Acute Hospital Care at Home for People Living With Dementia

Part of paid clinical trials in Boston, Massachusetts.

Sponsor
Brigham and Women's Hospital
Study ID
NCT06819852
Status
Not Yet Recruiting

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Conditions

  • Dementia
  • Emergency Department Visit
  • Home Care Services

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Acute hospital care at home — OTHER
    Home visit for a serious illness conversation. Acute illness evaluation on demand. Acute hospital care at home as needed.
  • Standard medical treatment — OTHER
    Standard acute and emergency care delivered in a brick-and-mortar hospital setting.

Study Details

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.

Key Dates

Start date
Apr 30, 2026
Status verified
Mar 2026
Primary completion
May 31, 2028
Completion
May 31, 2028

Study Design

Enrollment
200 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Usual care
    Acute care at a brick-and-mortar hospital.
  • Experimental: Acute hospital care at home
    Home visit for a serious illness conversation. Acute illness evaluation on demand. Acute hospital care at home as needed.

Primary Outcome Measure

Number of days at home [ Time Frame: Discharge to 30-days post discharge, up to 30 days ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Brigham and Women's HospitalBostonMassachusetts02120
David M Levine, MD, MPH, MA

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