N/A
N=20
Community Paramedic Coaching Program for Caregivers and People With Dementia
Dementia
Bottom Line
View on ClinicalTrials.gov: NCT04239924 ↗Enrolled (actual)
20
Serious AEs
15.0%
Results posted
Aug 2023
Primary outcome: Primary: Number of Visits to the Emergency Department by the Person With Dementia — 15 visits to the Emergency Department
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Paramedic Coaching (Behavioral)
- Age
- Adult, Older Adult · 60+ yrs
- Sex
- All
- Sponsor
- University of Wisconsin, Madison
- Primary completion
- Jun 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Visits to the Emergency Department by the Person With Dementia |
15 | — |
| PRIMARY Number of Visits to the Emergency Department by the Caregiver of the Person With Dementia |
1 | — |
| PRIMARY Feasibility: Proportion of Coaching Phone Calls Completed |
27 | — |
| PRIMARY Feasibility: Proportion of Coaching Home Visits Completed |
82 | — |
| SECONDARY Change in Zarit Burden Interview (ZBI-12) Score |
13; 18.5; 15.75; 19 | — |
| SECONDARY Change in Generalized Anxiety Disorder (GAD-7) Score |
7.7; 5.5; 5.4; 4 | — |
| SECONDARY Change in Center for Epidemiologic Studies Depression Scale (CESD-10) |
7.7; 8.4; 7.3; 10 | — |
| SECONDARY Change in Revised Caregiving Satisfaction Scale (RCSS) |
24.1; 20.5; 22; 24 | — |
| SECONDARY Change in Revised Scale for Caregiving Self-Efficacy |
65.8; 71.6; 70.4; 77.6; 76.22; 78.4 | — |
| SECONDARY Change in Work-Family Conflict Scale (WFC) |
15 | — |
| SECONDARY Change in Caregiver Quality of Life (C-DEMQOL) Score |
20.4; 20.4; 20.5; 19.5 | — |
| SECONDARY Change in Knowledge of Dementia (DKAS) Score |
34.3; 35 | — |
| SECONDARY Clinic Utilization by Persons With Dementia |
— | — |
| SECONDARY Clinic Utilization by Caregivers of Persons With Dementia |
— | — |
| SECONDARY Change in Caregiver Perceptions About Communication With Clinical Team Members (CAPACITY) Measure |
32.3; 36.6 | — |
Summary
This pilot study is designed to evaluate the potential effectiveness of the implementation strategy and intervention delivery model of a community paramedic coaching program for caregivers of persons with dementia, in direct coordination with the participant and caregiver's primary health care team. Specifically, the acceptability, appropriateness, and feasibility of the program will be assessed, collecting data from all implementation stakeholders at baseline, 13 weeks, 25 weeks, and post-intervention (~50 weeks) using quantitative survey instruments and qualitative interviews.
Eligibility Criteria
Patient Inclusion Criteria:
- Diagnosis or indication in medical record of mild to moderate dementia (any subtype)
- English speaking
- Community-dwelling (independent and assisted living acceptable)
- Living with their primary informal caregiver
- Patient of a UW Health primary care provider affiliated with and participating in the study
Patient Exclusion Criteria:
- Receiving intensive care management services
- Receiving aggressive care for another condition (e.g., chemotherapy for cancer, surgery planned for problem)
- In isolation due to contagious illness
- Enrolled in home hospice
- Currently incarcerated, in police custody, or ward of the state
- Legally blind or deaf (unable to hear or see even with assistive devices)
- Lacks decisional capacity and no available legally authorized representative (LAR) to provide consent
- Patient refuses enrollment
Caregiver Inclusion Criteria:
- Adult informal caregiver (≥18 years old) of a person eligible for this study (determination based upon caregiver self-identification).
- Lives in the same household (primary residence) as the patient with dementia.
- Has a working telephone
- English speaking
- UW Health primary care provider
Caregiver Exclusion Criteria:
- Unable to participate in the program as defined
- Employed by a professional/private agency to provide care to the care recipient (i.e., professional caregiver, not an informal caregiver)
- Has a diagnosis of dementia or cognitive impairment causing functional impairment
- In isolation due to contagious illness
- Legally blind or deaf (unable to hear or see even with assistive devices)
- Refuses enrollment
Stakeholder Inclusion Criteria:
- Involved in the implementation study activities in related to the intervention, either as a clinician, member of the UW Health staff, paramedic coach, or social service provider.
Data sourced from ClinicalTrials.gov (NCT04239924). 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.