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N/A N=144 Randomized Single-blind Health Services Research

Comparative Effectiveness of Dementia Care Strategies in Underserved Communities

Dementia

Enrolled (actual)
144
Serious AEs
0.0%
Results posted
May 2015
Primary outcome: Primary: Change in Caregiver Burden at 6 and 12 Months — 29.99; 30.09; 28.1; 28.13 units on a scale — p=0.76

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Dementia care management (Behavioral)
Age
Adult, Older Adult · 21+ yrs
Sex
All
Sponsor
RAND
Primary completion
Oct 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Caregiver Burden at 6 and 12 Months
29.99; 30.09; 28.1; 28.13; 30.07; 30.91 0.76
PRIMARY
Change in Care Recipient Memory and Problem Behaviors at 6 and 12 Months
9.68; 8.53; 8.2; 9.26; 9.44; 9.43 0.49
SECONDARY
Change in Caregiver Depression at 6 and 12 Months
SECONDARY
Change in Caregiver Quality of Life at 6 and 12 Months
SECONDARY
Change in Care Recipient Quality of Life at 6 and 12 Months
SECONDARY
Change in Process Measures of Dementia Care Quality at 6 and 12 Months

Summary

Dementia is a condition that is growing in prevalence and which harms not only the afflicted individual but also adversely affects the health of their family and other informal caregivers. New methods for delivering comprehensive assistance to persons with dementia and their caregivers are known to be effective and can delay nursing home placement, but this study will discover 1) whether more face-to-face involvement rather than telephone delivery of this assistance will work better among poor patients in Los Angeles, and 2) if one method is better than the other, what are the differences in costs between them. These data will enable administrators in public health care settings around the US and non-profit foundations addressing dementia patient and caregiver needs to decide what method provides the best value and the best outcome relative to its cost.

Eligibility Criteria

Inclusion Criteria

  • Caregivers of persons with dementia
  • Caregivers must either live with the care recipient (person with dementia) or be the identified primary support
  • Caregiver relationship must have been present for the prior 6 months
  • Caregivers must have telephone access
  • Caregivers must speak English or Spanish
  • Care recipients must have a prior dementia diagnosis
  • Care recipients must be living in the community other than a nursing facility

Exclusion Criteria

  • Persons with dementia, lacking an informal caregiver who can communicate in Spanish or English, or living in a long term care facility
  • Caregiver lacks the capacity to consent to study participation
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01459783). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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