Condition category
Nervous System Diseases
Date applied
26/07/2005
Date assigned
17/08/2005
Last edited
29/07/2014
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

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 measures

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

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

Sponsor information

Organisation

Regents of the University of California (USA)

Sponsor details

UCLA Office of Contract & Grant Administration
10920 Wilshire Blvd
Suite 1200
Los Angeles
90024
United States of America

Sponsor type

University/education

Website

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)

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

Results - basic reporting

Publication summary

2006 results in: http://www.ncbi.nlm.nih.gov/pubmed/17116916

Publication citations

  1. 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.

Additional files

Editorial Notes