biostudies-literaturePossin KLNCATS NIH HHSNIA NIH HHSAHRQ HHSNINDS NIH HHS1658-1667https://www.ebi.ac.uk/biostudies/studies/S-EPMC6777227biostudies-literatureUnknown179(12)<h4>Importance</h4>Few health systems have adopted effective dementia care management programs. The Care Ecosystem is a model for delivering care from centralized hubs across broad geographic areas to caregivers and persons with dementia (PWDs) independently of their health system affiliations.<h4>Objective</h4>To determine whether the Care Ecosystem is effective in improving outcomes important to PWDs, their caregivers, and payers beyond those achieved with usual care.<h4>Design, setting, and participants</h4>A single-blind, randomized clinical trial with a pragmatic design was conducted among PWDs and their caregivers. Each PWD-caregiver dyad was enrolled for 12 months between March 20, 2015, and February 28, 2017. Data were collected until March 5, 2018. Study interventions and assessmeJAMA internal medicineEffect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use: The Care Ecosystem Randomized Clinical Trial.PMC6777227UG3 NS105557KL2 TR001870L30 AG060590K01 AG059831R01 AG056715P30 AG062422T32 HS022241UH3 NS105557Miller BLBernstein AKornak JKahn JGGearhart RChiong WAllen IELee KChodos ARosa TDHooper SMPossin KLDulaney SRitchie CBonasera SJClark AMMerrilees JJBraley TNaasan GHarrison KBegert-Hellings HLanata SfalseEffect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use: The Care Ecosystem Randomized Clinical Trial.<h4>Importance</h4>Few health systems have adopted effective dementia care management programs. The Care Ecosystem is a model for delivering care from centralized hubs across broad geographic areas to caregivers and persons with dementia (PWDs) independently of their health system affiliations.<h4>Objective</h4>To determine whether the Care Ecosystem is effective in improving outcomes important to PWDs, their caregivers, and payers beyond those achieved with usual care.<h4>Design, setting, and participants</h4>A single-blind, randomized clinical trial with a pragmatic design was conducted among PWDs and their caregivers. Each PWD-caregiver dyad was enrolled for 12 months between March 20, 2015, and February 28, 2017. Data were collected until March 5, 2018. Study interventions and assessme2019-01-01T00:00:00Z2019 Dec2026-04-14T23:29:30.583Z2020-10-08T07:21:44ZS-EPMC67772273156665110.1001/jamainternmed.2019.4101