[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07182357":3,"trial-entities:NCT07182357":90,"trial-summary:NCT07182357":95},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":24,"primary_purpose":25,"phases":26,"enrollment_info":28,"interventions":31,"primary_outcomes":37,"secondary_outcomes":42,"sex":47,"minimum_age":48,"maximum_age":49,"healthy_volunteers":50,"eligibility_criteria":51,"std_ages":55,"locations":58,"central_contacts":78,"overall_officials":80,"references":81,"see_also_links":89},"NCT07182357","i24-00426","Designing Care Management for Hospice Transitions for Persons Living With Advanced Dementia","ENGAGE-D: Designing Care Management for Hospice Transitions for Persons Living With Advanced Dementia","RECRUITING","2028-07-31","2026-06","2026-07-08","2026-05-13","New York University","OTHER",false,"This study will test a care management intervention to guide end-of-life care and hospice transitions for persons with dementia and their care partners receiving home healthcare and ascertain feasibility, acceptability, fidelity, and usability of a dementia care management hospice transitions checklist. This study will also examine hospice enrollment, time to enrollment, and care partner satisfaction with the intervention. The intervention will be delivered within usual care management within a large home healthcare agency.","This study has the following design: Unblinded, Non-Randomized, Single-Arm Intervention Study (Feasibility Trial). In this study, the team will pilot test the care management checklist intervention with care partners of persons with dementia. This intervention will be tested for feasibility (primary outcome), acceptability, fidelity, and usability (secondary) for in a single arm feasibility trial. The intervention will be administered (NIH Stage 1B) within usual care management for hospice transitions with care partners of PLWD. This study will also examine hospice enrollment and time to enrollment, and care partner satisfaction with the intervention.\n\nThe study population includes care partners and persons living with dementia; HHC professionals who engage in hospice transitions care management with care partners of PLWD (e.g., care managers who are nurses or social workers) and field nurses; Medical providers who engage in hospice transitions communication (e.g., home care physicians and nurse practitioners); HHC administrators who oversee and manage the delivery of care management prior to hospice transitions.",[19],"Alzheimer Disease and Related Dementias",[21,22,23],"hospice care","care transitions","Alzheimer's disease and related dementias","INTERVENTIONAL","SUPPORTIVE_CARE",[27],"NA",{"count":29,"type":30},96,"ESTIMATED",[32],{"type":33,"name":34,"description":35,"armGroupLabels":36},"BEHAVIORAL","Dementia Care Management Checklist for Hospice Transitions","Intervention: After appropriate care partners of hospice-eligible PLWD are identified who will be receiving the checklist intervention, care managers will perform telephonic outreach to engage them in a conversation about care needs (as they would in typical clinical practice). The telephonic outreach will be followed up with a recommendation for follow up by a medical provider who may conduct a hospice care assessment and engage the care partner in decision-making surrounding the hospice referral and enrollment process.\n\nThis intervention was co-designed with care partners, home healthcare professionals, administrators, and medical providers. It is meant to be comprehensive and speak to the needs of all relevant parties engaged in the care of persons with dementia. It is developed so that it can be scaled and implemented widely.",[34],[38],{"measure":39,"description":40,"timeFrame":41},"Feasibility of the Dementia Care Management Hospice Transitions Checklist","The primary outcome is feasibility. Feasibility will be measured for each group including recruitment and retention rates, rate of completion of the intervention as the proportion of individuals who use and receive the intervention, and whether the different components of the intervention are achievable.","After enrollment and study participation, we will collect feasibility data within 1 month after intervention receipt.",[43],{"measure":44,"description":45,"timeFrame":46},"Acceptability of the Dementia Care Management Hospice Transitions Checklist","The secondary outcome is acceptability. Acceptability will be reflected in process measures required in a transitional care management intervention. For example, intervention components will be measured including if the care manager\u002Finterventionist successfully receives the training and resources to successfully deliver the intervention and the number of HHC professionals for whom the intervention was acceptable. Outcome measure: Percentage of participants who find the intervention acceptable.","After intervention delivery, we will collect secondary outcome data within 1 month.","ALL","18 Years",null,true,{"inclusion":52,"exclusion":53,"raw_text":54},[],[],"Inclusion:\n\nCare Partners and PLWD Dyad:\n\n1. Care partners of PLWD who have a diagnosis of moderate to severe dementia.\n2. Able to provide informed consent\n\nHHC Professionals:\n\nCare Managers and Field Nurses:\n\n1. Care managers who regularly engage hospice transitions with care partners of PLWD\n2. Age 18 or older\n\nMedical Providers:\n\n1. Medical providers (e.g., physicians and nurse practitioners) who refer patients for hospice enrollment.\n2. Age 18 or older\n\nHHC Administrators:\n\n1. Home healthcare administrators who work with the Certified Home Health Agency or the Advanced Illness Management Program that refers patients to hospice care\n2. Age 18 or older\n\nExclusion\n\nCare Partner and PLWD Dyad\n\n1. Under age 18\n2. Care partners who are caring for PLWD with Mild Cognitive Impairment\n3. PLWD with Mild Cognitive Impairment\n\nHHC Professionals: Care Managers, Medical Providers, Administrators\n\n1\\. Do not have experience managing hospice transitions for PLWD",[56,57],"ADULT","OLDER_ADULT",[59],{"facility":60,"status":8,"city":61,"state":61,"zip":62,"country":63,"contacts":64,"geoPoint":75},"NYU Rory Meyers College of Nursing and VNS Health","New York","10010","United States",[65,70,73],{"name":66,"role":67,"phone":68,"email":69},"Komal P Murali, PhD, RN, ACNP-BC","CONTACT","212-998-5783","kp47@nyu.edu",{"name":71,"role":67,"email":72},"Margaret McDonald, MSW","margaret.mcdonald@vnshealth.org",{"name":66,"role":74},"PRINCIPAL_INVESTIGATOR",{"lat":76,"lon":77},40.71427,-74.00597,[79],{"name":66,"role":67,"phone":68,"email":69},[],[82,86],{"pmid":83,"type":84,"citation":85},"39836766","BACKGROUND","Murali KP, Carpenter JG, Kolanowski A, Bykovskyi AG. Comprehensive Dementia Care Models: State of the Science and Future Directions. Res Gerontol Nurs. 2025 Jan-Feb;18(1):7-16. doi: 10.3928\u002F19404921-20241211-02. Epub 2025 Jan 1.",{"pmid":87,"type":84,"citation":88},"39903194","Murali KP, Gogineni S, Bullock K, McDonald M, Sadarangani T, Schulman-Green D, Brody AA. Interventions and Predictors of Transition to Hospice for People Living With Dementia: An Integrative Review. Gerontologist. 2025 Apr 9;65(5):gnaf046. doi: 10.1093\u002Fgeront\u002Fgnaf046.",[],{"nct_id":4,"conditions":91,"biomarkers":94},[92,93],"Alzheimer's Disease","Dementia",[],{"nct_id":4,"found":50,"summary":96,"prompt_version":49},{"design":97,"status":98,"heading":6,"summary":99,"follow_up":100,"word_count":101,"commitments":102,"compensation":103,"drugs_mentioned":104},"This is a single-arm study, meaning all participants will receive the Dementia Care Management Hospice Transitions Checklist. It is a feasibility trial, aiming to understand if the intervention can be successfully implemented.","completed","This study is testing a new approach called the Dementia Care Management Hospice Transitions Checklist. This checklist is designed to help people living with advanced dementia and their care partners during the transition to hospice care. The study aims to see if this checklist is practical to use (feasible), acceptable to patients and caregivers, and effective in guiding end-of-life care. Researchers will also look at how often people enroll in hospice and how satisfied care partners are with the checklist. You may be able to join if you are a care partner of someone with moderate to severe dementia, or if you are a healthcare professional involved in hospice transitions for people with dementia. This study is currently unclear regarding its recruitment status, but plans to enroll 96 participants.","Feasibility data will be collected within one month after participants receive the intervention.",129,"Care managers will have telephone conversations with care partners about care needs, using the checklist as a guide. Feasibility data will be collected within one month after receiving the intervention.","Not stated in the trial record.",[]]