A tool to help veterans with dementia make decisions about emergency care.
Official title: A Shared Decision-Making Tool to Support Emergency Department Dispositions for Veterans with Dementia
Funded at Durham VA Medical Center · NIH-10974469 · Data updated 2026-11-12
This study is creating a helpful tool for veterans aged 65 and older with dementia to make better decisions during emergency room visits, so they, their caregivers, and doctors can talk about whether it's best to stay in the hospital or go home, all while keeping their needs and wishes in mind.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Durham VA Medical Center NIH-funded |
| Lab location | 1 site (Durham, United States) |
| Project start | October 1, 2023 |
| Project end | September 30, 2028 |
| Funding year | 2025 |
| NIH project number | 5IK2HX003673-02 |
| Project ID | NIH-10974469 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are veterans aged 65 and older who are living with Alzheimer's disease or related dementias.
✕Less likely to help
Patients who are younger than 65 or do not have dementia may not benefit from this research.
What this research studies
This research develops a shared decision-making tool aimed at assisting veterans aged 65 and older with dementia during their visits to the emergency department. The tool will help healthcare providers, patients, and caregivers engage in meaningful conversations about whether to admit the patient to the hospital or discharge them home. By considering the values and preferences of patients and their caregivers, the tool seeks to improve the decision-making process in a setting where patients may struggle to communicate their needs. The goal is to reduce unnecessary hospital admissions while ensuring that patients receive appropriate care.
Why it matters
Potential benefit: If successful, this research could lead to better decision-making in emergency care for veterans with dementia, potentially improving their health outcomes and quality of life.
How similar studies have gone: Previous research has shown that shared decision-making tools can improve patient outcomes in various medical settings, suggesting a promising approach for this population.
Where this research is happening
-
Durham VA Medical Center
Durham, United States Active
Researchers
- Principal investigator: Seidenfeld, Justine — Durham VA Medical Center
- Study coordinator: Seidenfeld, Justine
Related research
Other NIH-funded projects on the same topics.
-
Shared decision tool to help veterans with dementia and caregivers choose ED care and discharge
This project builds a simple tool to help veterans living with dementia and their families make emergency department care and discharge decisions together.
-
Antisocial behaviors in frontotemporal dementia: aggression versus rule‑breaking
This project looks at different kinds of antisocial behaviors—like aggression or rule‑breaking—in people with behavioral variant frontotemporal dementia (bvFTD) and how those behaviors relate to brain changes.
-
Creating a tool to help older adults with dementia make care decisions
This study is all about helping older adults with Alzheimer's and related conditions make better choices when moving from home care to long-term care facilities by talking to them and their caregivers to understand what they want and need.
-
Decision tool to help veterans with dementia and caregivers in the emergency room
Creates a short conversation aid to help veterans living with dementia, their caregivers, and ER clinicians decide whether to admit a patient or go home.
-
Understanding antisocial behavior in frontotemporal dementia
This study is looking at the challenging behaviors, like aggression and breaking rules, that can happen in people with behavioral variant frontotemporal dementia (bvFTD), and it aims to better understand how these behaviors are connected to changes in the brain.
-
Creating a care decision-making program for African American families dealing with dementia
This study is creating a special program to help African American families, especially adult daughters caring for parents with Alzheimer's, make better decisions about care, so they can feel more supported and improve their loved ones' quality of life.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.