At a glance
ClinicalIndex Comparison Record- ✓Age ≥65 years
- ✓Speak English or Spanish
- ✓Lived in community prior to hospital admission
- ✓Screen positive for dementia on Montreal Cognitive Assessment (MoCA ≤25) and AD8 (>2)
- ✕Mild cognitive impairment (CDR 0.5) without functional or ADL impairments
- ✕Severe dementia (CDR 3)
- ✕Significant neurological condition associated with cognitive impairment other than dementia (e.g., brain tumor)
- ✕Major acute psychiatric disorder
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Reducing Disability Via a Family-centered Intervention for Acutely-ill Persons With Alzheimer's Disease and Related Dementias
In Brief
A clinical study evaluating Family-centered Function-focused Care (Fam-FFC) for Alzheimer Disease. Completed, enrolled 461 participants across 3 sites.
Detailed Summary
This study will address the effectiveness of Family-centered Function Focused Care (Fam-FFC). Fam-FFC is a theoretically-based approach to care in which family caregivers partner with nurses to prevent functional decline and other complications related to hospitalization in older adults with Alzheimer's disease and related dementias. A systematic care pathway promotes information-sharing and decision-making that promotes physical activity, function, and cognitive stimulation during the hospitalization and immediate post-acute period. Our goal in this work is to establish a practical and effective way to optimize function and physical activity; decrease neuropsychiatric symptoms, delirium, and depression; prevent avoidable post-acute care dependency; and prevent unnecessary rehospitalizations and long-stay nursing home admissions, while mitigating family caregiver strain and burden.
Study Details
Timeline
Interventions
An educational empowerment model for family CGs that includes a care pathway, provided within a social-ecological in-patient framework promoting specialized care to patients with ADRD. The intervention creates an "enabling" milieu for the person with ADRD through environmental and policy assessment/modification, staff education, unit-based champions, and individualized goal setting that focuses on functional recovery during hospitalization and the immediate post-acute period.