Implementation of AIP Services for Older Adults With AD
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Alzheimer Disease, Mild Cognitive Impairment. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Implementation of Aging in Place Services for Older Adults With Alzheimer's Disease
Overview
This study will longitudinally follow a cohort of older adults to better understand how decisions about aging in place or transitioning to long-term care-and the implementation of those decisions-are influenced by age-related changes (e.g., cognition, health literacy, chronic conditions) and social supports (e.g., caregivers).
Detailed description
Participants currently enrolled in the National Institute on Aging (NIA)-funded study Decision Making and Implementation of Aging-in-Place/Long-Term Care Plans Among Older Adults (R01AG058777) will continue to be followed for an additional 42 months.
This study will examine how decision-making and planning related to aging in place change over time and how these processes are influenced by age-related changes (e.g., cognition, multiple chronic conditions), social influences (e.g., adult children, spouses, friends), and environmental factors (e.g., rural vs. urban residence, housing type). The study will also assess whether aging-in-place planning translates into timely implementation of services and whether implemented plans are concordant with the goals and preferences of older adults and their surrogate or caregiver decision makers.
In addition, the study will examine how age-related changes, social influences, and environmental factors interact to affect planning and implementation of aging-in-place and long-term care decisions over time.
Primary outcome measures
- Rate of participant long term care planning for Alzheimer's Dementia/Memory Loss [Time frame: Assessed every 6 months, 108 months reported]
Secondary outcome measures (9)
- Rate of participant planning for in-home care in the event of Alzheimer's Disease/Memory Loss [Time frame: Assessed every 6 months, 108 months reported]
- Rate of participant planning for memory care in the event of Alzheimer's Disease/Memory Loss [Time frame: Assessed every 6 months, 108 months reported]
- Rate of participant planning for a hospitalization requiring rehabilitation outside the home [Time frame: Assessed every 6 months, 108 months reported]
- Rate of participant planning for a hospitalization requiring in-home care [Time frame: Assessed every 6 months, 108 months reported]
- Rate of participant decision-making contemplation: Alzheimer's Dementia/Memory Loss (ADML) [Time frame: Assessed every 6 months, 108 months reported]
- Rate of participant decision-making contemplation: Hospitalization [Time frame: Assessed every 6 months, 108 months reported]
- Participant utilization of long-term care services (RUI) [Time frame: 72-month timepoint]
- Previous health experiences: Self and others [Time frame: 72-month timepoint]
- Event and Goal Concordance [Time frame: Assessed every 6 months, 108 months reported]
Eligibility criteria
Inclusion Criteria - Current Cohort:
- Active participant in the 'Decision Making and Implementation of Aging-in-Place/Long Term Care Plans among Older Adults' \[R01AG058777\] study;
- Age 65 years or older (older adult); age 18 years or older (caregiver)
- Speak English; and
- Pass UBACC (University of California, San Diego Brief Assessment of Capacity to Consent) cognitive assessment
Inclusion Criteria - Caregiver:
- Age 18 years or older;
- Speak English;
- Currently assist enrolled, older adult study participant with activities such as managing their health, and/or household activities (i.e., taking them to the doctor, housekeeping, meal prep, medication reminders); and
- Pass UBACC (University of California, San Diego Brief Assessment of Capacity to Consent) cognitive assessment
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- Northwestern University — Chicago
Identifiers
NCT: NCT07361601 · R01AG091323-01