Maximizing Independence at Home (MIND at Home)

This study has been completed.
Sponsor:
Collaborators:
THE ASSOCIATED: Jewish Community Federation of Baltimore
Jewish Community Services (Baltimore)
Levindale
The Harry & Jeanette Weinberg Foundation, Inc.
Leonard & Helen R. Stulman Charitable Foundation
The Hoffberger Foundation
Hirschhorn Foundation
Lois and Irving Blum Foundation
Joseph and Harvey Meyerhoff Family Charitable Funds
The Henry and Ruth Blaustein Rosenberg Foundation
Baltimore County Department of Aging
Information provided by (Responsible Party):
Quincy Miles Samus, Ph.D, Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT01283750
First received: January 24, 2011
Last updated: June 11, 2014
Last verified: June 2014
  Purpose

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 Intervention Phase
Memory Disorders
Dementia
Behavioral: care coordination
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Maximizing Independence at Home (MIND at Home): Dementia Care at Home Study

Resource links provided by NLM:


Further study details as provided by Johns Hopkins University:

Primary Outcome Measures:
  • Change in unmet dementia-related needs from Baseline to 18 months [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    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 [ Time Frame: 18 month ] [ Designated as safety issue: No ]
    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 [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    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 [ Time Frame: 18 month ] [ Designated as safety issue: No ]
    Neuropsychiatric behavior measured by the Neuropsychiatry Inventory Questionnaire

  • day-to-day function from baseline to 18 months [ Time Frame: 18 month ] [ Designated as safety issue: No ]
    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 [ Time Frame: 18 month ] [ Designated as safety issue: No ]
    Inpatient, residential, Alzheimer Disease-related, mental health, and medical health care use measured by the SURFS

  • depression from baseline to 18 months [ Time Frame: 18 month ] [ Designated as safety issue: No ]
    Participant depression measured by the Cornell Scale for Depression (CSDD) in Dementia. Caregiver depression measured by the Geriatric Depression Scale (GDS).


Enrollment: 303
Study Start Date: July 2008
Study Completion Date: December 2012
Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Augmented Usual Care Behavioral: care coordination
dementia-related care coordination

  Eligibility

Ages Eligible for Study:   70 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01283750

Locations
United States, Maryland
Johns Hopkins University
Baltimore, Maryland, United States, 21205
Sponsors and Collaborators
Johns Hopkins University
THE ASSOCIATED: Jewish Community Federation of Baltimore
Jewish Community Services (Baltimore)
Levindale
The Harry & Jeanette Weinberg Foundation, Inc.
Leonard & Helen R. Stulman Charitable Foundation
The Hoffberger Foundation
Hirschhorn Foundation
Lois and Irving Blum Foundation
Joseph and Harvey Meyerhoff Family Charitable Funds
The Henry and Ruth Blaustein Rosenberg Foundation
Baltimore County Department of Aging
Investigators
Principal Investigator: Quincy M Samus, PhD Johns Hopkins University
  More Information

Additional Information:
Publications:

Responsible Party: Quincy Miles Samus, Ph.D, Assistant Professor, Johns Hopkins University
ClinicalTrials.gov Identifier: NCT01283750     History of Changes
Other Study ID Numbers: 90032824
Study First Received: January 24, 2011
Last Updated: June 11, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Johns Hopkins University:
care coordination
dementia care
intervention
unmet needs
community
older adults
caregiver

Additional relevant MeSH terms:
Dementia
Memory Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Delirium, Dementia, Amnestic, Cognitive Disorders
Mental Disorders
Neurobehavioral Manifestations
Neurologic Manifestations
Signs and Symptoms

ClinicalTrials.gov processed this record on September 30, 2014