RecruitingNot ApplicableNCT06397339

Indian Transforming Alzheimer's Care Training (INTACT)

Sponsor

Washington State University

Enrollment

28 participants

Start Date

Oct 5, 2022

Study Type

INTERVENTIONAL

Conditions

Alzheimer Disease

Summary

INTACT will utilize a group-randomized trial, to test the effectiveness of a culturally informed provider training and "dementia friendly clinic" intervention for detection and appropriate management of AI/AN patients with ADRD and MCI in 28 urban and rural clinics serving AI/ANs.

Eligibility

Min Age: 18 Years

Inclusion Criteria18

CLINIC Eligibility criteria
To be eligible to participate in INTACT a clinic must be:
A primary care clinic
Have at least 20 AI/AN active patients 55 years or older
Have an EHR system
Not intending to change EHR systems in the next year
Willing to conduct a total of 40 limited patient chart reviews to assess quality of care metrics for AI/AN patients with MCI and ADRD, staff permitting
PCP
Eligibility criteria:
To be eligible to participate in the baseline and follow-up surveys a primary care provider must be:
have a title of MD, DO, Nurse Practitioner, or PA, and
regularly provides care to AI/ANs aged 65 and older.
PATIENTS
We will only collect patient EHR data from eligible patients who:
Recorded as AI/AN in the EHR system
Active clinic patient with prevalent ADRD as of the first day of the time period each data extraction will cover
Age 55 or older at the start of the surveillance interval
At least one primary care clinic visit during the time period each data extraction will cover.

Interventions

OTHERINTACT Program

The INTACT Program has three components: 1. provide a training for Primary Care Providers (PCPs) training in screening, diagnosis, and care for ADRD, 2. at the PCP level, provide quarterly webinars. Topics will address driving and dementia; communication tips for someone with dementia; eating and drinking in advanced dementia; and advanced care planning for dementia. 3. At the clinic level, provide a workflow model for cognitive evaluation and setting a plan for the newly diagnosed patient. The INTACT intervention lasts 12 months and Continuing Medical Education credits will be available to PCPs who complete the INTACT training program