Back to resultsTelemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations (TeleNH)
Primary Purpose
Dementia Alzheimers, Disruptive Behavior
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Behavioral modification and education on pharmacologic treatments.
Sponsored by
About this trial
This is an interventional supportive care trial for Dementia Alzheimers
Eligibility Criteria
Inclusion Criteria:
Dementia Care facility resident Problematic behavioral problems
Exclusion Criteria:
None
Sites / Locations
- University of Kentucky
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Telemedicine Intervention
Arm Description
Multidisciplinary telemedicine education of staff and providers on best practices for behavioral modification as well as education on best practices for pharmacologic therapies.
Outcomes
Primary Outcome Measures
Change in the Neuropsychiatric Inventory (NPI) total score
The NPI assesses 10 behavioral symptom domains, scoring is based on symptom frequency and severity. The total NPI score sums the products of frequency and severity scores for each domain. Higher scores indicate more behavioral disturbance
Secondary Outcome Measures
Change in the Resource Utilization in Dementia - Formal Care (RUD-FOCA)
The RUD-FOCA records the care time in three areas: activities of daily living (ADL), instrumental activities of daily living (IADL) and supervision.
Change in Quality of Life in Alzheimers Dementia (QoL-AD)
13 quality of life items are rated on a four point scale, with 1 being poor and 4 being excellent. Total scores range from 13 to 52. It generally takes caregivers about 5 minutes to complete the measure.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03378245
Brief Title
Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations
Acronym
TeleNH
Official Title
Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations and Healthcare Costs in Appalachia KY Skilled Nursing Facilities
Study Type
Interventional
2. Study Status
Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
September 2013 (undefined)
Primary Completion Date
July 31, 2020 (Actual)
Study Completion Date
July 31, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Richard Ronan Murphy
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to investigate the use of telemedicine-based intervention at urban and rural skilled nursing facilities to recommend multidisciplinary dementia care to residents with dementia who are at risk for unnecessary hospitalization due behavioral or neuropsychiatric symptoms and/or complications as well as caregivers and facility staff. The multidisciplinary team is comprised of trained behavioral neurologists, social workers, advanced practice providers, primary medical team and nurse coordinators.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dementia Alzheimers, Disruptive Behavior
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Allocation
N/A
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Telemedicine Intervention
Arm Type
Experimental
Arm Description
Multidisciplinary telemedicine education of staff and providers on best practices for behavioral modification as well as education on best practices for pharmacologic therapies.
Intervention Type
Behavioral
Intervention Name(s)
Behavioral modification and education on pharmacologic treatments.
Intervention Description
Education and counseling of care-giving staff on behavioral modification strategies, as well as education about current standard of care best practices for pharmacologic interventions.
Primary Outcome Measure Information:
Title
Change in the Neuropsychiatric Inventory (NPI) total score
Description
The NPI assesses 10 behavioral symptom domains, scoring is based on symptom frequency and severity. The total NPI score sums the products of frequency and severity scores for each domain. Higher scores indicate more behavioral disturbance
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Change in the Resource Utilization in Dementia - Formal Care (RUD-FOCA)
Description
The RUD-FOCA records the care time in three areas: activities of daily living (ADL), instrumental activities of daily living (IADL) and supervision.
Time Frame
6 months
Title
Change in Quality of Life in Alzheimers Dementia (QoL-AD)
Description
13 quality of life items are rated on a four point scale, with 1 being poor and 4 being excellent. Total scores range from 13 to 52. It generally takes caregivers about 5 minutes to complete the measure.
Time Frame
6 months.
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Dementia Care facility resident Problematic behavioral problems
Exclusion Criteria:
None
Facility Information:
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations
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