D-CARE - The Dementia Care Study: A Pragmatic Clinical Trial of Health System-Based Versus Community-Based Dementia Care

Summary

D-CARE: The Dementia Care Study

This pragmatic randomized clinical trial of 2150 persons with dementia and their caregivers, at four diverse clinical trial sites in the United States, compares the effectiveness and cost-effectiveness of 18 months of health systems-based dementia care provided by a Dementia Care Specialist (nurse practitioner or physician assistant) who works within the heath system versus community-based dementia care provided by a Care Consultant (social worker, nurse, or therapist) who works at a Community-Based Organization (CBO).

The trial will also compare the effectiveness and cost-effectiveness of both models versus usual care.

Conditions

• Dementia

Interventions

OTHER

Health System-based Dementia Care

Active comparator

OTHER

Community-based Dementia Care

Active comparator

OTHER

Usual Care

Control

Sponsors & Collaborators

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• National Institute on Aging (NIA)

  collaborator NIH

• Yale University

  collaborator OTHER

• Benjamin Rose Institute on Aging

  collaborator OTHER

• Baylor Scott and White Health

  collaborator OTHER

• Wake Forest University Health Sciences

  collaborator OTHER

• University of Texas

  collaborator OTHER

• Geisinger Clinic

  collaborator OTHER

• University of Oklahoma

  collaborator OTHER

• RAND

  collaborator OTHER

• University of California, Los Angeles

  lead OTHER

Principal Investigators

• David Reuben, MD · University of California, Los Angeles

• Thomas Gill, MD · Yale University

• David Bass, PhD · Benjamin Rose Institute on Aging

• Lee Jennings, MD · University of Oklohoma

• Maya Lichtenstein, MD · Geisinger Clinic

• Peter Peduzzi, PhD · Yale University

• Alan Stevens, PhD · Baylor Scott and White Health

• Elena Volpi, MD, PhD · The University of Texas Health Science Center at San Antonio

• Jeffrey Williamson, MD · Wake Forest University Health Sciences

• Christopher Callahan, MD · Indiana University

• Katie Maslow, MSW · Gerontological Society of America

• Jenny Summapund, MA · University of California, Los Angeles

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-06-28

Primary Completion

2023-08-21

Completion

2023-08-21

Countries

• United States

Study Locations