Title

Dementia Care Management in an Underserved Community: The Comparative Effectiveness of Two Different Approaches

Publication Date

2015

Journal Title

J Aging Health

Abstract

OBJECTIVES: To compare the effectiveness and costs of telephone-only approach to in-person plus telephone for delivering an evidence-based, coordinated care management program for dementia. METHODS: We randomized 151 patient-caregiver dyads from an underserved predominantly Latino community to two arms that shared a care management protocol but implemented in different formats: in-person visits at home and/or in the community plus telephone and mail, versus telephone and mail only. We compared between-arm caregiver burden and care-recipient problem behaviors (primary outcomes) and patient-caregiver dyad retention, care quality, health care utilization, and costs (secondary outcomes) at 6- and 12-months follow-up. RESULTS: Care quality improved substantially over time in both arms. Caregiver burden, care-recipient problem behaviors, retention, and health care utilization did not differ across arms but the in-person program cost more to deliver. DISCUSSION: Dementia care quality improved regardless of how care management was delivered; large differences in effectiveness or cost offsets were not detected.

Volume Number

27

Issue Number

5

Pages

864-93

Document Type

Article

EPub Date

2015/02/07

Status

Faculty

Facility

School of Medicine

Primary Department

Emergency Medicine

PMID

25656074

DOI

10.1177/0898264315569454