Improving pain management for older adults with dementia

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to enhance pain assessment and management in older adults living with dementia in nursing homes by implementing the Pain Management Clinical Practice Guideline (Pain Management CPG) through a structured approach called PAIN-CPG-EIT. The intervention involves a research nurse facilitator collaborating with a community champion and a stakeholder team over 12 months to address challenges in pain management. Key components include establishing a stakeholder team, educating staff on pain evaluation and treatment, and utilizing observational methods for pain assessment in individuals with moderate to severe dementia. The goal is to improve the quality of life for residents by ensuring appropriate pain management.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Living in a participating community
* 60 years of age or older
* Evidence of dementia based on a score of 0-12 on the Brief Interview of Mental Status (BIMS); a score of \>2 on the AD8 Dementia Screening Interview; a score of 0.5 to 2.0 on the Clinical Dementia Rating Scale (CDR); and lastly to differentiate between dementia and mild cognitive impairment a score of 9 or greater on the Functional Activities Questionnaire (FAQ).
* have evidence of pain at the time of recruitment based on the Minimum Data set assessment item: How much of the time over the past 5 days have you experienced pain or hurting with eligibility based on the following responses or evidence: occasionally, frequently or almost constantly, or staff report of pain at the same frequency; or if the resident is receiving nonpharmacological or pharmacological treatment for pain.

Exclusion Criteria:

* admitted to the nursing home for short-stay rehabilitation or other subacute needs (e.g., intravenous antibiotics);
* receiving Hospice care.

Where it's running

• Lorien Mays Chapel
  Timonium, Maryland, United States Recruiting
• Future Care Coldspring
  Baltimore, Maryland, United States Completed
• Future Care Courtland
  Baltimore, Maryland, United States Completed
• Futurecare Northpoint
  Baltimore, Maryland, United States Active not recruiting
• Futurecare Irvington
  Baltimore, Maryland, United States Active not recruiting
• Lorein Bel Aire
  Bel Air, Maryland, United States Active not recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.