Implementation of a Telehealth Palliative Care Model for Persons With Dementia

Dementia Clinical Trial

— IMPACT  

Official title:

Implementation of a Telehealth Palliative Care Model for Persons With Dementia

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05001620
• Other study ID #: HP-00095001
• Secondary ID: U54AG063546
• Status: Completed
• Phase: N/A
• Start date: August 4, 2021
• Est. completion date: July 1, 2023

Study information

• Verified date: July 2023
• Source: University of Maryland, Baltimore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 16
• Est. completion date: July 1, 2023
• Est. primary completion date: July 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Dementia
• Palliative Care

Intervention

Other:
• Palliative Care Consultation
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).

Locations

Country	Name	City	State
United States	Collingswood Rehabilitation and Healthcare Center	Rockville	Maryland

Sponsors (2)

Lead Sponsor	Collaborator
University of Maryland, Baltimore	National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	30 days post admission
Secondary	Hospitalizations	Number of hospitalization(s)	30 days post admission