Recruiting

Observational Study

Sponsor:

VA Greater Los Angeles Healthcare System

Code:

NCT01182987

Conditions

Dementia

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Dementia Care Management

Study Details

Brief summary:

The SCAN Memory Program Evaluation study is an evaluation of a randomized controlled trial intervention consisting of a care management program for cognitively-impaired health plan members and for their informal/family caregivers. The program includes collaboration between the health plan, partnering medical groups, and community organizations.

Program activities include: 1) telephonic-structured assessments with informal caregivers conducted by SCAN Memory Program care managers; 2) problem identification as a result of these assessments; and 3) pre-established protocols and procedures for problem resolution. ACCESS, the prototype for the SCAN Memory Program, was developed and tested in San Diego County and was very successful in helping affected patients and their caregivers.

Conditions

Dementia

Study ID

NCT01182987

Start date

Oct, 2009

Status verified date

Aug, 2010

Completion date

Mar, 2012

Anticipated

Primary completion date

Dec, 2011

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria: Health plan member eligibility includes having a visit-based ICD-9 diagnostic code for dementia or a dementia-specific medication (including donepezil, rivastigmine, galantamine, and memantine) within administrative data any time prior to data inquiry for potential subjects. The health plan member must have a caregiver who can communicate by telephone and though that person might also be a health plan member, health plan membership for caregivers is not required. All subjects must be living in the community and if in a nursing facility, this must be for rehabilitation or respite care but not for long term care. Caregivers must be able to communicate in English or Spanish.

Exclusion Criteria: Person with dementia whose potential participation is declined by their physician. Those who do not have a family or informal caregiver cannot participate and caregivers who do no have telephone access or the capacity to consent to research evaluation are excluded. Patients who reside in nursing facilities as permanent residents are not eligible.

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Study Design

Enrollment

500 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

active comparator: Dementia care management

Patients and family caregivers will be offered dementia care management, which includes detailed comprehensive assessment, education, counseling, referrals to community agencies, collaboration with medical providers and frequent telephone follow-up

no intervention: Usual care

Patients and care family care givers will receive usual support and medical care offered by the health plan.

Interventions

Dementia Care Management

The SCAN Memory Program is a care management program for cognitively-impaired SCAN members and for their informal/family caregivers. The program includes collaboration between SCAN Health Plan, partnering medical groups, and community organizations.

Program activities include: 1) telephonic-structured assessments with informal caregivers conducted by SCAN Memory Program care managers; 2) problem identification as a result of these assessments; and 3) pre-established protocols and procedures for problem resolution.

Primary outcome measure

  • Guideline Adherence [ Time Frame: 18 months of longer ]
  • Program feasibility and fidelity [ Time Frame: 6 to 18 months ]
  • Healthcare utilization [ Time Frame: 18 months ]

Central Contacts and Locations

Central contacts

Karen Connor, RN, MBA, PhD

310-268-3975kiconnor@ucla.edu

Locations

Davis Research

Recruiting

Calabasas, California, United States

Contacts

VA Greater Los Angeles Healthcare System

Recruiting

Los Angeles, California, United States, 90073

Contacts

Karen Connor, RN, MBA, PhD

310-268-3975kiconnor@ucla.edu

More Information

Sponsor

VA Greater Los Angeles Healthcare System

Last update posted

Aug 17, 2010

Last verified

Aug, 2010

Keywords

  • Quality improvement
  • Quality of care
  • Health care utilization
  • Behavioral change

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by VA Greater Los Angeles Healthcare System on 2010-08-17.