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Completed

NCT Number: NCT03378245

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

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.

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Key information

Conditions

Dementia Alzheimers Alzheimer Disease Behavior Behavioral Symptoms Brain Diseases Central Nervous System Diseases Child Behavior Dementia Disruptive Behavior Mental Disorders Nervous System Diseases Neurocognitive Disorders Neurodegenerative Diseases Problem Behavior Tauopathies

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Kentucky

Lexington, Kentucky, 40536, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Dementia Care facility resident Problematic behavioral problems

Exclusion criteria

None

Treatment and study plan

Behavioral modification and education on pharmacologic treatments.

Behavioral

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.

Primary outcomes

  1. Change in the Neuropsychiatric Inventory (NPI) total score

    Time frame: 6 months

    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

Secondary outcomes

  1. Change in the Resource Utilization in Dementia - Formal Care (RUD-FOCA)

    Time frame: 6 months

    The RUD-FOCA records the care time in three areas: activities of daily living (ADL), instrumental activities of daily living (IADL) and supervision.

  2. Change in Quality of Life in Alzheimers Dementia (QoL-AD)

    Time frame: 6 months.

    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.

Sponsors and collaborators

Lead sponsor

Richard Ronan Murphy

Other

Registry information

Official study title

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

Acronym: TeleNH

Important dates

Study start
2013
Primary completion
2020
Study completion
2020
First posted
Dec 19, 2017
Registry last updated
Aug 16, 2021

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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