Exploring Telehealth to Deliver Me & My Wishes During Coronavirus-19

Health Communication Clinical Trial

Official title:

Me & My Wishes: An Efficacy Trial of Long Term Care Residents With Alzheimer's Using Videos to Communicate Care Preferences With Caregivers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05037448
• Other study ID #: I00111417
• Status: Completed
• Phase: N/A
• Start date: August 17, 2020
• Est. completion date: February 28, 2021

Study information

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

Clinical Trial Summary

Due to Coronavirus-19, we are exploring the plausibility of delivering the Me & My Wishes intervention via telehealth.

Description:

Me & My Wishes are videos of nursing home residents talking about their preferences for care, including four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts. Knowing what residents want is essential to staff's ability to provide quality care and can inform family caregivers decision making especially in later stages of life as the resident's cognition declines-a time when family caregivers often feel unprepared. Persons with mild to moderate dementia can accurately express their everyday and end of life preferences, however, stereotypes persist about the decision making abilities of people with dementia that often prevent their involvement in conversations about care. The investigators propose to explore the feasibility of delivering Me & My Wishes via a telehealth platform.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 17
• Est. completion date: February 28, 2021
• Est. primary completion date: February 28, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Resident Inclusion Criteria:

• Identified as having Alzheimer's or related dementia
• Mild to moderate cognitive impairment (BIMS = 8-15, (MDS C0500) (nursing home residents only)
• Makes Self Understood = <1 (MDS B0700)/present in medical record
• Understood By Others = <1 (MDS B0800)/present in medical record
• Reside at the facility at least 2 weeks identified as a long-term resident
• Age >65 years
• Speaks English

Family Inclusion Criteria:

• Speaks English
• Willing and able to watch the videos
• Willing to complete short surveys. Being unable to attend care conference to view the video (e.g. due to distance) will not exclude family from participating.

Staff Inclusion Criteria:

• Speaks English
• Willing to watch the videos
• Willing to complete short surveys

Resident Exclusion Criteria:

• Limited communication capacity (e.g. aphasia)
• Comatose
• Cognitively intact
• Severe cognitive impairment

Related Conditions & MeSH terms

• Health Communication

Intervention

Behavioral:
• Me & My Wishes
Me & My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me & My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.

Locations

Country	Name	City	State
United States	Mission at Maple Springs	Brigham City	Utah
United States	Marquis Forest Grove Post Acute Rehab	Forest Grove	Oregon
United States	Marquis Wilsonville Assisted Living	Wilsonville	Oregon

Sponsors (3)

Lead Sponsor	Collaborator
University of Utah	Brown University, National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Feasibility of telehealth-delivered Me & My Wishes	ease of use, connecting to internet, communicating with participants. 1-5 scale 1 = strongly disagree, 5 = strongly agree; we also asked what worked well and what could go better	baseline
Primary	Feasibility of telehealth-delivered Me & My Wishes	ease of use, connecting to internet, communicating with participants. 1-5 scale 1 = strongly disagree, 5 = strongly agree; we also asked what worked well and what could go better	90 days