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

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

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03378245

Acronym

TeleNH

Enrollment

Registered

2017-12-19

Start date

2013-09-30

Completion date

2020-07-31

Last updated

2021-08-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dementia Alzheimers, Disruptive Behavior

Brief summary

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.

Interventions

BEHAVIORALBehavioral modification and education on pharmacologic treatments.

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.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

SUPPORTIVE_CARE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

Dementia Care facility resident Problematic behavioral problems

Exclusion criteria

None

Design outcomes

Primary

Measure	Time frame	Description
Change in the Neuropsychiatric Inventory (NPI) total score	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

Measure	Time frame	Description
Change in the Resource Utilization in Dementia - Formal Care (RUD-FOCA)	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.
Change in Quality of Life in Alzheimers Dementia (QoL-AD)	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.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026