At a glance
ClinicalIndex Comparison Record- ✓Persons with dementia over age 65
- ✓Admitted to one of the three participating home healthcare agencies
- ✓Patient and family caregiver speak English and/or Spanish
- ✓Informal caregiver ≥18 years old and spends ≥8 hours per week with patient
- ✕Axis 1 diagnosis other than dementia, depression, or anxiety
- ✕Residing in assisted living facilities or board and care homes
- ✕Solely receiving infusion or home health aide services (without nurse services)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Multisite Cluster RCT of the Dementia Symptom Management at Home Program
In Brief
A clinical study evaluating DSM-H and Standard of Care for Dementia. Completed, enrolled 217 participants across 1 site.
Detailed Summary
Alzheimer's Disease and Related Disorders (dementia) poses a significant challenge to our public health. While many persons with dementia are cared for by friends and family in the community with the assistance of home healthcare, most home healthcare clinicians and agencies are ill prepared to care for this population and therefore have difficulty assisting patients and caregivers in maintaining quality of life leading to adverse patient outcomes, increased caregiver stress and burnout, and healthcare utilization. This study will therefore utilize a cluster randomized controlled design at 3 study sites to examine the ability of a multi-component evidence-based practice primary palliative care quality improvement program for home healthcare registered nurses, occupational therapists and physical therapists to improve the quality of life and reduce healthcare utilization for persons with dementia and their informal caregiver.
Study Details
Timeline
Interventions
Multi-modal quality improvement program for improving the quality of care provided to person with dementia (PWD)-informal caregiver dyads through HHC
Subjects receive care through usual home healthcare assignment process.