Status:
COMPLETED
Patient Priorities Care Among Persons Living With Mild Cognitive Impairment and Dementia
Lead Sponsor:
Indiana University
Collaborating Sponsors:
National Institutes of Health (NIH)
National Institute on Aging (NIA)
Conditions:
Dementia
Mild Cognitive Impairment
Eligibility:
All Genders
40+ years
Phase:
NA
Brief Summary
The goal of this pragmatic, embedded clinical trial is to analyze the implementation of Patient Priorities Care in primary care and geriatrics clinics with patients living with dementia or mild cognit...
Eligibility Criteria
Inclusion
- Patient Inclusion Criteria
- Patients must meet all of the following criteria to participate in this study:
- 40 years or older
- English-speaking at both Indiana sites or English and/or Spanish speaking at the University of Texas site
- Receiving care with a participating physician
- Has a scheduled outpatient care visit within 1-2 months (60 days)
- Individual has a diagnosis of MCI or dementia
- Definition: To identify individuals with dementia and MCI, we will use two or more instances of use of an ICD-10 code for either diagnosis in the EHR within 24 months. Typically, we would include instances of these billing codes within a year of each other but, due to the COVID-19 pandemic, recognize that there may be less frequent clinical visits and less robust billing. Diagnostic codes include:
- • F01.50, F01.51, F02.80, F02.81, F03.90, G30.0, G30.1, G30.8, G30.9, G31.01, G31.09, G31.1, G31.2, F41.81, G31.84 and F03.91.
- Care Partner Inclusion Criteria
- Care partners must meet all of the following criteria to participate in the study:
- 18 years or older
- English-speaking at both Indiana sites or English and/or Spanish speaking at the University of Texas site
- A note about inclusion of care partners: Clinician determination of a patient's capacity to participate in a visit independently is part of a pragmatic approach. This means that clinic staff will determine when a care partner is needed. Generally, we act under the assumption that patients who require a care partner will have already included them in previous visits and/or provider communications (and we anticipate that this will be documented in the EHR), whereas patients who attend clinic visits independently and have no documentation indicating the involvement of a care partner in their medical decisions, or a need for one, will be determined to have the capacity to also participate in a PPC visit.
Exclusion
- Participants who meet any of the following criteria will be excluded from the study:
- Is not community-dwelling- e.g. lives in a nursing home
- Is enrolled in hospice
- Individuals who decline to receive the PPC intervention (i.e. decline to have the PPC conversation) will be excluded from the study.
- Note that declining to receive the PPC intervention will in no way impact the care that patients receive now or in the future.
Key Trial Info
Start Date :
August 31 2023
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 15 2025
Estimated Enrollment :
173 Patients enrolled
Trial Details
Trial ID
NCT06001775
Start Date
August 31 2023
End Date
February 15 2025
Last Update
August 17 2025
Active Locations (3)
Enter a location and click search to find clinical trials sorted by distance.
1
Eskenazi Health
Indianapolis, Indiana, United States, 46202
2
Indiana University Health Connected Care
Indianapolis, Indiana, United States, 46219
3
University of Texas Health- Houston
Houston, Texas, United States, 77030