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

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.

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Key information

Conditions

Dementia Brain Diseases Central Nervous System Diseases Mental Disorders Nervous System Diseases Neurocognitive Disorders

Age range

75 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

New York University School of Medicine

New York, 10016, United States

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

POISED Care

Other

Program of dementia care management.

Primary outcomes

Percentage of Participants With an Emergency Department (ED) Visit Within 6 Months After Enrollment

Time frame: Up to Month 6

Percentage of participants who visit the ED within 6 months of being enrolled.

Sponsors and collaborators

Lead sponsor

NYU Langone Health

Other

Collaborators

National Institute on Aging (NIA)
National Institutes of Health (NIH)

Registry information

Acronym: POISED

Important dates

Study start: 2018
Primary completion: 2021
Study completion: 2021
First posted: Oct 30, 2017
Registry last updated: Oct 16, 2024

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.

Published trials that share one or more normalized conditions with this study.

Completed