N/A
N=80
Video-Enhanced Care Management for Medically Complex Veterans
Multimorbidity · Cognitive Impairments
Bottom Line
View on ClinicalTrials.gov: NCT02962687 ↗Enrolled (actual)
80
Serious AEs
2.5%
Results posted
Sep 2019
Primary outcome: Primary: Number of Participants Reporting That They Would Be Likely to See a Healthcare Provider Using Videochat — 6; 5 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Care management via videoconference (Behavioral); Care management via telephone calls (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Feb 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Reporting That They Would Be Likely to See a Healthcare Provider Using Videochat |
6; 5 | — |
| PRIMARY Number of Scheduled Intervention Phone or Video Calls Completed by Participants |
46; 53 | — |
| PRIMARY Usability of Video-Enhanced Care Management for Medically Complex Veterans With CI |
59.3 | — |
Summary
The purpose of this study is to examine the feasibility and acceptability of a 12-week care management program for medically complex Veterans with cognitive impairment, delivered via telephone or videoconferencing.
Eligibility Criteria
Inclusion Criteria
- Receive primary care from a Durham Veterans Affairs Medical Center (VAMC) affiliated primary care clinic (1 visit within the previous 12 months)
- Age > or = 65
- CAN score > or = 90
- Valid telephone number in the medical record
- Identifies a friend or family member that we may contact for study participation as the Care Partner
- Telephone Instrument for Cognitive Status - modified (TICS-m) score 20-31
Exclusion Criteria
- Cognitive impairment or dementia (identified via ICD diagnosis codes or Primary Care Provider note in previous 2 years)
- Enrolled in or have an active consult for a special population Patient Aligned Care Teams (PACT), e.g.:
- GeriPACT
- Home Based Primary Care
- Mental Health
- Post-Deployment, etc.
- Serious mental illness defined as diagnosis of psychosis of any type:
- schizophrenia
- bipolar disorder
- psychiatric hospitalization in the previous year
- or current high-risk suicide flag in their Computerized Patient Record System (CPRS) medical record
- Active substance abuse, documented in the medical record within the previous year
- Eligible for hospice, palliative care, or prognosis of less than 6 months to live
- Lacks decision-making capacity, documented in the medical record
- Referred to institutional care or residing in nursing home
- Unable to communicate on the telephone, or no telephone access for duration of study
- Currently hospitalized or incapacitated
- Enrolled in a study that prohibits participation in another study
Data sourced from ClinicalTrials.gov (NCT02962687). 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.