N/A N=178 Supportive Care

Patient Priorities Care Among Persons Living With Mild Cognitive Impairment and Dementia

Dementia · Mild Cognitive Impairment

Bottom Line

View on ClinicalTrials.gov: NCT06001775 ↗

Enrolled (actual)

178

Serious AEs

0.0%

Results posted

Feb 2026

Primary outcome: Primary: Documentation of PPC Discussion — 72; 106 Participants

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Patient Priorities Care (Behavioral)
Age: Adult, Older Adult · 40+ yrs
Sex: All
Sponsor: Indiana University
Primary completion: Feb 2025

Outcome Measures

Outcome	Result	p-value
PRIMARY Documentation of PPC Discussion	72; 106	—
SECONDARY Identification of a Care Partner	—	—
SECONDARY Acceptability	—	—
SECONDARY Appropriateness	—	—
SECONDARY Feasibility of the Intervention	—	—
SECONDARY Fidelity to the Intervention	—	—
SECONDARY Potential for Future Adoption of Patient Priorities Care Intervention	—	—
SECONDARY Number of Patient Days at Home	—	—
SECONDARY Number of Total Medications	—	—
SECONDARY Number of New Referrals to Specialist Physicians	—	—
SECONDARY Number of Patients Across Racial, Ethnic, and Socioeconomic Subgroups With Documentation of Patient Priorities Care Discussion in the Electronic Health Record	—	—
SECONDARY Acceptability Across Racial, Ethnic, and Socioeconomic Subgroups.	—	—
SECONDARY Number of Patients With Social Factors Indicated in the Electronic Health Record	—	—

Summary

The goal of this pragmatic, embedded clinical trial is to analyze the implementation of Patient Priorities Care in primary care and geriatrics clinics with patients living with dementia or mild cognitive impairment. This study aims are: * demonstrate the feasibility of using the electronic health record to identify a diverse cohort of eligible patients who will engage in a Patient Priorities Care conversation with a trained facilitator. * demonstrate feasibility of pragmatically assessing clinical outcomes using the electronic health record, including a) number of days at home, b) total medications, and c) new referrals to specialist physicians. * examine key feasibility measures across racial, ethnic, and socioeconomic subgroups. Participants will receive a packet of information about Patient Priorities Care from their primary care clinic, in advance of their next upcoming clinic appointment. Individuals who receive a packet will have the opportunity to engage in a conversation about what matters most to them and what their priorities are, with trained facilitators at the clinic.

Eligibility Criteria

Inclusion Criteria

Patient Inclusion Criteria

Patients must meet all of the following criteria to participate in this study:

40 years or older
English-speaking at both Indiana sites or English and/or Spanish speaking at the University of Texas site
Receiving care with a participating physician
Has a scheduled outpatient care visit within 1-2 months (60 days)
Individual has a diagnosis of MCI or dementia

Definition: To identify individuals with dementia and MCI, we will use two or more instances of use of an ICD-10 code for either diagnosis in the EHR within 24 months. Typically, we would include instances of these billing codes within a year of each other but, due to the COVID-19 pandemic, recognize that there may be less frequent clinical visits and less robust billing. Diagnostic codes include:

F01.50, F01.51, F02.80, F02.81, F03.90, G30.0, G30.1, G30.8, G30.9, G31.01, G31.09, G31.1, G31.2, F41.81, G31.84 and F03.91.

Care Partner Inclusion Criteria

Care partners must meet all of the following criteria to participate in the study:

18 years or older
English-speaking at both Indiana sites or English and/or Spanish speaking at the University of Texas site

A note about inclusion of care partners: Clinician determination of a patient's capacity to participate in a visit independently is part of a pragmatic approach. This means that clinic staff will determine when a care partner is needed. Generally, we act under the assumption that patients who require a care partner will have already included them in previous visits and/or provider communications (and we anticipate that this will be documented in the EHR), whereas patients who attend clinic visits independently and have no documentation indicating the involvement of a care partner in their medical decisions, or a need for one, will be determined to have the capacity to also participate in a PPC visit.

Exclusion Criteria

Participants who meet any of the following criteria will be excluded from the study:

Is not community-dwelling- e.g. lives in a nursing home
Is enrolled in hospice
Individuals who decline to receive the PPC intervention (i.e. decline to have the PPC conversation) will be excluded from the study.
Note that declining to receive the PPC intervention will in no way impact the care that patients receive now or in the future.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT06001775). 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.