The Dementia Care EcoSystem: The Feasibility of a Care Management Program Addressing Healthcare Quality, Access, and Cost for Patients With Dementia and Their Caregivers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 290
- 试验地点
- 1
- 主要终点
- Quick Dementia Rating Scale (QDRS)
研究概览
简要总结
- To determine the feasibility and acceptability of the Care Ecosystem program in the Ochsner clinical setting.
- To assess the effect of the Care Ecosystem program on health care cost and quality care quality as measured by primary outcome variables.
- Adapted from the Care Ecosystem, memory.ucsf.edu/Care-Ecosystem
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female ≥55 years of age at baseline
- •Probable dementia diagnosis as evidenced by one or more of the following criteria:
- •Dementia listed on medical record problem list as of January 1, 2015 or later, or, in the opinion of the referring provider has dementia
- •Prescribed with any of the following: donepezil, memantine, galantamine HBR, rivastigmine, or tartrate; or, in the opinion of the referring provider, could take such medication
- •Lives in community
排除标准
- •Documented history of Multiple Sclerosis, ALS, Traumatic Brain Injury, Huntington's Disease, Schizophrenia, Bipolar Disorder, or current Substance Abuse Disorder
- •Lives in a nursing home or assisted living facility
- •Unable to complete monthly telehealth or phone visits
结局指标
主要结局
Quick Dementia Rating Scale (QDRS)
时间窗: through study completion, an average of 1 year
Construct: Dementia severity Sum total score Normal 0-1 Mild cognitive impairment 2-5 Mild dementia 6-12 Moderate dementia 13-20 Severe dementia 20-30
Quality of Life in Dementia (QUALI-DEM)
时间窗: through study completion, an average of 1 year
Construct: Dementia patient quality of life Subscales Care Relationship (0-9) Positive Affect (0-12) Negative Affect (0-6) Restless Tense Behavior (0-9) Social Relations (0-9) Social Isolation (0-9) Higher scores= more of that behavior
Rate of ED and Hospital Admissions
时间窗: through study completion, an average of 1 year
Cost
Zarit Caregiver Burden Scale- Short Form
时间窗: through study completion, an average of 1 year
Construct: Family/Caregiver quality of life Sum total score 0-48, higher scores indicate more burden
次要结局
- Rate of UTIs(through study completion, an average of 1 year)
- Rate of Falls(through study completion, an average of 1 year)
- Rate of medication change(through study completion, an average of 1 year)