Design and Development of a Community-Based, Interdisciplinary, Collaborative Dementia Care Program.

Danielle Goldfarb, Angela M Allen, Lori E Nisson,Diana B Petitti, Donald Saner, Carrie Langford,William J Burke,Eric M Reiman,Alireza Atri,Pierre N Tariot

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry(2021)

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摘要
OBJECTIVE:To describe the design, development, and baseline characteristics of enrollees of a home-based, interdisciplinary, dyadic, pilot dementia care program. DESIGN:Single-arm, dementia care intervention in partnership with primary care providers delivered by Health Coaches to persons with dementia and caregiver "dyads" and supervised by an interdisciplinary team. SETTING:Home- and virtual-based dyad support. PARTICIPANTS:Persons with mild cognitive impairment or dementia diagnosis and/or who were prescribed antidementia medications; had an identified caregiver willing to participate; were under the care of a partner primary care provider; and had health insurance through the affiliated accountable care organization (Banner Health Network). INTERVENTION:Provision of personalized dementia education and support in the home or virtually by Health Coaches supported by an interdisciplinary team. MEASUREMENTS:Cognition, function, mood, and behavior of persons with dementia; caregiver stress and program satisfaction; primary care provider satisfaction. RESULTS:Served dyads from three primary care clinics with a total of 87 dyads enrolled between December 2018 and June 2020. CONCLUSION:A pilot Dementia Care Partners demonstrated feasibility and suggested acceptability, and high satisfaction among primary care providers and caregivers.
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