Understanding how home-and-community care for Alzheimer’s affects stay-at-home vs. nursing facility use
Official title: Inefficiency in Home and Community-Based Services Access in Alzheimer's Disease and Related Dementias
Funded at Dartmouth College · NIH-11400350 · Data updated 2026-11-12
This project examines how community-based care for people with Alzheimer’s and related dementias influences whether they stay home longer, use nursing facilities less, and what outcomes matter to families.
Quick facts
| Grant type | P01 program project |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Dartmouth College NIH-funded |
| Lab location | 1 site (Hanover, United States) |
| Project start | August 1, 2001 |
| Project end | July 31, 2028 |
| Funding year | 2026 |
| Award (this year) | $303,976 |
| NIH project number | 5P01AG019783-24 |
| Project ID | NIH-11400350 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults aged 21 and older with Alzheimer’s disease or related dementias who are dually eligible for Medicare and Medicaid.
✕Less likely to help
People not using or eligible for HCBS or those whose dementia is not advanced enough to affect community living may experience little direct benefit.
What this research studies
If you or a loved one has Alzheimer’s or a related dementia, this study will look at real-world Medicaid and Medicare data to understand who gets home-based services and how those services relate to staying at home, quality of life, and safety. Researchers will combine claims data with personal reports to find predictors of receiving HCBS and to measure impacts on nursing home use, well-being, and end-of-life care. The goal is to identify which community-based supports are most helpful so future policies can better support living at home. The project uses a mixed-methods approach, including analysis of large national datasets and interpretation of outcomes in the context of daily living for people with ADRD.
Why it matters
Potential benefit: Better understanding of which home-and-community services most help people with ADRD stay in their communities longer.
How similar studies have gone: Prior research has explored HCBS use and outcomes, but this project aims to link contemporary data to measure specific impacts on quality of life, adverse events, and mortality.
Where this research is happening
-
Dartmouth College
Hanover, United States Active
Researchers
- Principal investigator: Barnato, Amber E — Dartmouth College
- Study coordinator: Barnato, Amber E
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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.