Community Health Worker-Led Transition Support for Persons Living With Dementia and Caregivers

Completed · Not applicable

Conditions studied: Cognitive Impairment, Dementia, Memory Deficits

In brief

The main purpose of this intervention study is to test if the community health worker (CHW)-led care transition support intervention is feasible and acceptable to the persons living with dementia (PLWD)'s caregivers, and other healthcare providers. Main hypotheses of the study are: 1. the CHW interventionist will adhere to the intervention protocol with the score of 80% or higher on the intervention fidelity checklist throughout the intervention delivery period; 2. caregiver participants in the intervention group will rate the intervention, and the CHW interventionist to be helpful and satisfactory at the end of the intervention; 3. intervention feasibility (as measured by intervention completion rate, i.e., number of participants completing the telephone sessions with the CHW coach, and participant assessment completion rate, i.e., number of participants completing each study assessment at baseline, 6, 12 weeks) will be at equal to or higher than 80%; and 4. intervention participants - patient and caregiver - outcomes will improve at post-discharge Week 12 follow up from baseline and Week 6.

Key facts

Study ID

NCT06831318

Run by

University of Texas at Austin

People needed

34

Starts

2024-08-12

Expected to finish

2025-12-31

Last updated by the study team

2026-04-07

Who can join

Age: 18 and older, up to 100. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Hospitalized Patients:
• Aged 50 or older
• Has confirmed or suspected dementia or cognitive impairment (i.e., having memory concerns) ;
• Has FAST score 4-6;
• Admitted from home (not a long-term care facility)
• Family Caregiver:
• Aged 18 or older;
• English or Spanish speaking;
• Patient's relative, or partner who assists with medical care on a regular basis and who may or may not live in the same residence and who is not paid for their help; and
• Legally authorized representative (LAR) for the patient if the patient is not able to consent for themselves in the study.
• Staff Participants:
• Aged 18 and older,
• English speaking,
• Employed full-time or part-time at or affiliated with either site, and
• Involved directly or indirectly with patient care (i.e., administrative or non-clinical support staff) such as: nurses, physicians, physician assistants, care managers, social workers, chaplains, discharge planners, IT staff, administrative managers
• Key Informants:
• For hospital staff key informants, same eligibility criteria as above
• For family caregivers (current or formal)
• Aged 18 or older;
• English or Spanish speaking;
• Currently or previously were caring for a relative with dementia
• Content experts or community service providers:
• Aged 18 or older;
• English or Spanish speaking;
• Have professional experience working with and/or have expertise about dementia care and caregiving or related areas (e.g., aging service providers, staff at Alzheimer's association, scholars in the area of aging, dementia, caregiving, or care transition)

You may not qualify if…

• Hospitalized Patients:
• Patients who do not meet eligibility criteria
• Patients who are eligible for hospice
• Caregivers:
• Caregivers who do not meet the eligibility criteria
• Staff participants:
• Staff who do not meet the eligibility criteria
• Staff who do not speak English
• Key Informants:
• Individuals who do not meet the eligibility criteria

Where it is running

• Dell Seton Medical Center — Austin, Texas, United States

Full record on ClinicalTrials.gov

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