NCT03786471

D-CARE - The Dementia Care Study: A Pragmatic Clinical Trial of Health System-Based Versus Community-Based Dementia Care

Comparative Effectiveness of Health System-based Versus Community-Based Dementia Care / A Pragmatic Clinical Trial of the Effectiveness and Cost-Effectiveness of Dementia Care

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,176 (actual)
• Sponsor: University of California, Los Angeles · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

D-CARE: The Dementia Care Study This pragmatic randomized clinical trial of 2150 persons with dementia and their caregivers, at four diverse clinical trial sites in the United States, compares the effectiveness and cost-effectiveness of 18 months of health systems-based dementia care provided by a Dementia Care Specialist (nurse practitioner or physician assistant) who works within the heath system versus community-based dementia care provided by a Care Consultant (social worker, nurse, or therapist) who works at a Community-Based Organization (CBO). The trial will also compare the effectiveness and cost-effectiveness of both models versus usual care.

Detailed description

D-CARE: The Dementia Care Study Objective: To determine the comparative effectiveness and cost-effectiveness of two evidence-based models of comprehensive dementia care, as well as the effectiveness and cost-effectiveness of both models versus usual care. Design: A pragmatic randomized 3-arm superiority trial. The unit of randomization is the patient/caregiver dyad. Duration: 6.5 years. This includes 34 months for recruitment of study participants, 18 months of interventions/usual care, and simultaneously 18 months of follow-up for research purposes.

Conditions

• Dementia

Interventions

Type	Name	Description
OTHER	Health System-based Dementia Care	Active comparator
OTHER	Community-based Dementia Care	Active comparator
OTHER	Usual Care	Control

Timeline

• Start date: 2019-06-28
• Primary completion: 2023-08-21
• Completion: 2023-08-21
• First posted: 2018-12-26
• Last updated: 2025-01-30
• Results posted: 2025-01-30

Locations

4 sites across 1 country: United States