A Trial of the C-TraC Intervention for Dementia Patients
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 11/23/2018 |
| Start Date: | March 2015 |
| End Date: | March 2019 |
| Contact: | Amy J Kind, MD, PhD |
| Email: | ajk@medicine.wisc.edu |
| Phone: | (608) 280-7000 |
A Randomized Control Trial of the Coordinated-Transitional Care (C-TraC) Intervention for Dementia Patients
The goal of the project is to conduct a prospective, randomized-controlled clinical trial to
determine the extent to which the Coordinated-Transitional Care (C-TraC) program impacts
transitional care quality, patient cognition/function, caregiver stress and 30-day
rehospitalizations in patients with documented diagnoses of dementia discharged from the
hospital to the community.
determine the extent to which the Coordinated-Transitional Care (C-TraC) program impacts
transitional care quality, patient cognition/function, caregiver stress and 30-day
rehospitalizations in patients with documented diagnoses of dementia discharged from the
hospital to the community.
Patients with dementia often experience poor quality transitions from the hospital to the
community. In response, the investigators developed and piloted the Coordinated-Transitional
Care (C-TraC) program--a low-cost, telephone-based intervention designed to improve care
coordination and outcomes in hospitalized patients with dementia or other high-risk
conditions discharged to community settings.
A single-blind, prospective, randomized-controlled trial will be used with participants being
randomly assigned to receive usual (i.e. standard) care, or usual care plus the C-TraC
intervention. Outcomes will be assessed via scheduled phone-calls at 14, 30, and 90 days
post-hospitalization. A 45-day phone call will also be conducted to complete a brief
satisfaction survey with the caregiver about their post-hospital experience.
community. In response, the investigators developed and piloted the Coordinated-Transitional
Care (C-TraC) program--a low-cost, telephone-based intervention designed to improve care
coordination and outcomes in hospitalized patients with dementia or other high-risk
conditions discharged to community settings.
A single-blind, prospective, randomized-controlled trial will be used with participants being
randomly assigned to receive usual (i.e. standard) care, or usual care plus the C-TraC
intervention. Outcomes will be assessed via scheduled phone-calls at 14, 30, and 90 days
post-hospitalization. A 45-day phone call will also be conducted to complete a brief
satisfaction survey with the caregiver about their post-hospital experience.
Patient Inclusion Criteria:
- English-speaking
- Have a working telephone
- Hospitalized on medical inpatient wards at UWHC
- A documented pre-hospitalization diagnosis of dementia.
- Alzheimer's Disease Cooperative Study - Clinical Dementia Rating (ADCS-CDR) score of >
0
- Have a family member/informal caregiver who has regular contact with them in the
community setting
Caregiver Inclusion Criteria:
- English-speaking
- Have a working telephone
- Have contact with patient a minimum of once per week
Patient Exclusion Criteria:
- Discharged to institutional settings
- No identified caregiver
- Discharged to hospice
- Followed by complex case management or any form of intensive case management (e.g.
transplant, congestive heart failure, dialysis)
- Score moderate-high on modified ASSIST tool for alcohol
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