Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

Alzheimer Disease Clinical Trial

Official title:

Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03960476
• Other study ID #: R01AG058777
• Secondary ID: 1R01AG058777-01A
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 13, 2020
• Est. completion date: February 28, 2025

Study information

• Verified date: March 2024
• Source: Northwestern University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study seeks to better understand how older adult aging-in-place/long term care decision making and implementation is impacted by age-related changes (e.g. cognition, health literacy, chronic conditions), social influences (e.g. caregivers/supporters), and environmental factors.

Description:

Subjects who are part of the National Institute on Aging (NIA)-funded LitCog study will be given access to PlanYourLifespan.org, a web-based decision-making and planning tool. Participants will be followed for up to 42 months to examine the mediating/moderating factors involved in decision-making, timing of decision implementation, and goal concordance. Findings have the potential to inform healthcare providers, caregivers, health/long term care insurers, area agencies on aging, and older adults nationally in supporting aging-in-place decisions and services use.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 293
• Est. completion date: February 28, 2025
• Est. primary completion date: November 29, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

• Current participant in the LitCog Trial [R01AG03611]
• English-speaking
• Community-dwelling
• Currently use a computer or tablet with internet

Exclusion Criteria:

• Previous participation in the Advanced Planning for Home Services study [IH-12-11-4259]

Related Conditions & MeSH terms

• Alzheimer Disease
• Cognitive Dysfunction
• Mild Cognitive Impairment

Intervention

Behavioral:
• PlanYourLifespan.org
The study intervention is a web-based planning tool, PlanYourLifespan.org

Locations

Country	Name	City	State
United States	Northwestern University	Chicago	Illinois

Sponsors (2)

Lead Sponsor	Collaborator
Northwestern University	National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in long-term care plan decision-making	Change in participant's long-term care plan decision-making from baseline to 36 months post-baseline. Decision-making will be measured as a binary ('yes', 'no') outcome at each time-point.	Change from baseline decision-making at 36 months. Will also be measured every six months, up to 42 months.
Secondary	Participant utilization of long-term care services	Participant utilization of long-term care services such as in-home caregivers as measured by the Resource Use Inventory (Sano M, Zhu CW, Whitehouse PJ, et al. ADCS Prevention Instrument Project: pharmacoeconomics: assessing health-related resource use among healthy elderly. Alzheimer Dis Assoc Disord. 2006;20(4 Suppl 3):S191-S202. doi:10.1097/01.wad.0000213875.63171.87).	Baseline and every six months, up to 42 months
Secondary	Number of participants that implement any of their long-term care plans	The number of participants that implement any long-term care plans they have set. This will be measured as a binary ('yes', 'no') outcome at each time-point.	Baseline and every six months, up to 42 months
Secondary	Participant long-term care goal concordance	Assess whether participant's long-term care plans are carried out in accordance to their goals. This will be measured as a binary ('yes', 'no') outcome at each time-point.	Baseline and every six months, up to 42 months