Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients
| Status: | Recruiting |
|---|---|
| Conditions: | Hospital, Neurology |
| Therapuetic Areas: | Neurology, Other |
| Healthy: | No |
| Age Range: | 75 - Any |
| Updated: | 4/22/2018 |
| Start Date: | March 29, 2018 |
| End Date: | December 2022 |
| Contact: | Jessica Smilowitz, MPH |
| Email: | Jessica.Smilowitz@nyumc.org |
| Phone: | 646-501-8289 |
Dementia is a common problem for older patients presenting to emergency departments and for
the family caregivers who often lack support, understanding, and skills to manage the
problems related to the need for emergency department visits. The purpose of Program of
Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients
(POISED-CPCIP, here on referred to as POISED) randomized controlled trial is to use
previously established quality improvement methods of root cause analysis to uncover reasons
for emergency department use and to focus on caregiver activation within a program of
dementia care management.
The goals of this study are to reduce recurrent emergency department visits and improve
caregiver symptoms of depression, anxiety and need for social support.
the family caregivers who often lack support, understanding, and skills to manage the
problems related to the need for emergency department visits. The purpose of Program of
Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients
(POISED-CPCIP, here on referred to as POISED) randomized controlled trial is to use
previously established quality improvement methods of root cause analysis to uncover reasons
for emergency department use and to focus on caregiver activation within a program of
dementia care management.
The goals of this study are to reduce recurrent emergency department visits and improve
caregiver symptoms of depression, anxiety and need for social support.
POISED, a 4-year study, will test whether a novel care management intervention for family CGs
of ED users with cognitive impairment and likely Alzheimer's disease and related dementias
will reduce ED use at 3 and 6 months over the intervention period. ED use and other measures
will also be examined during a brief follow-up at 12 months (6 months after completed
intervention).
of ED users with cognitive impairment and likely Alzheimer's disease and related dementias
will reduce ED use at 3 and 6 months over the intervention period. ED use and other measures
will also be examined during a brief follow-up at 12 months (6 months after completed
intervention).
Inclusion Criteria:
- Must be in the emergency department for care at the point of recruitment
- Must be English- or Spanish-speaking
- Must have a family member or friend who provides caregiving assistance
- Must have a plan to be discharged to home (ESI = 4 or 5)
- Must have score <3 on the MiniCog or if using caregiver assessment by IQCODE must be
>3.4
- Must have capacity to consent or have a proxy.
Exclusion Criteria:
- Care recipient (CR) is a resident of a nursing home or other supportive facility
- CR scores > 3 on the MiniCog or the caregiver assessment by IQCODE was < 3.4
- Caregiver (CG) declines participation
- CR is not being discharged to home
We found this trial at
1
site
550 1st Ave
New York, New York 10016
New York, New York 10016
(212) 263-7300
Principal Investigator: Joshua Chodosh, MD
Phone: 646-501-8289
New York University School of Medicine NYU School of Medicine has a proud history that...
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