Implementation of a Telehealth Palliative Care Model for Persons With Dementia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 2
- 主要终点
- Adherence to Skilled Nursing Facility (SNF)-PCC Recommendations
研究概览
简要总结
Grounded in the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) Model, this study will assess the implementation outcomes of the Nurse Practitioner (NP) delivered telehealth Palliative Care Consultation in Post-Acute Care (PCC-PAC) intervention for persons living with dementia (PLWD) and their care-partners newly admitted to nursing homes (NHs) for post-acute care.
详细描述
This single arm embedded pragmatic pilot clinical trial will provide data to assess the implementation outcomes of the Nurse Practitioner (NP) delivered telehealth Palliative Care Consultation in Post-Acute Care (PCC-PAC) intervention among 30 persons living with dementia (PLWD) and their care-partners newly admitted to one nursing homes (NH) for post-acute care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Stakeholders:
- •(1) PC provider
- •(2) Social Work (SW) NH champions
- •(3) post-acute care unit nursing staff and providers (including medical directors)
- •(4) NH leadership, information technology staff
- •(5) PLWD and their care partner(s).
- •Person Living with Dementia (PLWD)
- •documented dementia diagnosis
- •admitted for post-acute care
- •age ≥ 60 years
- •if unable to participate in a conversation or lacking capacity to make healthcare decisions as determined by the NH staff/providers, a care partner who can act as a surrogate decision maker in the PCC-PAC.
排除标准
- •Stakeholders:
- •PLWD who receives the intervention
- •planned discharge within 48 hours of screening
- •currently receiving hospice care
结局指标
主要结局
Adherence to Skilled Nursing Facility (SNF)-PCC Recommendations
时间窗: 30 days post admission
Investigators will determine a recommendation adherence score after each participants' encounter. Each recommendation will be assigned 2 points, then will define full (2 points), partial (1 point) and no adherence (0 point) to each recommendation. Investigators will sum the points for each SNF-PCC recommendation and use this as the denominator. Investigators will sum each recommendation with full, partial, no adherence and use this as the numerator. The fraction will be converted to a percentage ranging from 0-100% reflecting the recommendation adherence score.
次要结局
- Number of Hospitalizations(30 days post admission)
研究者
Joan Carpenter
Principal Investigator
University of Maryland, Baltimore