Phase 1 N=243 Supportive Care

Feasibility of a Systems Approach for Alzheimer's Services Among Latinos Attending Primary Care Practices

Dementia

Bottom Line

View on ClinicalTrials.gov: NCT04418232 ↗

Enrolled (actual)

243

Serious AEs

—

Results posted

Dec 2024

Primary outcome: Primary: Provider Recruitment Feasibility — 1.44 Providers trained per month

Study Design & Population

Study type: Interventional
Phase: Phase 1
Interventions: Alianza Latina (Combination_product)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: University of Kansas Medical Center
Primary completion: Aug 2024

Outcome Measures

Outcome	Result	p-value
PRIMARY Provider Recruitment Feasibility	1.44	—
PRIMARY Provider Retention Feasibility	11	—
PRIMARY Provider Fidelity Feasibility 1	1; 5; 19; 9; 8; 17	—
PRIMARY Provider Assessment Feasibility 1	43	—
PRIMARY Provider Fidelity Feasibility 2	5.77	—
PRIMARY Overall Provider Satisfaction With Training	0; 2; 4; 15; 21; 17	—
PRIMARY Importance of Navigators to Providers	0; 0; 0; 0; 1	—
PRIMARY Participant Recruitment Fidelity	78.7	—
PRIMARY Participant Retention Fidelity	69.3	—
PRIMARY Participant Assessment Fidelity	77	—
PRIMARY Participant Treatment Adherence	29	—
PRIMARY Overall Participant Satisfaction With the Clinic Side of the Intervention	7; 13; 52; 15; 12; 1	—
PRIMARY Overall Participant Satisfaction With the Navigator Side of the Intervention	0; 5; 43; 40; 12	—
PRIMARY Participant Suggestions of Improvement	88; 12	—
PRIMARY Practitioner Adherence to Guideline Recommendations	9	—
SECONDARY Patients' Behavioral Symptoms	0.58	—
SECONDARY Patients' Depression	-0.71	—
SECONDARY Patients' Quality of Life	0.42	—
SECONDARY Caregivers' Quality of Life	0.14	—
SECONDARY Caregivers' Depression	-0.43	—
SECONDARY Caregivers' Burden	0.34	—

Summary

The research team will train primary care practitioners from Kansas City clinics to enhance skills in cultural competence, dementia detection, treatment and referral to a Health Navigator among Latinos 65 and older with dementia. The Health Navigator will provide patient/caregiver dyads referred by Alianza Latina providers with care management, psychosocial support and links to relevant community resources. Outcomes include feasibility and acceptability of 1) PCP training and 2) patient and caregiver dementia care.

Eligibility Criteria

Inclusion Criteria for care recipients within the dyad:

Identify as Latino
Community dwelling
Diagnosed with mild cognitive impairment or dementia
Have a caregiver 18 years old or older
Have co-participant with access to a privately-owned cell phone with a flat fee for text messages

Inclusion Criteria for primary care providers:

Be 18 years old or older
Work as a primary care provider in the US

Exclusion Criteria for care recipients within the dyad:

Not identify as Latino
Not community dwelling
Not diagnosed with mild cognitive impairment or dementia
Not having a caregiver 18 years old or older
Not having a co-participant with access to a privately-owned cell phone with a flat fee for text messages

Exclusion Criteria for primary care providers:

Younger than 18 years old
Not work as a primary care provider in the US

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04418232). 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.