Improving transitions home for people with Alzheimer's and their caregivers
Transitional Care for Skilled Nursing Facility Patients with Alzheimer’s Disease and Related Dementias and their Caregivers: a Cluster Randomized Trial.
This project helps people with Alzheimer's disease and related dementias, along with their caregivers, have a smoother and safer move from a skilled nursing facility back home or to another care setting.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Univ of North Carolina Chapel Hill NIH-funded |
| Lab location | 1 site (Chapel Hill, United States) |
| Project ID | NIH-11166543 on NIH RePORTER |
What this research studies
Many people with Alzheimer's disease and related dementias (ADRD) go to a skilled nursing facility after a hospital stay and then return home, but often face challenges like re-hospitalization and caregiver stress. This project introduces the Connect-Home ADRD program, which offers support both before and after discharge. Before leaving the facility, staff will work with patients and their caregivers to create a personalized transition plan. After discharge, a Dementia Caregiving Specialist will provide phone support to help families follow this plan and manage care at home.
Who could benefit from this research
Good fit: Ideal candidates are individuals with Alzheimer's disease or related dementias who are transitioning from a skilled nursing facility to home or another care setting, along with their primary caregivers.
Not a fit: Patients who are not transitioning from a skilled nursing facility or who do not have Alzheimer's disease or related dementias would not directly benefit from this specific program.
Why it matters
Potential benefit: If successful, this program could significantly reduce re-hospitalizations for people with ADRD and lessen the burden and stress experienced by their caregivers.
How similar studies have performed: A previous version of this intervention, Connect-Home, showed positive results, and a pilot study of the adapted C-H ADRD program demonstrated its feasibility and potential benefits.
Where this research is happening
Chapel Hill, United States
- Univ of North Carolina Chapel Hill — Chapel Hill, United States (Active)
Researchers
- Principal investigator: Toles, Mark P — Univ of North Carolina Chapel Hill
- Study coordinator: Toles, Mark P
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 below.