Trial Outcomes & Findings for Implementation of MIND at Home Into Primary Care for People Living With Dementia (NCT NCT05406921)

NCT ID: NCT05406921

Last Updated: 2025-01-31

Results Overview

Hospital transfers include hospitalizations, emergency department visits, and observation stays without admission.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

410 participants

Primary outcome timeframe

Data will be collected monthly for the 3 months prior to enrollment, the 3 months during enrollment, and one month post enrollment.

Results posted on

2025-01-31

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Arm: PLWD
105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Data Validation Arm
An additional 200 PLWD served as a data validation arm to demonstrate the feasibility of collecting and validating data from large health systems.
Intervention Arm: PLWD CPs
105 Care Partners (CPs) of the 105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Overall Study
STARTED
105
200
105
Overall Study
COMPLETED
80
188
80
Overall Study
NOT COMPLETED
25
12
25

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Arm: PLWD
105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Data Validation Arm
An additional 200 PLWD served as a data validation arm to demonstrate the feasibility of collecting and validating data from large health systems.
Intervention Arm: PLWD CPs
105 Care Partners (CPs) of the 105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Overall Study
Withdrawal by Subject
25
0
25
Overall Study
Protocol Violation
0
12
0

Baseline Characteristics

Implementation of MIND at Home Into Primary Care for People Living With Dementia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Arm: PLWD
n=80 Participants
105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Data Validation Arm
n=188 Participants
An additional 200 PLWD served as a data validation arm to demonstrate the feasibility of collecting and validating data from large health systems.
Intervention Arm: PLWD CPs
n=80 Participants
105 Care Partners (CPs) of the 105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Total
n=348 Participants
Total of all reporting groups
Age, Continuous
81 years
STANDARD_DEVIATION 6.18 • n=99 Participants
79 years
STANDARD_DEVIATION 9.16 • n=107 Participants
NA years
STANDARD_DEVIATION NA • n=206 Participants
80 years
STANDARD_DEVIATION 7.00 • n=7 Participants
Sex: Female, Male
Female
39 Participants
n=99 Participants
96 Participants
n=107 Participants
53 Participants
n=206 Participants
188 Participants
n=7 Participants
Sex: Female, Male
Male
41 Participants
n=99 Participants
92 Participants
n=107 Participants
27 Participants
n=206 Participants
160 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
3 Participants
n=107 Participants
1 Participants
n=206 Participants
6 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
77 Participants
n=99 Participants
183 Participants
n=107 Participants
79 Participants
n=206 Participants
339 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
2 Participants
n=107 Participants
0 Participants
n=206 Participants
3 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
2 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=99 Participants
25 Participants
n=107 Participants
9 Participants
n=206 Participants
43 Participants
n=7 Participants
Race (NIH/OMB)
White
69 Participants
n=99 Participants
158 Participants
n=107 Participants
70 Participants
n=206 Participants
297 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
5 Participants
n=107 Participants
0 Participants
n=206 Participants
6 Participants
n=7 Participants
Region of Enrollment
United States
80 participants
n=99 Participants
188 participants
n=107 Participants
80 participants
n=206 Participants
348 participants
n=7 Participants
hospital transfers
1.89 hospital transfers per 1000 person days
STANDARD_DEVIATION 5.78 • n=99 Participants
2.50 hospital transfers per 1000 person days
STANDARD_DEVIATION 8.29 • n=107 Participants
NA hospital transfers per 1000 person days
STANDARD_DEVIATION NA • n=206 Participants
2.07 hospital transfers per 1000 person days
STANDARD_DEVIATION 6.62 • n=7 Participants

PRIMARY outcome

Timeframe: Data will be collected monthly for the 3 months prior to enrollment, the 3 months during enrollment, and one month post enrollment.

Population: Per-protocol analysis.

Hospital transfers include hospitalizations, emergency department visits, and observation stays without admission.

Outcome measures

Outcome measures
Measure
Intervention Arm: PLWD
n=80 Participants
105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Data Validation Arm
n=188 Participants
An additional 200 PLWD served as a data validation arm to demonstrate the feasibility of collecting and validating data from large health systems.
Intervention Arm: PLWD CPs
n=80 Participants
105 Care Partners (CPs) of the 105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Change in Number of Hospital Transfers Pre/Post Intervention
0.97 hospital transfers per 1000 person days
Standard Deviation 7.94
0.65 hospital transfers per 1000 person days
Standard Deviation 7.10
NA hospital transfers per 1000 person days
Standard Deviation NA
We did not collect outcomes on CPs.

SECONDARY outcome

Timeframe: Data will be collected monthly for the 3 months prior to enrollment, the 3 months during enrollment, and one month post enrollment.

Population: Only one site was able to provide data on total medications.

The secondary outcomes are number of total medications, number of anti-psychotics, acetylcholinesterase inhibitors, and memantine medications.

Outcome measures

Outcome measures
Measure
Intervention Arm: PLWD
n=46 Participants
105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Data Validation Arm
n=100 Participants
An additional 200 PLWD served as a data validation arm to demonstrate the feasibility of collecting and validating data from large health systems.
Intervention Arm: PLWD CPs
n=46 Participants
105 Care Partners (CPs) of the 105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Change in Number of Medications Pre/Post Intervention
-0.43 number of medications
Standard Deviation 3.99
0.33 number of medications
Standard Deviation 2.44
NA number of medications
Standard Deviation NA
We did not collect outcome data on CPs.

Adverse Events

Intervention Arm: PLWD

Serious events: 29 serious events
Other events: 0 other events
Deaths: 2 deaths

Data Validation Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Arm: PLWD CPs

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intervention Arm: PLWD
n=105 participants at risk
80 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Data Validation Arm
An additional 188 PLWD served as a data validation arm to demonstrate the feasibility of collecting and validating data from large health systems.
Intervention Arm: PLWD CPs
80 Care Partners (CPs) of the 105 community-residing PC patients with an ADRD diagnosis were enrolled and received MIND coordination services for 3 months to test program implementation feasibility in PC practice settings. MIND at Home: Maximizing Independence at Home-MIND at Home (MIND) is a comprehensive care coordination program born from geriatric psychiatry. This model takes an interdisciplinary, collaborative care approach to care by systematically assessing and addressing a wide range of dementia-care related needs of both PLWD and their care partners that place both at increased risk for poor outcomes.
Injury, poisoning and procedural complications
Hospitalization
6.7%
7/105 • Number of events 7 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Cardiac disorders
Hospitalization
0.95%
1/105 • Number of events 1 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Respiratory, thoracic and mediastinal disorders
Hospitalization
6.7%
7/105 • Number of events 7 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Nervous system disorders
Change in level of care
4.8%
5/105 • Number of events 5 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Investigations
Hospitalization
0.95%
1/105 • Number of events 1 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Nervous system disorders
ED Visit
2.9%
3/105 • Number of events 6 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Social circumstances
Changed Level of Care
0.95%
1/105 • Number of events 1 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Injury, poisoning and procedural complications
ED Visit
1.9%
2/105 • Number of events 2 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
Gastrointestinal disorders
ED Visit
1.9%
2/105 • Number of events 2 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
0/0 • Adverse event data were collected on each intervention patient from date of study enrollment through the conclusion of the 3-month study period.
We did not collect AEs on Care Partners nor were we able to given that they were not necessarily patients of the same health systems with which we partnered. We did not collect AEs on patients in the data validation arm as we had no contact with those patients. In both of these groups, All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth Ciemins, PhD, SVP Research

AMGA

Phone: 4062813275

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place