N/A
N=804
Educational Video to Improve Nursing Home Care in End-stage Dementia
Advanced Dementia
Bottom Line
View on ClinicalTrials.gov: NCT01774799 ↗Enrolled (actual)
804
Serious AEs
0.0%
Results posted
Oct 2019
Primary outcome: Primary: Documented Decisions to Forgo Hospitalization — 133; 119 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Advance care planning intervention (Behavioral); Control group (Other)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Hebrew SeniorLife
- Primary completion
- Aug 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Documented Decisions to Forgo Hospitalization |
133; 119 | — |
| SECONDARY Acquisition of Decisions Not to Hospitalize |
41; 30 | — |
| SECONDARY Acquisition of Preference for Level of Care |
151; 133 | — |
Summary
This is a 5-year cluster RCT of a video Advance Care Planning intervention vs. control among 360 nursing home residents with advanced dementia (N=180/arm) in 20 matched nursing homes (10 intervention/10 control). Clinical outcomes will be collected at baseline, and quarterly (up to 12-months) regarding goals of care preferences, advance care planning, and treatments received. The primary outcome is decisions not to be hospitalized at 6 months.
Eligibility Criteria
Inclusion Criteria
- Age > 65
- A diagnosis of dementia (any type)
- Global Deterioration Scale (GDS) score of 7
- Nursing home length of stay > 30 days
- Proxy is available who can speak in English
- Proxy must either live within a 60 mile radius of Boston or be available to come to the residents nursing home within 2 weeks of recruitment in order to conduct the in-person baseline interview.
Exclusion Criteria
- Residents with cognitive impairment due to causes other than dementia (e.g. head trauma) and in short-term, sub-acute SNFs will be excluded
Data sourced from ClinicalTrials.gov (NCT01774799). 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.