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Alzheimer's disease Coordinated Care for San Diego Seniors
ISRCTN ISRCTN72577751
DOI 10.1186/ISRCTN72577751
ClinicalTrials.gov identifier
EudraCT number
Public title Alzheimer's disease Coordinated Care for San Diego Seniors
Scientific title
Acronym ACCESS
Serial number at source N/A
Study hypothesis A community-wide, collaborative care, quality improvement strategy for dementia patients having Medicare insurance will be more effective in improving adherence to a set of dementia care guidelines than usual care.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United States of America
Disease/condition/study domain Alzheimer's disease and other dementias
Participants - inclusion criteria Patients:
1. Diagnosis of dementia
2. Age 65 years or older
3. Medicare insurance
4. In care at one of three San Diego area healthcare organisations

Caregivers:
1. Age 18 years or older
2. Non-professional caregiver
Participants - exclusion criteria Patients: no caregiver
Caregivers: unable to read or understand English or Spanish
Anticipated start date 01/08/2001
Anticipated end date 04/11/2002
Status of trial Completed
Patient information material
Target number of participants 438 patient/caregiver dyads
Interventions The intervention was based on the chronic care model and included care managers (primarily social workers) based at the healthcare organisations and community agencies, an internet-based software system for care planning and coordination, structured assessments and referral protocols, caregiver self-management support, and provider education.
Control: usual care
Primary outcome measure(s) Adherence to guidelines for dementia care
Secondary outcome measure(s) 1. Healthcare and community resource utilisation
2. Caregiver knowledge
3. Patient health-related quality of life, quality of patient's healthcare
4. Caregiver confidence, social support, unmet need, and health-related quality of life
5. Provider knowledge and perceived care quality
Sources of funding 1. California Department of Health Services (USA) (ref: 00-91316
2. California Department of Aging (USA) (ref: IG-0001-22)
3. California HealthCare Foundation (USA) (ref: 99-3020)
Trial website
Publications Results in http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=17116916
Contact name Dr  Barbara  Vickrey
  Address UCLA Dept of Neurology
C128 RNRC
710 Westwood Blvd
  City/town Los Angeles
  Zip/Postcode 90095
  Country United States of America
  Tel +1 310 206 7671
  Fax +1 310 794 7716
  Email bvickrey@ucla.edu
Sponsor Regents of the University of California (USA)
  Address UCLA Office of Contract & Grant Administration
10920 Wilshire Blvd, Suite 1200
  City/town Los Angeles
  Zip/Postcode 90024
  Country United States of America
Date applied 26/07/2005
Last edited 21/09/2007
Date ISRCTN assigned 17/08/2005
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