Educational Video to Improve Nursing Home Care in End-stage Dementia

Completed · Not applicable

Conditions studied: Advanced Dementia

In brief

This is a 5-year cluster RCT of a video Advance Care Planning intervention vs. control among 360 nursing home residents with advanced dementia (N=180/arm) in 20 matched nursing homes (10 intervention/10 control). Clinical outcomes will be collected at baseline, and quarterly (up to 12-months) regarding goals of care preferences, advance care planning, and treatments received. The primary outcome is decisions not to be hospitalized at 6 months.

Key facts

Study ID

NCT01774799

Run by

Hebrew SeniorLife

People needed

804

Starts

2013-03-01

Expected to finish

2017-08-01

Last updated by the study team

2019-10-23

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age > 65
• A diagnosis of dementia (any type)
• Global Deterioration Scale (GDS) score of 7
• Nursing home length of stay > 30 days
• Proxy is available who can speak in English
• Proxy must either live within a 60 mile radius of Boston or be available to come to the residents nursing home within 2 weeks of recruitment in order to conduct the in-person baseline interview.

You may not qualify if…

• Residents with cognitive impairment due to causes other than dementia (e.g. head trauma) and in short-term, sub-acute SNFs will be excluded

Where it is running

• Hebrew Rehabilitation Center — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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