Clinical trial NCT05037448: Exploring Telehealth to Deliver Me & My Wishes During Coronavirus-19
Official title: Me & My Wishes: An Efficacy Trial of Long Term Care Residents With Alzheimer's Using Videos to Communicate Care Preferences With Caregivers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Health Communication
Lead sponsor: University of Utah
Sponsor class: OTHER
Collaborators: name: Brown University
name: National Institute on Aging (NIA)
First posted: 2021-09-08
Enrollment: 17
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: The investigators propose to examine the plausibility of delivering Me \& My Wishes using a telehealth platform. A convenience sample of five residents, their family members and long term care staff will be enrolled.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Due to Coronavirus-19, we are exploring the plausibility of delivering the Me \& My Wishes intervention via telehealth.

Detailed description: Me \& My Wishes are videos of nursing home residents talking about their preferences for care, including four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts. Knowing what residents want is essential to staff's ability to provide quality care and can inform family caregivers decision making especially in later stages of life as the resident's cognition declines-a time when family caregivers often feel unprepared. Persons with mild to moderate dementia can accurately express their everyday and end of life preferences, however, stereotypes persist about the decision making abilities of people with dementia that often prevent their involvement in conversations about care. The investigators propose to explore the feasibility of delivering Me \& My Wishes via a telehealth platform.

Eligibility criteria: Resident Inclusion Criteria:

* Identified as having Alzheimer's or related dementia
* Mild to moderate cognitive impairment (BIMS = 8-15, (MDS C0500) (nursing home residents only)
* Makes Self Understood = \<1 (MDS B0700)/present in medical record
* Understood By Others = \<1 (MDS B0800)/present in medical record
* Reside at the facility at least 2 weeks identified as a long-term resident
* Age \>65 years
* Speaks English

Family Inclusion Criteria:

* Speaks English
* Willing and able to watch the videos
* Willing to complete short surveys. Being unable to attend care conference to view the video (e.g. due to distance) will not exclude family from participating.

Staff Inclusion Criteria:

* Speaks English
* Willing to watch the videos
* Willing to complete short surveys

Resident Exclusion Criteria:

* Limited communication capacity (e.g. aphasia)
* Comatose
* Cognitively intact
* Severe cognitive impairment

Primary outcomes:
measure: Feasibility of telehealth-delivered Me & My Wishes
timeFrame: baseline
measure: Feasibility of telehealth-delivered Me & My Wishes
timeFrame: 90 days
Secondary outcomes:
Other outcomes:
Locations:
city: Forest Grove
country: United States
facility: Marquis Forest Grove Post Acute Rehab
state: Oregon
city: Wilsonville
country: United States
facility: Marquis Wilsonville Assisted Living
state: Oregon
city: Brigham City
country: United States
facility: Mission at Maple Springs
state: Utah
Study officials:
affiliation: University of Utah
name: Gail Towsley
role: PRINCIPAL_INVESTIGATOR
References: