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Completed

NCT Number: NCT01283750

Maximizing Independence at Home (MIND at Home)

Funded by a unique private philanthropy and public coalition through THE ASSOCIATED: Jewish Community Federation of Baltimore, this project seeks to develop effective ways to deliver dementia care to older adults with memory disorders who live in the community. MIND at Home is an 18 month intervention research study whose goals are two-fold: To partner with community organizations to help proactively identify older adults in the Baltimore community who may need help related to memory disorders; To find out if providing person-centered, coordinated care will help older adults with memory disorders remain at home longer, as well other possible benefits. The investigators hypothesize that individuals with memory disorders that receive person-centered, coordinated care will have fewer unmet dementia-related needs, improved quality of life and function, fewer behavioral and depressive symptoms, and will be able to remain in their homes longer compared to individuals who receive augmented usual care.

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Key information

Conditions

Memory Disorders Brain Diseases Central Nervous System Diseases Dementia Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurocognitive Disorders Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

70 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Johns Hopkins University

Baltimore, Maryland, 21205, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 70+ years old
  • Community living (within one of 28 zip codes in Baltimore)
  • Has memory disorder
  • Has identified study partner willing to participate
  • English-speaking

Exclusion criteria

  • Situation at the time of referral is an emergency with risk of danger to individual or others
  • Presence of delirium or other rule outs for memory disorder

Treatment and study plan

Care Coordination

Behavioral

dementia-related care coordination

Primary outcomes

  1. Change in unmet dementia-related needs from Baseline to 18 months

    Time frame: 18 months

    Unmet dementia-related needs as measured by the Johns Hopkins Dementia Care Needs Assessment (JHDCNA), clinican-based assessment of 21 domains (92 individual items)

Secondary outcomes

  1. Change in quality of life from Baseline to 18 months

    Time frame: 18 month

    Participant quality of life measured by Quality of Life in Alzheimers Disease (QOL-AD) and Alzheimer's Disease Related Quality of life scale (ADRQL). Caregiver quality of life measured by SF-12.

  2. length of stay

    Time frame: 18 months

    Length of stay in the community assessed by number of days from initial study assessment to end of study observation or to date that the subject leaves their community-based residence (e.g. move to nursing home, assisted living, death) prior to end of study observation.

  3. neuropsychiatric behavior symptoms from baseline to 18 months

    Time frame: 18 month

    Neuropsychiatric behavior measured by the Neuropsychiatry Inventory Questionnaire

  4. day-to-day function from baseline to 18 months

    Time frame: 18 month

    Day-to-day function assessed by the Instrumental Activities of Daily Living Scale and the Psycho-geriatric Dependency Rating Scale

  5. health care utilization from baseline to 18 months

    Time frame: 18 month

    Inpatient, residential, Alzheimer Disease-related, mental health, and medical health care use measured by the SURFS

  6. depression from baseline to 18 months

    Time frame: 18 month

    Participant depression measured by the Cornell Scale for Depression (CSDD) in Dementia. Caregiver depression measured by the Geriatric Depression Scale (GDS).

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Collaborators

  • Baltimore County Department of Aging
  • Hirschhorn Foundation
  • Hoffberger Foundation
  • Jewish Community Federation of Baltimore
  • Jewish Community Services
  • Joseph and Harvey Meyerhoff Family Charitable Funds
  • Leonard & Helen R. Stulman Charitable Foundation
  • Levindale
  • Lois and Irving Blum Foundation
  • National Institute of Mental Health (NIMH)
  • National Institute on Aging (NIA)
  • The Harry & Jeanette Weinberg Foundation, Inc.
  • The Henry and Ruth Blaustein Rosenberg Foundation

Registry information

Official study title

Maximizing Independence at Home (MIND at Home): Dementia Care at Home Study

Important dates

Study start
2008
Primary completion
2011
Study completion
2012
First posted
Jan 26, 2011
Registry last updated
Nov 6, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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