Exploring Telehealth to Deliver Me & My Wishes During Coronavirus-19
August 31, 2021 updated by: Gail Towsley, University of Utah
Me & My Wishes: An Efficacy Trial of Long Term Care Residents With Alzheimer's Using Videos to Communicate Care Preferences With Caregivers
Due to Coronavirus-19, we are exploring the plausibility of delivering the Me & My Wishes intervention via telehealth.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Me & My Wishes are videos of nursing home residents talking about their preferences for care, including four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Knowing what residents want is essential to staff's ability to provide quality care and can inform family caregivers decision making especially in later stages of life as the resident's cognition declines-a time when family caregivers often feel unprepared.
Persons with mild to moderate dementia can accurately express their everyday and end of life preferences, however, stereotypes persist about the decision making abilities of people with dementia that often prevent their involvement in conversations about care.
The investigators propose to explore the feasibility of delivering Me & My Wishes via a telehealth platform.
Study Type
Interventional
Enrollment (Actual)
17
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Oregon
-
Forest Grove, Oregon, United States, 97116
- Marquis Forest Grove Post Acute Rehab
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Wilsonville, Oregon, United States, 97070
- Marquis Wilsonville Assisted Living
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Utah
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Brigham City, Utah, United States, 84032
- Mission at Maple Springs
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
65 years and older (Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Resident Inclusion Criteria:
- Identified as having Alzheimer's or related dementia
- Mild to moderate cognitive impairment (BIMS = 8-15, (MDS C0500) (nursing home residents only)
- Makes Self Understood = <1 (MDS B0700)/present in medical record
- Understood By Others = <1 (MDS B0800)/present in medical record
- Reside at the facility at least 2 weeks identified as a long-term resident
- Age >65 years
- Speaks English
Family Inclusion Criteria:
- Speaks English
- Willing and able to watch the videos
- Willing to complete short surveys. Being unable to attend care conference to view the video (e.g. due to distance) will not exclude family from participating.
Staff Inclusion Criteria:
- Speaks English
- Willing to watch the videos
- Willing to complete short surveys
Resident Exclusion Criteria:
- Limited communication capacity (e.g. aphasia)
- Comatose
- Cognitively intact
- Severe cognitive impairment
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: Telehealth
Me & My Wishes videos communicate residents' preferences via personalized video recorded conversations.
Me & My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
|
Me & My Wishes videos communicate residents' preferences via personalized video recorded conversations.
Me & My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility of telehealth-delivered Me & My Wishes
Time Frame: baseline
|
ease of use, connecting to internet, communicating with participants.
1-5 scale 1 = strongly disagree, 5 = strongly agree; we also asked what worked well and what could go better
|
baseline
|
|
Feasibility of telehealth-delivered Me & My Wishes
Time Frame: 90 days
|
ease of use, connecting to internet, communicating with participants.
1-5 scale 1 = strongly disagree, 5 = strongly agree; we also asked what worked well and what could go better
|
90 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Gail Towsley, University of Utah
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 17, 2020
Primary Completion (Actual)
February 28, 2021
Study Completion (Actual)
February 28, 2021
Study Registration Dates
First Submitted
August 24, 2021
First Submitted That Met QC Criteria
August 31, 2021
First Posted (Actual)
September 8, 2021
Study Record Updates
Last Update Posted (Actual)
September 8, 2021
Last Update Submitted That Met QC Criteria
August 31, 2021
Last Verified
March 1, 2021
More Information
Terms related to this study
Other Study ID Numbers
- I00111417
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.