None listed
Conditions
Brief summary
The purpose of this study is to compare an intervention consisting of an intensive Alzheimer’s Disease and related disorders (ADRD) training and continuing support for primary care providers as well as enhanced availability of community counseling and support resources for their referred patients and caregivers, to usual dementia care. Outcomes of interest include perceived knowledge and practice changes of physicians post-training, numbers of ADRD diagnoses and referrals, satisfaction with services and caregiving burden reported by caregivers, rates of hospitalization and nursing home placement of persons with ADRD and estimated costs of services received and health services utilized.
Interventions
A one-day intensive dementia care preceptorship for primary care physicians, including resource materials, newsletter updates and informal neurological consultations if desired.
Linkage to a direct, single entry point referral system through Project CARE ("Caregiver Alternatives to Running on Empty") via phoned or faxed referrals from the physicians trained at the preceptorship. This is a family consultant program for families caring for someone with dementia at home which will link families to
A one-day intensive dementia care preceptorship for primary care physicians, including resource materials, newsletter updates and informal neurological consultations if desired. Linkage to a direct, single entry point referral system through Project CARE ("Caregiver Alternatives to Running on Empty") via phoned or faxed referrals from the physicians trained at the preceptorship. This is a family consultant program for families caring for someone with dementia at home which will link families to a host of services including in home evaluations, respite care, legal services, etc. Services will be studied in the 10 months post-preceptorship but will be available indefinitely as the funding provides.
Sponsors
Philip Sloane, MD
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes
Inclusion criteria
Providers must be active primary care MDs (with Internal Medicine or Family Medicine specialties) who practice in the 4 targeted counties (Alamance, Guilford, Rockingham and Caswell, NC) and provide care for large numbers of community dwelling older persons. Patients and their caregivers (both interviewed and studied through existing Medicare data only) will be included if the patient is community-dwelling with the caregiver at the time of data request, are diagnosed with dementia (using a list of diagnostics codes for dementia), and are active patients of enrolled physicians who have been seen in the office post-preceptorship. For the caregivers, they must have English as their primary spoken language
Exclusion criteria
Non-English speaking caregivers will be excluded.
Outcome results
None listed