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 — OTHERHome visit for a serious illness conversation. Acute illness evaluation on demand. Acute hospital care at home as needed.
- Standard medical treatment — OTHERStandard 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 careAcute care at a brick-and-mortar hospital.
- Experimental: Acute hospital care at homeHome 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
- David M Levine, MD, MPH, MA617-732-7063
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02120 | David M Levine, MD, MPH, MA |
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