Evaluation of the PACE/PACENET BHL Caregiver Program (CREST)
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|ClinicalTrials.gov Identifier: NCT02463708|
Recruitment Status : Enrolling by invitation
First Posted : June 4, 2015
Last Update Posted : August 31, 2022
|Condition or disease||Intervention/treatment|
|Dementia||Behavioral: BHL COTP|
The University of Pennsylvania's Caregiver Resources, Education, & SupporT (CREST) Program seeks to improve the overall quality of life and wellbeing of older PACE/PACENET beneficiaries (or care recipients (CRs)) with cognitive impairment and their caregivers (CGs). Specifically, the program provides education, support, and services to both beneficiaries and CGs of PACE/PACENET beneficiaries who have filled a prescription for medication used to treat cognitive impairment. Many of these beneficiaries also meet criteria for clinically significant cognitive impairment/dementia. Thus, the level of contact and services varies as a function of reported needs and symptoms.
The CREST Program developed the BHL Caregiver Outreach and Telehealth Program (COTP) in an effort to address and minimize barriers to successful care management of a growing number of community-dwelling older adults. The COTP starts with an initial baseline assessment; following the baseline assessment, it is then divided into several core services. CGs receive care management services, which includes contact, support, and active listening, as well as written material regarding caregiving and dementia and referral to appropriate community services. CGs also are offered the Telehealth Education Program (TEP), a manualized program developed to provide both education and psychosocial support for individuals caring for older adults with clinically significant cognitive impairment/dementia.
This research project seeks to evaluate the feasibility, acceptability, and individual-level outcomes of a subset of participants engaged in the COPT program. Specifically, the investigators will examine the impact of the COPT program on the functioning and wellbeing of participating cognitively impaired PACE/PACENET beneficiaries and their informal CGs.
Retrospective clinical program data on COTP beneficiaries and the CGs collected at intake (i.e., baseline), over the course of care management, and at program termination (i.e., approximately 3 months following intake) will be extracted from clinical databases for program evaluation purposes. The researchers will use data collected during the clinical program to evaluate CR and CG characteristics, self-reported needs, care participation, and predictors of improved outcomes at 3 and 6 months.
A single follow-up research evaluation will be conducted at 6 months post baseline. This the 6 month follow-up research interviews will evaluate the extent to which a clinical care management program (COTP) for older adults with clinically significant cognitive impairment and/or dementia and the CGs, 1) facilitates access to and the use of medical and social services, and 2) improves CR (e.g., behavioral symptoms, delayed nursing home placement) and CG (e.g., CG mastery, burden, affect) outcomes.
|Study Type :||Observational|
|Estimated Enrollment :||350 participants|
|Official Title:||Evaluation of the PACE/PACENET BHL Caregiver Outreach and Telehealth Education Program|
|Study Start Date :||November 2013|
|Estimated Primary Completion Date :||July 2023|
|Estimated Study Completion Date :||July 2023|
BHL COTP Caregivers
Caregivers participate in the BHL COTP, which provides support, education, and care management services from a Behavioral Health Provider (BHP) in addition to the Telehealth Education Program (TEP), a manualized program that consists of various modules that seek to provide both education and psychosocial support for individuals caring for older adults with clinically significant cognitive impairment/dementia.
Behavioral: BHL COTP
The BHL COTP starts with an initial baseline assessment; following the baseline assessment, it is then divided into several core services. CG receive care management services, which includes contact, support, and active listening, as well as written material regarding caregiving and dementia and referral to appropriate community services. CGs also are offered the Telehealth Education Program (TEP) a manualized program developed to provide both education and psychosocial support for individuals caring for older adults with clinically significant cognitive impairment/dementia.
- Revised Memory and Behavior Problems Checklist [ Time Frame: 6 Months ]A checklist for dementia-related symptoms in 3 domains (memory impairment, depression, and disruptive behaviors) and associated CG burden.
- Lawton Caregiver Appraisal Scales [ Time Frame: 6 Months ]A scale for caregiver satisfaction, mastery, demands, and perceived impact.
- Desire to Institutionalize Scale [ Time Frame: 6 Months ]A 6-item scale predictive of CGs actual institutionalization of care recipients.
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): NCT02463708
|United States, Pennsylvania|
|Department of Psychiatry (Addictions/Geriatric), University of Pennsylvania|
|Philadelphia, Pennsylvania, United States, 19104|
|Study Director:||Shahrzad Mavandadi, PhD||University of Pennsylvania|