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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Health Services Utilization in Older Adults with Dementia Receiving CareCoordination: The MIND at Home Trial
Health services research, v 53(1), pp 556-579
01 Feb 2018
PMID: 28083879
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
ObjectiveTo investigate effects of a novel dementia care coordination program on health services utilization.
Data Sources/Study SettingA total of 303 community-dwelling adults aged 70 with a cognitive disorder in Baltimore, Maryland (2008-2011).
Study DesignSingle-blind RCT evaluating efficacy of an 18-month care coordination intervention delivered through community-based nonclinical care coordinators, supported by an interdisciplinary clinical team.
Data Collection/Extraction MethodsStudy partners reported acute care/inpatient, outpatient, and home- and community-based service utilization at baseline, 9, and 18months.
Principal FindingsFrom baseline to 18months, there were no significant group differences in acute care/inpatient or total outpatient services use, although intervention participants had significantly increased outpatient dementia/mental health visits from 9 to 18months (p=.04) relative to controls. Home and community-based support service use significantly increased from baseline to 18months in the intervention compared to control (p=.005).
ConclusionsWhile this dementia care coordination program did not impact acute care/inpatient services utilization, it increased use of dementia-related outpatient medical care and nonmedical supportive community services, a combination that may have helped participants remain at home longer. Future care model modifications that emphasize delirium, falls prevention, and behavior management may be needed to influence inpatient service use.
Metrics
Details
- Title
- Health Services Utilization in Older Adults with Dementia Receiving CareCoordination: The MIND at Home Trial
- Creators
- Halima Amjad - Johns Hopkins MedicineStephanie K. Wong - Rowan UniversityDavid L. Roth - Johns Hopkins UniversityJin Huang - Johns Hopkins UniversityAmber Willink - Johns Hopkins UniversityBetty S. Black - Johns Hopkins MedicineDeirdre Johnston - Johns Hopkins MedicinePeter V. Rabins - Johns Hopkins MedicineLaura N. Gitlin - Johns Hopkins UniversityConstantine G. Lyketsos - Johns Hopkins MedicineQuincy M. Samus - Johns Hopkins Medicine
- Publication Details
- Health services research, v 53(1), pp 556-579
- Publisher
- Wiley
- Number of pages
- 24
- Grant note
- K01 MH085142 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) MSTAR (Medical Student Training in Aging and Research) program grant through National Institute on Aging P50AG005146 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) Ortho-McNeil Bristol-Myers; Bristol-Myers Squibb Weinberg Foundation Moser Family Philanthropic Fund Elan Forest Lowell Glazer Greif Family Fund KL2TR001077 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) Stulman Charitable Foundation NIA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) Hoffberger Family Fund Functional Neuromodulation Inc. Baltimore County Department of Aging Pfizer Richard and Rosalee Davison Astra-Zeneca; AstraZeneca MSTAR (Medical Student Training in Aging and Research) program grant through the American Federation for Aging Research Novartis K01MH085142 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) Lilly; Eli Lilly Blum Family Janssen; Johnson & Johnson; Johnson & Johnson USA; Janssen Biotech Inc Hirschhorn Foundation Associated Jewish Federation of Baltimore Lois and Phillip Macht Eliasberg Family Foundation Eisai; Eisai Co Ltd The Harry and Jeannette Weinberg Foundation NIMH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) Rosenberg Foundation National Football League Marvin Schapiro Family Foundation Glaxo-Smith-Kline; GlaxoSmithKline Meyerhoff Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000423416400030
- Scopus ID
- 2-s2.0-85010685764
- Other Identifier
- 991020112017804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services