Alzheimer's Disease and Related Dementias (ADRD)
Conditions
Keywords
dementia, informal caregiver, care consultation, care coordination
Brief summary
This is a randomized, pragmatic clinical trial to evaluate the effectiveness of a collaborative care-coordination program embedded in a health plan for people living with Alzheimer's disease and related dementias (ADRD) and their care partners versus usual care. The study population will include community-dwelling Medicare Advantage members living with ADRD and their care partners. Outcomes will be healthcare utilization outcomes of individuals with ADRD and include emergency department visits, outpatient visits, avoidable emergency department visits, and admission to long-term care facilities.
Interventions
BEHAVIORALDementia Care Consultation program
The Dementia Care Consultation program uses a telephone-based intervention to provide an in-depth, personalized service for individuals living with ADRD and their care partners. It consists of comprehensive needs assessments, creation and implementation of personalized care plans, monitoring and revising care plans, disease education and support coaching, referrals to community-based organizations for service and support, and access to assistance.
Sponsors
Harvard Pilgrim Health Care
Tufts Health Plan
National Institute on Aging (NIA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Community-dwelling Tufts Health Plan Medicare Advantage members with ADRD and their caregivers will be selected to participate in the trial based on the following inclusion/
Exclusion criteria
Inclusion Criteria (for members with ADRD) * Member of Tufts Health Plan Medicare Advantage plan * Medical and pharmacy insurance coverage in at least the prior 12 months * Have ≥1 ICD-10-CM diagnosis code for ADRD or dispensing for pharmacological treatment for ADRD in the prior 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause emergency department visits | by 12 months | Number of all-cause emergency department visits per member living with ADRD over the 12-month follow-up period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Outpatient visits | by 12 months | Number of outpatient visits per member living with ADRD over the 12-month follow-up period. |
| Avoidable emergency department visits | by 12 months | Number avoidable emergency department visits (defined using the validated New York University ED visit algorithm) per member living with ADRD over the 12-month follow-up period. |
| Admission to long-term care facilities | by 12 months | Number of members living with ADRD with the first admission to long-term care facilities over the 12-month follow-up period. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORXiaojuan Li, PhD MSPH
Harvard Pilgrim Health Care Institute
PRINCIPAL_INVESTIGATORRichard Platt, MD MS
Harvard Pilgrim Health Care Institute
Outcome results
None listed