NCT06819852

Acute Hospital Care at Home for People Living With Dementia

Skipping the Hospital: Acute Hospital Care at Home for People Living With Dementia

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 200 (estimated)
• Sponsor: Brigham and Women's Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The investigators will perform a parallel-group multicenter randomized controlled trial of a 1-year pre-enrolled acute hospital care at home intervention vs usual care for people living with dementia. Patients will be randomized only after eligibility determination and after the family caregiver agrees to enroll; people living with dementia will assent when able. Patients will be allocated in a concealed fashion to the control and intervention groups in randomly selected block sizes of 4 or 6 in 4 strata reflecting their functional status (activities of daily living: 0, 1, 2-3, 4-6). Although family and clinicians cannot be blinded, the investigators will blind the data collectors and assessors.

Conditions

• Emergency Department Visit
• Home Care Services
• Dementia

Interventions

Type	Name	Description
OTHER	Acute hospital care at home	Home visit for a serious illness conversation. Acute illness evaluation on demand. Acute hospital care at home as needed.
OTHER	Standard medical treatment	Standard acute and emergency care delivered in a brick-and-mortar hospital setting.

Timeline

• Start date: 2026-04-01
• Primary completion: 2028-05-01
• Completion: 2028-05-01
• First posted: 2025-02-11
• Last updated: 2026-03-17

Locations

1 site across 1 country: United States