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Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03960476
Recruitment Status : Recruiting
First Posted : May 23, 2019
Last Update Posted : February 17, 2020
Sponsor:
Collaborator:
National Institute on Aging (NIA)
Information provided by (Responsible Party):
Lee Lindquist, Northwestern University

Study Description
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Brief Summary:
This study seeks to better understand how older adult aging-in-place/long term care decision making and implementation is impacted by age-related changes (e.g. cognition, health literacy, chronic conditions), social influences (e.g. caregivers/supporters), and environmental factors.

Condition or disease Intervention/treatment Phase
Alzheimer Disease Mild Cognitive Impairment Behavioral: PlanYourLifespan.org Not Applicable

Detailed Description:
Subjects who are part of the NIA-funded LitCog study will be given access to PlanYourLifespan.org, a web-based decision-making and planning tool. Participants will be followed for up to 42 months to examine the mediating/moderating factors involved in decision-making, timing of decision implementation, and goal concordance. Findings have the potential to inform healthcare providers, caregivers, health/long term care insurers, area agencies on aging, and older adults nationally in supporting aging-in-place decisions and services use.
Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 700 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: All study participants receive access to the web-based study intervention, PlanYourLifespan.org.
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults
Actual Study Start Date : January 13, 2020
Estimated Primary Completion Date : August 30, 2023
Estimated Study Completion Date : February 29, 2024

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Access to Web-Based Intervention
All study participants will be given access to the web-based study intervention, PlanYourLifespan.org.
 Behavioral: PlanYourLifespan.org
The study intervention is a web-based planning tool, PlanYourLifespan.org


Outcome Measures
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Primary Outcome Measures :
  1. Change in long-term care plan decision-making [ Time Frame: Change from baseline decision-making at 36 months. Will also be measured every six months, up to 42 months. ]
    Change in participant's long-term care plan decision-making from baseline to 36 months post-baseline. Decision-making will be measured as a binary ('yes', 'no') outcome at each time-point.


Secondary Outcome Measures :
  1. Participant utilization of long-term care services [ Time Frame: Baseline and every six months, up to 42 months ]
    Participant utilization of long-term care services such as in-home caregivers as measured by the Resource Use Inventory (Sano M, Zhu CW, Whitehouse PJ, et al. ADCS Prevention Instrument Project: pharmacoeconomics: assessing health-related resource use among healthy elderly. Alzheimer Dis Assoc Disord. 2006;20(4 Suppl 3):S191-S202. doi:10.1097/01.wad.0000213875.63171.87).

  2. Number of participants that implement any of their long-term care plans [ Time Frame: Baseline and every six months, up to 42 months ]
    The number of participants that implement any long-term care plans they have set. This will be measured as a binary ('yes', 'no') outcome at each time-point.

  3. Participant long-term care goal concordance [ Time Frame: Baseline and every six months, up to 42 months ]
    Assess whether participant's long-term care plans are carried out in accordance to their goals. This will be measured as a binary ('yes', 'no') outcome at each time-point.


Eligibility Criteria
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Ages Eligible for Study:   55 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Current participant in the LitCog Trial [R01AG03611]
  • English-speaking
  • Community-dwelling
  • Currently use a computer or tablet with internet

Exclusion Criteria:

  • Previous participation in the Advanced Planning for Home Services study [IH-12-11-4259]
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03960476


Contacts
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Contact: Vanessa Ramirez-Zohfeld, MPH 312-503-3916 vanessa-ramirez-0@northwestern.edu
Contact: Lee A Lindquist, MD, MBA, MPH 312-503-5558 LAL425@northwestern.edu

Locations
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United States, Illinois
Northwestern University Recruiting
Chicago, Illinois, United States, 60611
Contact: Vanessa Ramirez-Zohfeld, MPH    312-503-3916    vanessa-ramirez-0@northwestern.edu   
Sponsors and Collaborators
Northwestern University
National Institute on Aging (NIA)
More Information
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Responsible Party: Lee Lindquist, Associate Professor of Medicine, Section Chief - Geriatrics, Northwestern University
ClinicalTrials.gov Identifier: NCT03960476    
Other Study ID Numbers: R01AG058777 ( U.S. NIH Grant/Contract )
1R01AG058777-01A1 ( U.S. NIH Grant/Contract )
First Posted: May 23, 2019    Key Record Dates
Last Update Posted: February 17, 2020
Last Verified: February 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Alzheimer Disease
Cognitive Dysfunction
Dementia
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
 Tauopathies
Neurodegenerative Diseases
Neurocognitive Disorders
Mental Disorders
Cognition Disorders