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Journal article
MIND at Home-Streamlined: Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers
Contemporary clinical trials, v 71, pp 103-112
Aug 2018
PMID: 29783091
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Dementia is associated with high health care costs, premature long-term care (LTC) placement, medical complications, reduced quality of life, and caregiver burden. Most health care providers and systems are not yet organized or equipped to provide comprehensive long-term care management for dementia, although a range of effective symptoms and supportive care approaches exist. The Maximizing Independence at Home-Streamlined (MIND-S) is a promising model of home-based dementia care coordination designed to efficiently improve person-centered outcomes, while reducing care costs. This report describes the rationale and design of an NIA-funded randomized controlled trial to test the impact of MIND-S on time to LTC placement, person with dementia outcomes (unmet needs, behavior, quality of life), family caregiver outcomes (unmet needs, burden), and cost offset at 18 (primary end point) and 24 months, compared to an augmented usual care group.
This is a 24-month, parallel group, randomized trial evaluating MIND-S in a cohort of 304 community-living persons with dementia and their family caregivers in Maryland. MIND-S dyads receive 18 months of care coordination by an interdisciplinary team comprised of trained non-clinical community workers (e.g. Memory Care Coordinators), a registered nurse, and a geriatric psychiatrist. Intervention components include in-home dementia-related needs assessments; individualized care planning; implementation of standardized evidence-based care strategy protocols; and ongoing monitoring and reassessment. Outcomes are assessed by blinded evaluators at baseline, 4.5, 9, 13.5, 18, and 24 months.
Trial results will provide rigorous data to inform innovations in effective system-level approaches to dementia care.
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Details
- Title
- MIND at Home-Streamlined: Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers
- Creators
- Quincy M Samus - Johns Hopkins MedicineBetty S Black - Johns Hopkins MedicineMelissa Reuland - Johns Hopkins MedicineJeannie-Marie S Leoutsakos - Johns Hopkins MedicineLaura Pizzi - Rutgers, The State University of New JerseyKevin D Frick - Johns Hopkins UniversityDavid L Roth - Johns Hopkins MedicineLaura N Gitlin - Drexel UniversityConstantine G Lyketsos - Johns Hopkins MedicineDeirdre Johnston - Johns Hopkins Medicine
- Publication Details
- Contemporary clinical trials, v 71, pp 103-112
- Publisher
- Elsevier
- Grant note
- P50 AG005146 / NIA NIH HHS R01 AG046274 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000442003600013
- Scopus ID
- 2-s2.0-85048550720
- Other Identifier
- 991019169810004721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, Research & Experimental
- Pharmacology & Pharmacy