Care Ecosystem: Navigating Patients and Families Through Stages of Care
NCT02213458 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1560
Last updated 2024-02-20
Summary
This is a randomized clinical trial evaluating the benefits of a program that supports model care for persons with dementia and their family caregivers. Subjects were recruited from California, Nebraska and Iowa. Subjects determined to be eligible were consented and randomized into one of two groups. Two thirds of patients were enrolled into Navigated Care that provided them with assistance in meeting important benchmarks in their care, for example completion of legal and financial planning and strategies for minimizing caregiver burden. One third of patients were enrolled to a control group, entitled Survey of Care. Outcomes include quality of life, health care utilization, caregiver burden, satisfaction with care, caregiver depression, and caregiver self-efficacy.
Conditions
- Dementia
- Alzheimer Disease
- Dementia, Vascular
- Lewy Body Disease
- Frontotemporal Lobar Degeneration
- Memory Disorders
Interventions
- BEHAVIORAL
-
Navigated Care
Navigated Care emphasizes continuous and personalized care and is based on 3 modules: the Caregiver Module that includes educational interventions and connects families with community resources, the Decision-Making Module that facilitates proactive medical, financial, and safety decisions, and the Medication Module that identifies inappropriate medication usage via pharmacist review. Innovative technology in the form of a "dashboard" functions as a patient care management system used by Care Team Navigators (CTNs).
Sponsors & Collaborators
-
University of Nebraska
collaborator OTHER -
Centers for Medicare and Medicaid Services
collaborator FED -
National Institute on Aging (NIA)
collaborator NIH -
University of California, San Francisco
lead OTHER
Principal Investigators
-
Katherine L Possin, PhD · University of California, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-03-20
- Primary Completion
- 2018-03-08
- Completion
- 2018-03-08
Countries
- United States
Study Locations
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