Back to resultsImplementation of a Telehealth Palliative Care Model for Persons With Dementia (IMPACT)
Primary Purpose
Palliative Care, Dementia
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Palliative Care Consultation
Sponsored by
About this trial
This is an interventional supportive care trial for Palliative Care focused on measuring Dementia, Palliative Care, Telehealth, Nursing Homes
Eligibility Criteria
Inclusion Criteria:
Stakeholders:
- (1) PC provider
- (2) Social Work (SW) NH champions
- (3) post-acute care unit nursing staff and providers (including medical directors)
- (4) NH leadership, information technology staff
- (5) PLWD and their care partner(s).
Person Living with Dementia (PLWD)
- documented dementia diagnosis
- admitted for post-acute care
- age ≥ 60 years
- if unable to participate in a conversation or lacking capacity to make healthcare decisions as determined by the NH staff/providers, a care partner who can act as a surrogate decision maker in the PCC-PAC.
Exclusion Criteria:
Stakeholders:
-PLWD who receives the intervention
PLWD:
- planned discharge within 48 hours of screening
- currently receiving hospice care
Sites / Locations
- Collingswood Rehabilitation and Healthcare Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Palliative Care Consultation in Post-Acute Care
Arm Description
Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team.
Outcomes
Primary Outcome Measures
Primary Outcome Measure
Adherence to Skilled Nursing Facility (SNF)-PCC recommendations Adherence Protocol. Medical record review
Investigators will determine a recommendation adherence score after each participants' encounter. Each recommendation will be assigned 2 points, then will define full (2 points), partial (1 point) and no adherence (0 point) to each recommendation. Investigators will sum the points for each SNF-PCC recommendation and use this as the denominator. Investigators will sum each recommendation with full, partial, no adherence and use this as the numerator. The fraction will be converted to a percentage ranging from 0-100% reflecting the recommendation adherence score.
Secondary Outcome Measures
Hospitalizations
Number of hospitalization(s)
Full Information
NCT ID
NCT05001620
First Posted
July 27, 2021
Last Updated
July 5, 2023
Sponsor
University of Maryland, Baltimore
Collaborators
National Institute on Aging (NIA)
1. Study Identification
Unique Protocol Identification Number
NCT05001620
Brief Title
Implementation of a Telehealth Palliative Care Model for Persons With Dementia
Acronym
IMPACT
Official Title
Implementation of a Telehealth Palliative Care Model for Persons With Dementia
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
August 4, 2021 (Actual)
Primary Completion Date
July 1, 2023 (Actual)
Study Completion Date
July 1, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Maryland, Baltimore
Collaborators
National Institute on Aging (NIA)
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Grounded in the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) Model, this study will assess the implementation outcomes of the Nurse Practitioner (NP) delivered telehealth Palliative Care Consultation in Post-Acute Care (PCC-PAC) intervention for persons living with dementia (PLWD) and their care-partners newly admitted to nursing homes (NHs) for post-acute care.
Detailed Description
This single arm embedded pragmatic pilot clinical trial will provide data to assess the implementation outcomes of the Nurse Practitioner (NP) delivered telehealth Palliative Care Consultation in Post-Acute Care (PCC-PAC) intervention among 30 persons living with dementia (PLWD) and their care-partners newly admitted to one nursing homes (NH) for post-acute care.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Palliative Care, Dementia
Keywords
Dementia, Palliative Care, Telehealth, Nursing Homes
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Palliative Care Consultation in Post-Acute Care
Arm Type
Experimental
Arm Description
Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team.
Intervention Type
Other
Intervention Name(s)
Palliative Care Consultation
Intervention Description
The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).
Primary Outcome Measure Information:
Title
Primary Outcome Measure
Description
Adherence to Skilled Nursing Facility (SNF)-PCC recommendations Adherence Protocol. Medical record review
Investigators will determine a recommendation adherence score after each participants' encounter. Each recommendation will be assigned 2 points, then will define full (2 points), partial (1 point) and no adherence (0 point) to each recommendation. Investigators will sum the points for each SNF-PCC recommendation and use this as the denominator. Investigators will sum each recommendation with full, partial, no adherence and use this as the numerator. The fraction will be converted to a percentage ranging from 0-100% reflecting the recommendation adherence score.
Time Frame
30 days post admission
Secondary Outcome Measure Information:
Title
Hospitalizations
Description
Number of hospitalization(s)
Time Frame
30 days post admission
10. Eligibility
Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Stakeholders:
(1) PC provider
(2) Social Work (SW) NH champions
(3) post-acute care unit nursing staff and providers (including medical directors)
(4) NH leadership, information technology staff
(5) PLWD and their care partner(s).
Person Living with Dementia (PLWD)
documented dementia diagnosis
admitted for post-acute care
age ≥ 60 years
if unable to participate in a conversation or lacking capacity to make healthcare decisions as determined by the NH staff/providers, a care partner who can act as a surrogate decision maker in the PCC-PAC.
Exclusion Criteria:
Stakeholders:
-PLWD who receives the intervention
PLWD:
planned discharge within 48 hours of screening
currently receiving hospice care
Facility Information:
Facility Name
Collingswood Rehabilitation and Healthcare Center
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Implementation of a Telehealth Palliative Care Model for Persons With Dementia
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