Journal article
Training to Move an Evidence-based Dementia Caregiver Support Program into Practice: A pragmatic, randomized, non-inferiority trial protocol
Contemporary clinical trials communications, v 45, pp 101478-101478
Jun 2025
PMID: 40248174
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Despite over 200 evidence-based dementia caregiver programs, we know little about the best approaches for optimally scaling these programs in daily service contexts, nor do we fully understand the most effective approaches of ensuring successful implementation . As a result, a small fraction of the many individuals living with dementia and their caregivers within in the US have access to evidence-based programs. A leading barrier to implementation of evidence-based dementia caregiver support programs into long-term care settings is the lack of streamlined, scalable, user-friendly, and tested training modalities.
To describe the protocol for a study evaluating the implementation of the Care of Persons in their Environment (COPE) in Programs of All-Inclusive Care for the Elderly (PACE) setting. The COPE in PACE study aims to determine if self-paced, online training in the evidence-based dementia care program COPE is non-inferior to the traditional, in-person, instructor-led training for improving clinician knowledge and competence, patient symptoms, function, caregiver confidence and burden, and therapeutic alliance between clinicians and caregivers.
Methods/Design: Pragmatic, multisite randomized controlled non-inferiority trial is being used to assess the implementation of COPE into PACE. The study utilizes a type III hybrid effectiveness design with a primary focus on measuring implementation factors and a secondary focus on measuring COPE effectiveness through caregiver and patient outcomes and therapeutic alliance. The ‘COPE in PACE’ study is an ongoing trial being conducted in 10 PACE settings throughout the US (NCT04165213).
This study design has potential to guide future translational efforts by providing program adaptation, fidelity monitoring and implementation details to enhance scalability of evidence-based programs.
This research was supported by the National Institute on Aging grant R01AG061945.
“The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health”
NCT04165213
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Details
- Title
- Training to Move an Evidence-based Dementia Caregiver Support Program into Practice: A pragmatic, randomized, non-inferiority trial protocol
- Creators
- Nancy A. Hodgson - University of PennsylvaniaMiranda V. McPhillips - Villanova UniversityKaren B. Hirschman - University of PennsylvaniaEmily Summerhayes - University of PennsylvaniaCatherine Verrier Piersol - Thomas Jefferson UniversityLaura N. Gitlin - College of Nursing and Health Professions, Drexel University, Philadelphia, PA
- Publication Details
- Contemporary clinical trials communications, v 45, pp 101478-101478
- Publisher
- Elsevier Inc
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:001466544800001
- Scopus ID
- 2-s2.0-105001801714
- Other Identifier
- 991022047146204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, Research & Experimental