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| ID | Type | Description | Link |
|---|---|---|---|
| K23AG073575 | U.S. NIH Grant/Contract | View source | |
| PRO00033145 | Other Identifier | UF UFIRST |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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Lewy body dementia (LBD) is the 2nd most common neurodegenerative dementia in the US. Optimal care requires an interdisciplinary approach, however often faced barriers include rural residence, limited access to specialists, travel distance, limited awareness of resources, and physical, cognitive, and behavioral impairments making travel to appointments challenging. Delivering interdisciplinary care remotely using video technology has the potential to improve access to care for patients with LBD.
The purpose of this study is to convert an in-person patient-centric interdisciplinary care model to a virtual platform using stakeholder engagement from individuals with LBD, their caregivers and healthcare providers. Subsequently researchers will conduct a prospective, randomized, controlled pilot study implementing the virtual stakeholder developed interdisciplinary care model (tele-neurohub) for 6 month and assess the implementation outcomes of feasibility, acceptability, and appropriateness of the tele-neurohub model. The research goal is to establish and iteratively improve a virtual interdisciplinary model of care allowing patients with LBD and their caregivers to access sub-specialty care from their home.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tele-neurohub | Experimental | This group will receive the tele-neurohub intervention which includes telemedicine appointments with the neurologist, speech therapist, social worker, and nutritionist at baseline, 3 months and 6 months, and PT and OT every 2 weeks for maintenance neuro-rehabilitation. |
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| Usual care group | Active Comparator | Receive usual care but will have study visit assessments at baseline and 6 months. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tele-neurohub | Behavioral | Interdisciplinary care delivered using telemedicine (zoom) technology which includes neurologist, physical, occupational and speech therapy, social worker and dietician. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of completed tele-health visits | Feasibility will be determined by completion of at least 75% telehealth visits by the intervention cohort | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction assessed by Patient Assessment of Communication of Telehealth questionnaire. | Acceptability will be determined by at least 80% of dyads reporting being "satisfied" or "highly satisfied" on the Patient Assessment of Communication of Telehealth questionnaire. | 6 months |
| Appropriateness assessed by Intervention Appropriateness Measure |
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Participant with Lewy Body Dementia (LBD) Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bhavana Patel, DO | Contact | 352-733-2419 | bhavana.patel@neurology.ufl.edu | |
| Noheli Bedenfield, MHA | Contact | 352-733-2419 | noheli.bedenfield@neurology.ufl.edu |
| Name | Affiliation | Role |
|---|---|---|
| Bhavana Patel, DO | University of Florida | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Florida | Recruiting | Gainesville | Florida | 32610 | United States |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D020961 | Lewy Body Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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tele-neurohub model of care
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Appropriateness will be determined by the Intervention Appropriateness Measure, higher scores indicate greater appropriateness |
| 6 months |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D003704 | Dementia |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |