Community Health Worker-Led Transition Support for Persons Living With Dementia and Caregivers

Description

The main purpose of this intervention study is to test if the community health worker (CHW)-led care transition support intervention is feasible and acceptable to the persons living with dementia (PLWD)'s caregivers, and other healthcare providers. Main hypotheses of the study are: 1. the CHW interventionist will adhere to the intervention protocol with the score of 80% or higher on the intervention fidelity checklist throughout the intervention delivery period; 2. caregiver participants in the intervention group will rate the intervention, and the CHW interventionist to be helpful and satisfactory at the end of the intervention; 3. intervention feasibility (as measured by intervention completion rate, i.e., number of participants completing the telephone sessions with the CHW coach, and participant assessment completion rate, i.e., number of participants completing each study assessment at baseline, 6, 12 weeks) will be at equal to or higher than 80%; and 4. intervention participants - patient and caregiver - outcomes will improve at post-discharge Week 12 follow up from baseline and Week 6.

Conditions

Cognitive Impairment, Dementia, Memory Deficits

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Study Overview

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Study Details

Study overview

The main purpose of this intervention study is to test if the community health worker (CHW)-led care transition support intervention is feasible and acceptable to the persons living with dementia (PLWD)'s caregivers, and other healthcare providers. Main hypotheses of the study are: 1. the CHW interventionist will adhere to the intervention protocol with the score of 80% or higher on the intervention fidelity checklist throughout the intervention delivery period; 2. caregiver participants in the intervention group will rate the intervention, and the CHW interventionist to be helpful and satisfactory at the end of the intervention; 3. intervention feasibility (as measured by intervention completion rate, i.e., number of participants completing the telephone sessions with the CHW coach, and participant assessment completion rate, i.e., number of participants completing each study assessment at baseline, 6, 12 weeks) will be at equal to or higher than 80%; and 4. intervention participants - patient and caregiver - outcomes will improve at post-discharge Week 12 follow up from baseline and Week 6.

Community Health Worker-Led Hospital-to-Community Transition Support for Persons Living With Dementia and Their Caregivers

Community Health Worker-Led Transition Support for Persons Living With Dementia and Caregivers

Condition
Cognitive Impairment
Intervention / Treatment

-

Contacts and Locations

Austin

Dell Seton Medical Center, Austin, Texas, United States, 78701

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Aged 50 or older
  • 2. Has confirmed or suspected dementia or cognitive impairment (i.e., having memory concerns) ;
  • 3. Has FAST score 4-6;
  • 4. Admitted from home (not a long-term care facility)
  • 1. Aged 18 or older;
  • 2. English or Spanish speaking;
  • 3. Patient's relative, or partner who assists with medical care on a regular basis and who may or may not live in the same residence and who is not paid for their help; and
  • 4. Legally authorized representative (LAR) for the patient if the patient is not able to consent for themselves in the study.
  • 1. Aged 18 and older,
  • 2. English speaking,
  • 3. Employed full-time or part-time at or affiliated with either site, and
  • 4. Involved directly or indirectly with patient care (i.e., administrative or non-clinical support staff) such as: nurses, physicians, physician assistants, care managers, social workers, chaplains, discharge planners, IT staff, administrative managers
  • 1. For hospital staff key informants, same eligibility criteria as above
  • 2. For family caregivers (current or formal)
  • 1. Aged 18 or older;
  • 2. English or Spanish speaking;
  • 3. Currently or previously were caring for a relative with dementia
  • 1. Aged 18 or older;
  • 2. English or Spanish speaking;
  • 3. Have professional experience working with and/or have expertise about dementia care and caregiving or related areas (e.g., aging service providers, staff at Alzheimer's association, scholars in the area of aging, dementia, caregiving, or care transition)
  • 1. Patients who do not meet eligibility criteria
  • 2. Patients who are eligible for hospice
  • 1. Caregivers who do not meet the eligibility criteria
  • 1. Staff who do not meet the eligibility criteria
  • 2. Staff who do not speak English
  • 1. Individuals who do not meet the eligibility criteria

Ages Eligible for Study

18 Years to 100 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Texas at Austin,

Jung Kwak, PhD, PRINCIPAL_INVESTIGATOR, University of Texas at Austin

Study Record Dates

2025-12-31