Testing a Pain Management Guideline for Dementia Patients

This study is testing two ways to help nursing homes better manage pain for residents aged 60 and older who have dementia. Many older adults with dementia experience pain that isn't properly assessed or treated, which can lower their quality of life. The study will compare a comprehensive approach called PAIN-CLINICAL PRACTICE GUIDELINE-USING THE EVIDENCE INTEGRATION TRIANGLE (PAIN-CPG-EIT) with a simpler Pain-CPG-Education Only approach. Researchers want to see if these methods help nursing homes more consistently complete pain assessments for residents. You could join if you live in a participating community and have evidence of dementia based on specific screening scores. The study aims to enroll 300 participants, but its current status is unclear.

Study design
This is an interventional study with an unspecified phase, planning to enroll 300 participants. It compares two different approaches to pain management.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Pain assessments will be completed at baseline, four months, and twelve months.

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NCT05858996

Testing the Pain Clinical Practice Guideline

Recruiting
PHASE2Ages 60+InterventionalTreatment
University of Maryland, Baltimore
~300 participants
Updated 2026-07-23 on ClinicalTrials.gov
What's tested:Pain-CPG-EITPain-CPG-Education Only

At a glance

Recruiting sites
1 of 11 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
pain assessment completed
Measured over baseline
+8 more outcomes measured
Pain
Dementia
11 sites across 1 states
Maryland11

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Eligibility criteria

Inclusion

Living in a participating community
60 years of age or older
Evidence of dementia based on a score of 0-12 on the Brief Interview of Mental Status (BIMS); a score of \>2 on the AD8 Dementia Screening Interview; a score of 0.5 to 2.0 on the Clinical Dementia Rating Scale (CDR); and lastly to differentiate between dementia and mild cognitive impairment a score of 9 or greater on the Functional Activities Questionnaire (FAQ).
have evidence of pain at the time of recruitment based on the Minimum Data set assessment item: How much of the time over the past 5 days have you experienced pain or hurting with eligibility based on the following responses or evidence: occasionally, frequently or almost constantly, or staff report of pain at the same frequency; or if the resident is receiving nonpharmacological or pharmacological treatment for pain.

Exclusion

admitted to the nursing home for short-stay rehabilitation or other subacute needs (e.g., intravenous antibiotics);
receiving Hospice care.
  • pain assessment completedbaseline

    whether or not an appropriate pain assessment is completed

  • pain assessment completedfour months

    whether or not an appropriate pain assessment is completed

  • pain assessment completedtwelve months

    whether or not an appropriate pain assessment is completed

  • Pain management in careplanbaseline

    evidence that there is a pain management plan in the careplan

  • Pain management in careplan4 months

    evidence that there is a pain management plan in the careplan

  • Pain management in careplan12 months

    evidence that there is a pain management plan in the careplan

  • Appropriate use of opioidsbaseline

    Review of 10 factors that indicate that opioids are being used appropriately as per the CPG. scores can range from 0 to 10 and higher scores indicate more appropriate use of opioids.

  • Appropriate use of opioidsfour months

    Review of 10 factors that indicate that opioids are being used appropriately as per the CPG. scores can range from 0 to 10 and higher scores indicate more appropriate use of opioids.

  • Appropriate use of opioids12 months

    Review of 10 factors that indicate that opioids are being used appropriately as per the CPG. scores can range from 0 to 10 and higher scores indicate more appropriate use of opioids.