Improving Dementia Care in Primary Practice

Sponsor
Thomas Jefferson University
Study ID
NCT07526480
Status
Not Yet Recruiting

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Conditions

  • Alzheimer Disease (AD)
  • Dementia
  • Mild Cognitive Impairment (MCI)

Eligibility Criteria

Sex
ALL
Age
66 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Improving Dementia Care — OTHER
    During a phone session, participants receive ADRD Education and Personalized Decision Counseling, which consists of eliciting values and goals to reach informed, preference-based decisions on whether to have an ADRD evaluation. Participants' primary care physicians are sent cognitive screening results and a smart order set (i.e., orders for ADRD-relevant lab and neuroimaging) via the electronic health record (EHR).
  • Enhanced Usual Care — OTHER
    Usual care enhanced with notices sent to participants' primary care physicians with cognitive screening results and a smart order set (i.e., orders for ADRD-relevant lab and neuroimaging) via the electronic health record (EHR).

Study Details

This clinical trial will evaluate a multi-level scalable intervention called Improving Dementia Care (IDC). The investigators hypothesize that IDC will increase dementia detection in patients with impaired cognition more than the control condition, Enhanced Usual Care (EUC), over 6 months.

Key Dates

First listed
Apr 13, 2026
Start date
May 4, 2026
Status verified
Apr 2026
Primary completion
May 3, 2027
Completion
May 3, 2027

Study Design

Enrollment
80 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING

Arms

  • Experimental: Improving Dementia Care (IDC)
    During a phone session, participants receive ADRD Education and Personalized Decision Counseling, which consists of eliciting values and goals to reach informed, preference-based decisions on whether to have an ADRD evaluation. Participants' primary care physicians are sent cognitive screening results and a smart order set (i.e., orders for ADRD-relevant lab and neuroimaging) via the electronic health record (EHR).
  • Active Comparator: Enhanced Usual Care (EUC)
    Usual care enhanced with notices sent to participants' primary care physicians with cognitive screening results and a smart order set (i.e., orders for ADRD-relevant lab and neuroimaging) via the electronic health record (EHR).

Primary Outcome Measure

Incident cognitive diagnoses. [ Time Frame: 6 months ]

Central Contacts

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