MIND at Home-Streamlined

Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers

Quincy M. Samus, Betty S. Black, Melissa Reuland, Jeannie Marie S. Leoutsakos, Laura Pizzi, Kevin D. Frick, David L. Roth, Laura N. Gitlin, Constantine G. Lyketsos, Deirdre Johnston

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Dementia is associated with high health care costs, premature long-term care (LTC) placement, medical complications, reduced quality of life, and caregiver burden. Most health care providers and systems are not yet organized or equipped to provide comprehensive long-term care management for dementia, although a range of effective symptoms and supportive care approaches exist. The Maximizing Independence at Home-Streamlined (MIND-S) is a promising model of home-based dementia care coordination designed to efficiently improve person-centered outcomes, while reducing care costs. This report describes the rationale and design of an NIA-funded randomized controlled trial to test the impact of MIND-S on time to LTC placement, person with dementia outcomes (unmet needs, behavior, quality of life), family caregiver outcomes (unmet needs, burden), and cost offset at 18 (primary end point) and 24 months, compared to an augmented usual care group. Methods: This is a 24-month, parallel group, randomized trial evaluating MIND-S in a cohort of 304 community-living persons with dementia and their family caregivers in Maryland. MIND-S dyads receive 18 months of care coordination by an interdisciplinary team comprised of trained non-clinical community workers (e.g. Memory Care Coordinators), a registered nurse, and a geriatric psychiatrist. Intervention components include in-home dementia-related needs assessments; individualized care planning; implementation of standardized evidence-based care strategy protocols; and ongoing monitoring and reassessment. Outcomes are assessed by blinded evaluators at baseline, 4.5, 9, 13.5, 18, and 24 months. Discussion: Trial results will provide rigorous data to inform innovations in effective system-level approaches to dementia care.

Original languageEnglish (US)
Pages (from-to)103-112
Number of pages10
JournalContemporary Clinical Trials
Volume71
DOIs
StatePublished - Aug 1 2018

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Home Care Services
Caregivers
Dementia
Long-Term Care
Quality of Life
Costs and Cost Analysis
Needs Assessment
Geriatrics
Health Personnel
Health Care Costs
Psychiatry
Randomized Controlled Trials
Nurses
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

Cite this

Samus, Quincy M. ; Black, Betty S. ; Reuland, Melissa ; Leoutsakos, Jeannie Marie S. ; Pizzi, Laura ; Frick, Kevin D. ; Roth, David L. ; Gitlin, Laura N. ; Lyketsos, Constantine G. ; Johnston, Deirdre. / MIND at Home-Streamlined : Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers. In: Contemporary Clinical Trials. 2018 ; Vol. 71. pp. 103-112.
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MIND at Home-Streamlined : Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers. / Samus, Quincy M.; Black, Betty S.; Reuland, Melissa; Leoutsakos, Jeannie Marie S.; Pizzi, Laura; Frick, Kevin D.; Roth, David L.; Gitlin, Laura N.; Lyketsos, Constantine G.; Johnston, Deirdre.

In: Contemporary Clinical Trials, Vol. 71, 01.08.2018, p. 103-112.

Research output: Contribution to journalArticle

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T2 - Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers

AU - Samus, Quincy M.

AU - Black, Betty S.

AU - Reuland, Melissa

AU - Leoutsakos, Jeannie Marie S.

AU - Pizzi, Laura

AU - Frick, Kevin D.

AU - Roth, David L.

AU - Gitlin, Laura N.

AU - Lyketsos, Constantine G.

AU - Johnston, Deirdre

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N2 - Background: Dementia is associated with high health care costs, premature long-term care (LTC) placement, medical complications, reduced quality of life, and caregiver burden. Most health care providers and systems are not yet organized or equipped to provide comprehensive long-term care management for dementia, although a range of effective symptoms and supportive care approaches exist. The Maximizing Independence at Home-Streamlined (MIND-S) is a promising model of home-based dementia care coordination designed to efficiently improve person-centered outcomes, while reducing care costs. This report describes the rationale and design of an NIA-funded randomized controlled trial to test the impact of MIND-S on time to LTC placement, person with dementia outcomes (unmet needs, behavior, quality of life), family caregiver outcomes (unmet needs, burden), and cost offset at 18 (primary end point) and 24 months, compared to an augmented usual care group. Methods: This is a 24-month, parallel group, randomized trial evaluating MIND-S in a cohort of 304 community-living persons with dementia and their family caregivers in Maryland. MIND-S dyads receive 18 months of care coordination by an interdisciplinary team comprised of trained non-clinical community workers (e.g. Memory Care Coordinators), a registered nurse, and a geriatric psychiatrist. Intervention components include in-home dementia-related needs assessments; individualized care planning; implementation of standardized evidence-based care strategy protocols; and ongoing monitoring and reassessment. Outcomes are assessed by blinded evaluators at baseline, 4.5, 9, 13.5, 18, and 24 months. Discussion: Trial results will provide rigorous data to inform innovations in effective system-level approaches to dementia care.

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