Clinical trial NCT01459783: Comparative Effectiveness of Dementia Care Strategies in Underserved Communities
Official title: Comparative Effectiveness of Dementia Care Strategies in Underserved Communities
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dementia
Keywords: Caregivers
Comparative Effectiveness Research
Cost Effectiveness
Patient Care Management
Social Work
Lead sponsor: RAND
Sponsor class: OTHER
Collaborators: name: Olive View-UCLA Education & Research Institute
name: Alzheimer's Association
name: National Institute on Aging (NIA)
First posted: 2011-10-26
Enrollment: 144
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Dementia is a condition that is growing in prevalence and which harms not only the afflicted individual but also adversely affects the health of their family and other informal caregivers. New methods for delivering comprehensive assistance to persons with dementia and their caregivers are known to be effective and can delay nursing home placement, but this study will discover 1) whether more face-to-face involvement rather than telephone delivery of this assistance will work better among poor patients in Los Angeles, and 2) if one method is better than the other, what are the differences in costs between them. These data will enable administrators in public health care settings around the US and non-profit foundations addressing dementia patient and caregiver needs to decide what method provides the best value and the best outcome relative to its cost.


Eligibility criteria: Inclusion Criteria:

* Caregivers of persons with dementia
* Caregivers must either live with the care recipient (person with dementia) or be the identified primary support
* Caregiver relationship must have been present for the prior 6 months
* Caregivers must have telephone access
* Caregivers must speak English or Spanish
* Care recipients must have a prior dementia diagnosis
* Care recipients must be living in the community other than a nursing facility

Exclusion Criteria:

* Persons with dementia, lacking an informal caregiver who can communicate in Spanish or English, or living in a long term care facility
* Caregiver lacks the capacity to consent to study participation

Primary outcomes:
measure: Change in Caregiver Burden at 6 and 12 Months
timeFrame: 0, 6 and 12 months
measure: Change in Care Recipient Memory and Problem Behaviors at 6 and 12 Months
timeFrame: 0, 6 and 12 months
Secondary outcomes:
measure: Change in Caregiver Depression at 6 and 12 Months
timeFrame: 0, 6 and 12 months
measure: Change in Caregiver Quality of Life at 6 and 12 Months
timeFrame: 0, 6 and 12 months
measure: Change in Care Recipient Quality of Life at 6 and 12 Months
timeFrame: 0, 6 and 12 months
measure: Change in Process Measures of Dementia Care Quality at 6 and 12 Months
timeFrame: 0, 6 and 12 months
Other outcomes:
Locations:
city: Sylmar
country: United States
facility: Olive View-UCLA Medical Center
state: California
Study officials:
affiliation: RAND
name: Joshua Chodosh, M.D., MSHS
role: PRINCIPAL_INVESTIGATOR
affiliation: RAND
name: Barbara Vickrey, M.D., MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chodosh J, Colaiaco BA, Connor KI, Cope DW, Liu H, Ganz DA, Richman MJ, Cherry DL, Blank JM, Carbone Rdel P, Wolf SM, Vickrey BG. Dementia Care Management in an Underserved Community: The Comparative Effectiveness of Two Different Approaches. J Aging Health. 2015 Aug;27(5):864-93. doi: 10.1177/0898264315569454. Epub 2015 Feb 4.