Palliative Care at Home for Dementia
Completed · Not applicable
Conditions studied: Dementia
In brief
The proposed project is a randomized controlled trial of a new home-based palliative care program for adults with advanced dementia and their caregivers within the Mount Sinai Health System. Potential subjects will be identified from Mount Sinai records or referred by a Mount Sinai healthcare provider. Patients will only be approached after authorization by their Mount Sinai physician. Participants who consent to enrollment will be randomized to receive the intervention (home-based palliative care program) or usual care (with their nominated Mount Sinai physician). Patients will be enrolled in the study for 6 months. Effectiveness of the intervention will be determined through assessment of patient and caregiver reported outcomes and abstraction of data from medical records and administrative claims. Impact on the following parameters will be measured: (i) Patient symptoms, quality of life, satisfaction with care, documentation of advanced directives, receipt of care consistent with preferences (ii) Caregiver burden, satisfaction with care, and depression (iii) Healthcare utilization and costs of care.
Key facts
- Study ID
- NCT03798327
- Run by
- Icahn School of Medicine at Mount Sinai
- People needed
- 60
- Starts
- 2018-11-01
- Expected to finish
- 2022-04-29
- Last updated by the study team
- 2025-06-18
Who can join
Age: 65 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Presence of advanced dementia
- Subject has a Mount Sinai physician who authorizes their participation in the study and receipt of the program
- Subject is resident in Manhattan outside of a long term care facility and is not receiving hospice 5.
- Subject has evidence of capacity to benefit from enrollment in palliative care program
- Subject is conversant in English or Spanish
- Subject has capacity to consent or has a caregiver who can provide consent for the patient
You may not qualify if…
- Subject has no usual physician within Mount Sinai
- Subject's usual physician doesn't provide authorization to patient participation
- Subject resident outside of Manhattan or in long term care facility or receiving hospice
- Subject is not conversant in English or Spanish
- Subject cannot provide consent or has no caregiver who can provide consent
Where it is running
- Mount Sinai Beth Israel — New York, New York, United States
- Mount Sinai West — New York, New York, United States
- Mount Sinai St. Luke's — New York, New York, United States
- Icahn School of Medicine at Mount Sinai — New York, New York, United States
Full record on ClinicalTrials.gov
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