Contact information
Type
Scientific
Primary contact
Dr Barbara Vickrey
ORCID ID
Contact details
UCLA Dept of Neurology
C128 RNRC
710 Westwood Blvd
Los Angeles
90095
United States of America
+1 310 206 7671
bvickrey@ucla.edu
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Acronym
ACCESS
Study hypothesis
A community-wide, collaborative care, quality improvement strategy for dementia patients having Medicare insurance will be more effective in improving adherence to a set of dementia care guidelines than usual care.
Ethics approval
Not provided at time of registration
Study design
Randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Not specified
Trial type
Treatment
Patient information sheet
Condition
Alzheimer's disease and other dementias
Intervention
The intervention was based on the chronic care model and included care managers (primarily social workers) based at the healthcare organisations and community agencies, an internet-based software system for care planning and coordination, structured assessments and referral protocols, caregiver self-management support, and provider education.
Control: usual care
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measure
Adherence to guidelines for dementia care
Secondary outcome measures
1. Healthcare and community resource utilisation
2. Caregiver knowledge
3. Patient health-related quality of life, quality of patient's healthcare
4. Caregiver confidence, social support, unmet need, and health-related quality of life
5. Provider knowledge and perceived care quality
Overall trial start date
01/08/2001
Overall trial end date
04/11/2002
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
Patients:
1. Diagnosis of dementia
2. Age 65 years or older
3. Medicare insurance
4. In care at one of three San Diego area healthcare organisations
Caregivers:
1. Age 18 years or older
2. Non-professional caregiver
Participant type
Patient
Age group
Senior
Gender
Both
Target number of participants
438 patient/caregiver dyads
Participant exclusion criteria
Patients: no caregiver
Caregivers: unable to read or understand English or Spanish
Recruitment start date
01/08/2001
Recruitment end date
04/11/2002
Locations
Countries of recruitment
United States of America
Trial participating centre
UCLA Dept of Neurology
Los Angeles
90095
United States of America
Funders
Funder type
Government
Funder name
California Department of Health Services (USA) (ref: 00-91316)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
California Department of Aging (USA) (ref: IG-0001-22)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
California HealthCare Foundation (USA) (ref: 99-3020)
Alternative name(s)
California HealthCare Foundation, CHCF
Funding Body Type
private sector organisation
Funding Body Subtype
foundation
Location
United States of America
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list
2006 results in: http://www.ncbi.nlm.nih.gov/pubmed/17116916
Publication citations
-
Results
Vickrey BG, Mittman BS, Connor KI, Pearson ML, Della Penna RD, Ganiats TG, Demonte RW, Chodosh J, Cui X, Vassar S, Duan N, Lee M, The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial., Ann. Intern. Med., 2006, 145, 10, 713-726.