Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients

Dementia Clinical Trial

— POISED  

Official title:

Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03325608
• Other study ID #: 16-01473
• Secondary ID: 1R01AG054574-01
• Status: Completed
• Phase: N/A
• Start date: March 29, 2018
• Est. completion date: October 31, 2021

Study information

• Verified date: March 2023
• Source: NYU Langone Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Dementia is a common problem for older patients presenting to emergency departments and for the family caregivers who often lack support, understanding, and skills to manage the problems related to the need for emergency department visits. The purpose of Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients (POISED-CPCIP, here on referred to as POISED) randomized controlled trial is to use previously established quality improvement methods of root cause analysis to uncover reasons for emergency department use and to focus on caregiver activation within a program of dementia care management. The goals of this study are to reduce recurrent emergency department visits and improve caregiver symptoms of depression, anxiety and need for social support.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 889
• Est. completion date: October 31, 2021
• Est. primary completion date: October 31, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Must be in the emergency department for care at the point of recruitment
• Must be English- or Spanish-speaking
• Must have a family member or friend who provides caregiving assistance
• Must have a plan to be discharged to home (ESI = 4 or 5)
• Must have score <3 on the MiniCog or if using caregiver assessment by IQCODE must be >3.4
• Must have capacity to consent or have a proxy.

Exclusion Criteria:

• Care recipient (CR) is a resident of a nursing home or other supportive facility
• CR scores > 3 on the MiniCog or the caregiver assessment by IQCODE was < 3.4
• Caregiver (CG) declines participation
• CR is not being discharged to home

Related Conditions & MeSH terms

• Dementia
• Emergencies

Intervention

Other:
• POISED Care
Program of dementia care management.

Locations

Country	Name	City	State
United States	New York University School of Medicine	New York	New York

Sponsors (3)

Lead Sponsor	Collaborator
NYU Langone Health	National Institute on Aging (NIA), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage of Participants With an Emergency Department (ED) Visit Within 6 Months After Enrollment	Percentage of participants who visit the ED within 6 months of being enrolled.	Up to Month 6