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Acute Hospital Care at Home for People Living With Dementia
Sponsor: Brigham and Women's Hospital
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.
Official title: Skipping the Hospital: Acute Hospital Care at Home for People Living With Dementia
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2026-04
Completion Date
2028-05
Last Updated
2026-03-17
Healthy Volunteers
No
Interventions
Acute hospital care at home
Home visit for a serious illness conversation. Acute illness evaluation on demand. Acute hospital care at home as needed.
Standard medical treatment
Standard acute and emergency care delivered in a brick-and-mortar hospital setting.
Locations (1)
Brigham and Women's Hospital
Boston, Massachusetts, United States