Maximizing Independence at Home (MIND at Home)

Study Overview
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Brief Summary
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Funded by a unique private philanthropy and public coalition through THE ASSOCIATED: Jewish Community Federation of Baltimore, this project seeks to develop effective ways to deliver dementia care to older adults with memory disorders who live in the community. MIND at Home is an 18 month intervention research study whose goals are two-fold: To partner with community organizations to help proactively identify older adults in the Baltimore community who may need help related to memory disorders; To find out if providing person-centered, coordinated care will help older adults with memory disorders remain at home longer, as well other possible benefits. The investigators hypothesize that individuals with memory disorders that receive person-centered, coordinated care will have fewer unmet dementia-related needs, improved quality of life and function, fewer behavioral and depressive symptoms, and will be able to remain in their homes longer compared to individuals who receive augmented usual care.

Official Title
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Maximizing Independence at Home (MIND at Home): Dementia Care at Home Study

Conditions
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Memory Disorders, Dementia

Intervention / Treatment
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* Behavioral: care coordination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 70+ years old Community living (within one of 28 zip codes in Baltimore) Has memory disorder Has identified study partner willing to participate English-speaking Exclusion Criteria: Situation at the time of referral is an emergency with risk of danger to individual or others Presence of delirium or other rule outs for memory disorder

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Augmented Usual Care<br> | Behavioral: care coordination<br>* dementia-related care coordination<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in unmet dementia-related needs from Baseline to 18 months | Unmet dementia-related needs as measured by the Johns Hopkins Dementia Care Needs Assessment (JHDCNA), clinican-based assessment of 21 domains (92 individual items) | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in quality of life from Baseline to 18 months | Participant quality of life measured by Quality of Life in Alzheimers Disease (QOL-AD) and Alzheimer's Disease Related Quality of life scale (ADRQL). Caregiver quality of life measured by SF-12. | 18 month | 
| length of stay | Length of stay in the community assessed by number of days from initial study assessment to end of study observation or to date that the subject leaves their community-based residence (e.g. move to nursing home, assisted living, death) prior to end of study observation. | 18 months | 
| neuropsychiatric behavior symptoms from baseline to 18 months | Neuropsychiatric behavior measured by the Neuropsychiatry Inventory Questionnaire | 18 month | 
| day-to-day function from baseline to 18 months | Day-to-day function assessed by the Instrumental Activities of Daily Living Scale and the Psycho-geriatric Dependency Rating Scale | 18 month | 
| health care utilization from baseline to 18 months | Inpatient, residential, Alzheimer Disease-related, mental health, and medical health care use measured by the SURFS | 18 month | 
| depression from baseline to 18 months | Participant depression measured by the Cornell Scale for Depression (CSDD) in Dementia. Caregiver depression measured by the Geriatric Depression Scale (GDS). | 18 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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care coordination, dementia care, intervention, unmet needs, community, older adults, caregiver