Acute Hospital Care at Home for People Living With Dementia

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBrigham and Women's Hospital

About this trial

The investigators will perform a parallel-group multicenter randomized controlled trial of a 1-year pre-enrolled acute hospital care at home intervention vs usual care for people living with dementia. Patients will be randomized only after eligibility determination and after the family caregiver agrees to enroll; people living with dementia will assent when able. Patients will be allocated in a concealed fashion to the control and intervention groups in randomly selected block sizes of 4 or 6 in 4 strata reflecting their functional status (activities of daily living: 0, 1, 2-3, 4-6). Although family and clinicians cannot be blinded, the investigators will blind the data collectors and assessors.

Eligibility criteria

Qualifiers

Diagnosis of moderate or severe dementia (as ascertained by the Quick Dementia Rating System; QDRS)

Resides in a private or assisted living residence with or nearby (<15min travel time) to a family caregiver

Resides within the Mass General Brigham (MGB) home hospital catchment area

Has had at least 1 hospitalization in the last 12 months.

Disqualifiers

No functioning utilities, such as no working heat (October-April), no running water, or no electricity.

Resides in skilled nursing facility

Resides in group home

Domestic violence screen positive

Trial design

Treatments tested in this trial

  • Acute hospital care at home
  • Standard medical treatment

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Brigham and Women's Hospital

Lead sponsor

National Institute on Aging (NIA)

Collaborator