Maximizing Independence at Home (MIND at Home)

Sponsor

Johns Hopkins University (Other)

Overall Status

Completed

CT.gov ID

NCT01283750

Collaborator

Jewish Community Federation of Baltimore (Other), Jewish Community Services (Other), Levindale (Other), The Harry & Jeanette Weinberg Foundation, Inc. (Other), Leonard & Helen R. Stulman Charitable Foundation (Other), Hoffberger Foundation (Other), Hirschhorn Foundation (Other), Lois and Irving Blum Foundation (Other), Joseph and Harvey Meyerhoff Family Charitable Funds (Other), The Henry and Ruth Blaustein Rosenberg Foundation (Other), Baltimore County Department of Aging (Other), National Institute of Mental Health (NIMH) (NIH), National Institute on Aging (NIA) (NIH)

303

Enrollment

Location

Arm

Actual Duration (Months)

5.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Funded by a unique private philanthropy and public coalition through THE ASSOCIATED: Jewish Community Federation of Baltimore, this project seeks to develop effective ways to deliver dementia care to older adults with memory disorders who live in the community. MIND at Home is an 18 month intervention research study whose goals are two-fold: To partner with community organizations to help proactively identify older adults in the Baltimore community who may need help related to memory disorders; To find out if providing person-centered, coordinated care will help older adults with memory disorders remain at home longer, as well other possible benefits. The investigators hypothesize that individuals with memory disorders that receive person-centered, coordinated care will have fewer unmet dementia-related needs, improved quality of life and function, fewer behavioral and depressive symptoms, and will be able to remain in their homes longer compared to individuals who receive augmented usual care.

Condition or Disease	Intervention/Treatment	Phase
Memory Disorders Dementia	Behavioral: care coordination	Phase 2/Phase 3

Study Design

Study Type:

Interventional

Actual Enrollment :

303 participants

Intervention Model:

Parallel Assignment

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

Maximizing Independence at Home (MIND at Home): Dementia Care at Home Study

Actual Study Start Date :

Jul 1, 2008

Actual Primary Completion Date :

Dec 1, 2011

Actual Study Completion Date :

Dec 1, 2012

Arms and Interventions

Arm	Intervention/Treatment
No Intervention: Augmented Usual Care	Behavioral: care coordination dementia-related care coordination

Arm

Intervention/Treatment

No Intervention: Augmented Usual Care

Behavioral: care coordination

dementia-related care coordination

Outcome Measures

Primary Outcome Measures

Change in unmet dementia-related needs from Baseline to 18 months [18 months]
Unmet dementia-related needs as measured by the Johns Hopkins Dementia Care Needs Assessment (JHDCNA), clinican-based assessment of 21 domains (92 individual items)

Secondary Outcome Measures

Change in quality of life from Baseline to 18 months [18 month]
Participant quality of life measured by Quality of Life in Alzheimers Disease (QOL-AD) and Alzheimer's Disease Related Quality of life scale (ADRQL). Caregiver quality of life measured by SF-12.
length of stay [18 months]
Length of stay in the community assessed by number of days from initial study assessment to end of study observation or to date that the subject leaves their community-based residence (e.g. move to nursing home, assisted living, death) prior to end of study observation.
neuropsychiatric behavior symptoms from baseline to 18 months [18 month]
Neuropsychiatric behavior measured by the Neuropsychiatry Inventory Questionnaire
day-to-day function from baseline to 18 months [18 month]
Day-to-day function assessed by the Instrumental Activities of Daily Living Scale and the Psycho-geriatric Dependency Rating Scale
health care utilization from baseline to 18 months [18 month]
Inpatient, residential, Alzheimer Disease-related, mental health, and medical health care use measured by the SURFS
depression from baseline to 18 months [18 month]
Participant depression measured by the Cornell Scale for Depression (CSDD) in Dementia. Caregiver depression measured by the Geriatric Depression Scale (GDS).

Eligibility Criteria

Criteria

Ages Eligible for Study:

70 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

70+ years old
Community living (within one of 28 zip codes in Baltimore)
Has memory disorder
Has identified study partner willing to participate
English-speaking

Exclusion Criteria:

Situation at the time of referral is an emergency with risk of danger to individual or others
Presence of delirium or other rule outs for memory disorder