D-CARE: The Dementia Care Study: Design of a Pragmatic Trial of the Effectiveness and Cost Effectiveness of Health System-Based Versus Community-Based Dementia Care Versus Usual Dementia Care.

ABSTRACT:

Background/objectives

Although several approaches have been developed to provide comprehensive care for persons living with dementia (PWD) and their family or friend caregivers, the relative effectiveness and cost effectiveness of community-based dementia care (CBDC) versus health system-based dementia care (CBDC) and the effectiveness of both approaches compared with usual care (UC) are unknown.

Design

Pragmatic randomized three-arm superiority trial. The unit of randomization is the PWD/caregiver dyad.

Setting

Four clinical trial sites (CTSs) based in academic and clinical health systems.

Participants

A total of 2,150 English- or Spanish-speaking PWD who are not receiving hospice or residing in a nursing home and their caregivers.

Interventions

Eightee

SUBMITTER: Reuben DB 

PROVIDER: S-EPMC8086629 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature