Lewy Body Dementia With Behavioral Disturbance, Lewy Body Disease, Lewy Body Parkinson Disease
Conditions
Brief summary
Lewy body dementia (LBD) is the 2nd most common neurodegenerative dementia in the US. Optimal care requires an interdisciplinary approach, however often faced barriers include rural residence, limited access to specialists, travel distance, limited awareness of resources, and physical, cognitive, and behavioral impairments making travel to appointments challenging. Delivering interdisciplinary care remotely using video technology has the potential to improve access to care for patients with LBD.
Detailed description
The purpose of this study is to convert an in-person patient-centric interdisciplinary care model to a virtual platform using stakeholder engagement from individuals with LBD, their caregivers and healthcare providers. Subsequently researchers will conduct a prospective, randomized, controlled pilot study implementing the virtual stakeholder developed interdisciplinary care model (tele-neurohub) for 6 month and assess the implementation outcomes of feasibility, acceptability, and appropriateness of the tele-neurohub model. The research goal is to establish and iteratively improve a virtual interdisciplinary model of care allowing patients with LBD and their caregivers to access sub-specialty care from their home.
Interventions
BEHAVIORALTele-neurohub
Interdisciplinary care delivered using telemedicine (zoom) technology which includes neurologist, physical, occupational and speech therapy, social worker and dietician.
Sponsors
University of Florida
National Institute on Aging (NIA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
tele-neurohub model of care
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
Participant with Lewy Body Dementia (LBD) Inclusion Criteria: * LBD diagnosis by a dementia or movement disorders specialist * Clinician-determined mild-moderate dementia severity * Internet access with a Zoom-compatible device * Caregiver who resides in the patient's home and is willing to participate * Fluency in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of completed tele-health visits | 6 months | Feasibility will be determined by completion of at least 75% telehealth visits by the intervention cohort |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction assessed by Patient Assessment of Communication of Telehealth questionnaire. | 6 months | Acceptability will be determined by at least 80% of dyads reporting being "satisfied" or "highly satisfied" on the Patient Assessment of Communication of Telehealth questionnaire. |
| Appropriateness assessed by Intervention Appropriateness Measure | 6 months | Appropriateness will be determined by the Intervention Appropriateness Measure, higher scores indicate greater appropriateness |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORBhavana Patel, DO
University of Florida
Outcome results
None listed