Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations

Dementia Alzheimers Clinical Trial

— TeleNH  

Official title:

Telemedicine-based, Multidisciplinary-team, Intervention to Reduce Unnecessary Hospitalizations and Healthcare Costs in Appalachia KY Skilled Nursing Facilities

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03378245
• Other study ID #: 13-0664-P3H
• Status: Completed
• Phase: N/A
• Start date: September 2013
• Est. completion date: July 31, 2020

Study information

• Verified date: August 2021
• Source: University of Kentucky
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 16
• Est. completion date: July 31, 2020
• Est. primary completion date: July 31, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

Dementia Care facility resident Problematic behavioral problems

Exclusion Criteria:

None

Related Conditions & MeSH terms

• Alzheimer Disease
• Dementia Alzheimers
• Disruptive Behavior
• Problem Behavior

Intervention

Behavioral:
• Behavioral modification and education on pharmacologic treatments.
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.

Locations

Country	Name	City	State
United States	University of Kentucky	Lexington	Kentucky

Sponsors (1)

Lead Sponsor	Collaborator
Richard Ronan Murphy

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	6 months
Secondary	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.	6 months
Secondary	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.	6 months.