Clinical trial NCT01283750: Maximizing Independence at Home (MIND at Home)
Official title: Maximizing Independence at Home (MIND at Home): Dementia Care at Home Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
PHASE3
Conditions: Memory Disorders
Dementia
Keywords: care coordination
dementia care
intervention
unmet needs
community
older adults
caregiver
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: Jewish Community Federation of Baltimore
name: Jewish Community Services
name: Levindale
name: The Harry & Jeanette Weinberg Foundation, Inc.
name: Leonard & Helen R. Stulman Charitable Foundation
name: Hoffberger Foundation
name: Hirschhorn Foundation
name: Lois and Irving Blum Foundation
name: Joseph and Harvey Meyerhoff Family Charitable Funds
name: The Henry and Ruth Blaustein Rosenberg Foundation
name: Baltimore County Department of Aging
name: National Institute of Mental Health (NIMH)
name: National Institute on Aging (NIA)
First posted: 2011-01-26
Enrollment: 303
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Change in unmet dementia-related needs from Baseline to 18 months
timeFrame: 18 months
Secondary outcomes:
measure: Change in quality of life from Baseline to 18 months
timeFrame: 18 month
measure: length of stay
timeFrame: 18 months
measure: neuropsychiatric behavior symptoms from baseline to 18 months
timeFrame: 18 month
measure: day-to-day function from baseline to 18 months
timeFrame: 18 month
measure: health care utilization from baseline to 18 months
timeFrame: 18 month
measure: depression from baseline to 18 months
timeFrame: 18 month
Other outcomes:
Locations:
city: Baltimore
country: United States
facility: Johns Hopkins University
state: Maryland
Study officials:
affiliation: Johns Hopkins University
name: Quincy M Samus, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Johnston D, Samus QM, Morrison A, Leoutsakos JS, Hicks K, Handel S, Rye R, Robbins B, Rabins PV, Lyketsos CG, Black BS. Identification of community-residing individuals with dementia and their unmet needs for care. Int J Geriatr Psychiatry. 2011 Mar;26(3):292-8. doi: 10.1002/gps.2527. Epub 2010 Jul 23.
citation: Marquardt G, Johnston D, Black BS, Morrison A, Rosenblatt A, Lyketsos CG, Samus QM. Association of the spatial layout of the home and ADL abilities among older adults with dementia. Am J Alzheimers Dis Other Demen. 2011 Feb;26(1):51-7. doi: 10.1177/1533317510387584.
citation: Marquardt G, Johnston D, Black BS, Morrison A, Rosenblatt A, Lyketsos CG, Samus QM. A Descriptive Study of Home Modifications for People with Dementia and Barriers to Implementation. J Hous Elderly. 2011 Jan 1;25(3):258-273. doi: 10.1080/02763893.2011.595612.
citation: Black BS, Johnston D, Morrison A, Rabins PV, Lyketsos CG, Samus QM. Quality of life of community-residing persons with dementia based on self-rated and caregiver-rated measures. Qual Life Res. 2012 Oct;21(8):1379-89. doi: 10.1007/s11136-011-0044-z. Epub 2011 Oct 26.
citation: Samus QM, Johnston D, Black BS, Hess E, Lyman C, Vavilikolanu A, Pollutra J, Leoutsakos JM, Gitlin LN, Rabins PV, Lyketsos CG. A multidimensional home-based care coordination intervention for elders with memory disorders: the maximizing independence at home (MIND) pilot randomized trial. Am J Geriatr Psychiatry. 2014 Apr;22(4):398-414. doi: 10.1016/j.jagp.2013.12.175. Epub 2014 Jan 4.
citation: Black BS, Johnston D, Rabins PV, Morrison A, Lyketsos C, Samus QM. Unmet needs of community-residing persons with dementia and their informal caregivers: findings from the maximizing independence at home study. J Am Geriatr Soc. 2013 Dec;61(12):2087-2095. doi: 10.1111/jgs.12549.