoses for cognitive impairment (including MCI and ADRD), sleep disorders, and depression per month, stratified by screening completed (BACH/other/none) and Risk Calculator category (high vs low risk).
Adoption of RC and BACH: Frequency of Cognitive Screening
时间窗: Monthly assessment over the study duration (up to 1 year)
Number of cognitive screening events per month, stratified by screening tool (BACH vs other) and Risk Calculator category (high vs low risk).
Effectiveness of RC and BACH: Frequency of Referrals to Neuropsychology, Geriatrics/Neurology, Psychiatry/Psychology, and Sleep Medicine
时间窗: Monthly assessment over the study duration (up to 1 year)
Number of orders and consults placed to specialty services per month, stratified by screening completed (BACH/other/none) and Risk Calculator category (high vs low risk).
Effectiveness of RC and BACH: Prescription Rates for Related Medications
时间窗: Monthly assessment over the study duration (up to 1 year)
Number of new medication orders relevant to cognition, sleep, and mood per month, stratified by screening completed (BACH/other/none) and Risk Calculator category (high vs low risk).
Adoption of RC and BACH: Frequency of BACH Orders
时间窗: Monthly assessment over the study duration (up to 1 year)
Number of BACH orders or pre-visit order sets executed per month, stratified by Risk Calculator category (high vs low risk).
次要结局
未报告次要终点
研究者
Darlene Floden
Staff Neuropsychologist
The Cleveland Clinic