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DementiaLIVENCT04043364

Live@Home.Path: Innovating the Clinical Pathway for Home Dwelling Persons With Dementia and Their Families

A study testing LIVE in people with Dementia and Home-dwelling, run by University of Bergen at 1 site in Norway.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study aims at developing, implementing and evaluating a complex intervention involving Learning, Innovation, Volunteers and Empowerment for home dwelling persons with dementia and their caregivers. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Dementia, Home-dwelling, Caregiver
What is being tested?
LIVE
Could I receive a placebo?
No, everyone receives an active treatment
How many people
280 participants
Where
1 siteNorway
Study dates
1 Aug 2019to 31 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Home-dwelling people with dementia (PWD) equal or above 65 years diagnosed according to national guidelines
  • Mini mental state examination score 15-24
  • Functional Assessment Staging Test (FAST score 4-7)
  • Living with a partner, or have regular contact with a caregiver minimum 1 hour/week

Who cannot join

  • Participate in other trials
  • Expected survival under 4 weeks

Trial locations and contacts

1 site in 1 country.

Norway1 site
  • University of Bergen

    Bergen, 5009

Other trials in Norway

About this study

Official title: LIVE@Home.Path: a Mixed Method, Stepped Wedge and Randomized Controlled Trial Innovating the Clinical Pathway for Home-dwelling Persons With Dementia and Their Families

This study aims at developing, implementing and evaluating a complex intervention involving Learning, Innovation, Volunteers and Empowerment for home dwelling persons with dementia and their caregivers. The investigators hypothesise that a successfully implemented intervention will reduce caregivers burden and be cost-effective.

Read the detailed description

The provision of economically viable and proper care for the growing group of home-dwelling people with dementia (PWD) is one of the most pressing issues in our society. While a cure for dementia is not yet available, professionals and policy-makers highly prioritize the support of caregivers who experience a vast burden. However, there is a lack of high-quality research investigating clinical, social and economic factors that may add beneficial effects. This project aims to develop, test, and implement a complex intervention for PWD, intended to reduce caregivers' burden, which will aid PWD to stay safely, longer and independently at home with dignity and cost-effectiveness. The term informal caregivers' burden may include different meanings for different people and be related to economic burden, depression and anxiety, quality of life (QoL), or simply the quality of sleep and recreation. In a stepped wedge, cluster randomized controlled trial, involving primary and secondary health care systems in Bergen, Bærum and Kristiansand the 24-month LIVE@Home.Path study will be undertaken in a stepped wedge design. The user-inspired and tailored intervention includes a designated coordinator to the PWD and caregiver for 6 months to introduce a complex intervention involving a) Learning b) Innovation c) Volunteers and d) Empowerment.

Qualitative interviews will determine users' values and wishes, and promotors and barriers for successful implementation of the intervention. Primary and secondary outcomes on cognitive, emotional and social factors, cost-benefit analyses, and QoL of PWD and families will be assessed every 6-month over 2 years.

Update spring 2020: The COVID-19 pandemic severely hampered the implementation of the intervention for the second group. We therefore had to change the design, postponing the intervention in Bærum and Kristiansand, and delivering the intervention in Bergen by phone. In addition, we initiated the PAN.DEM in the LIVE@Home.Path trial, collecting data from phone interviews with caregivers on change in Health services and neuropsychiatric symptoms, risk perception and restrictions. Changes in design approved by Ethical committee (REK: 10861).

Being tested
LIVE
Keywords
Learning, Innovation, Volunteers, Empowerment
Medical subject headings
Dementia, Empowerment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LIVEBehavioural

    Learning, Innovation, Volunteers and Empowerment

Study groups in NCT04043364
Study groupRoleWhat they receive
LIVEExperimentalA multicomponent intervention focusing on Learning, Innovation, Volunteers and Empowerment organized by a local coordinator.
Receives: Behavioral: LIVE
Treatment as usualNo interventionCare coordination and facilitation as usual.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Resource Utilization in Dementia

    RUD:A validated tool for assessment of time use for cost effectiveness analyses, measuring total time use in hours/day for different activities, numbers of contact points with care professionals and use of medications, high time use, many contacts and many medications indicates high resource use

    Measured: up to 24 months follow up, assesment every 6 months

  2. Relative stress scale

    RSS: measuring caregiver distress, 15 items ranging from 0-4, high score indicates high burden

    Measured: up to 24 months follow up, assessment every 6 months

Secondary outcomes (19)
  1. Activities of daily living, instrumental

    I-ADL scale assessing instrumental activities such as use of telephone, economy, household, public transport and shopping, range from 8-31, higher score indicates poorer functioning

    Measured: 24 months follow up, assesment every 6 months

  2. Depression and mood

    CSDD: Cornell scale for depression in dementia, range 0-38, high score indicates high symptom load

    Measured: 24 months follow up, assesment every 6 months

  3. Agitation

    CMAI: Cohen-Mansfield Agitation Inventory, 29 items assessing the frequency of agitated behaviour, range 29-203, high score indicates higher severity

    Measured: 24 months follow up, assesment every 6 months

  4. Neuropsychiatric symptoms

    NPI: presence, severity and burden of depression, anxiety, psychosis and motor disturbances, range from 0-144, high score indicates frequent, severe and burdensome symptoms

    Measured: 24 months follow up, assesment every 6 months

  5. Adverse events

    Falls, disappearances outdoor, admissions to acute wards, fire hazard

    Measured: 24 months follow up, assesment every 6 months

  6. Use of assistive technology

    number of technical aids, cognitive intervention devices and assisted-living systems

    Measured: 24 months follow up, assesment every 6 months

  7. Use of volunteers

    number of participants with contact with a volunteer, number of hours spent with volunteer

    Measured: 24 months follow up, assesment every 6 months

  8. Activities of daily living, personal

    P-ADL, assessing personal activities such as toileting, grooming, dressing, transfer and eating, scale range 6-30, higher score indicates poorer personal functioning

    Measured: 24 months follow up, assesment every 6 months

  9. Quality of Life

    EQ-5D-5L, Descriptive measure of health related quality of life comprising 5 Dimensions With 5 Levels each, scores can be converted to a single summary index number

    Measured: 24 months follow up, assesment every 6 months

  10. Quality of Life VAS scale

    EQ-5D, Descriptive measure of quality of life rated on a VAS scale range 0-100, high score indicates good health

    Measured: 24 months follow up, assesment every 6 months

  11. Quality of Life

    QoL-AD: Quality of life in Alzheimer dementia, 13 items likert scale, range from 13-52 points, high score indicates high quality of life

    Measured: 24 months follow up, assesment every 6 months

  12. Use of volunteers

    number of hours spent with a volunteer

    Measured: 24 months follow up, assesment every 6 months

  13. Change achieving

    Clinical global impression of change, to quantify and track patient progress and treatment response on a scale from 1 to 7, at which 7 indicates substantial worsening.

    Measured: at the start of intervention, and every 6 months

  14. Caregiver depression

    GDS: Geriatric depression scale, 30 items rated yeas or no, high score indicates high burden

    Measured: 24 months follow up, assesment every 6 months

  15. Comorbidity

    GMHR: General medical health rating scale, 4 point likert scale, range from 1-4, high score indicates high comorbidity burden

    Measured: 24 months follow up, assesment every 6 months

  16. Pain in dementia

    MOBID-2: assesses the intensity of pain based on interpretation of pain related behaviour, range from 0-10, high score indicates high pain intensity

    Measured: 24 months follow up, assesment every 6 months

  17. Change in cognitive performance

    IQ CODE: Proxy rater instrument for assessment of change in cognitive performance the last 10 years, range 16-80, high score indicates great decline

    Measured: Baseline

  18. Medication use

    Self and proxy reported use of medications, both regular and on demand

    Measured: At the start of the intervention, and every 6 onth follow up

  19. Participation in educational programs

    Participation in educational programes, both for persons with dementia and for caregivers.

    Measured: 24 months follow up, assessment every 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Aug 2019
  2. Study start1 Aug 2019
  3. Primary completion10 Jun 2022
  4. Study completion31 Dec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Sequential
Model description
Mixed method, stepped wedge randomized controlled trial
Masking
None (open label)
Enrolment
280 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04043364
Sponsor's protocol ID
NFR 273581
Acronym
LIVE
Status last verified
Jan 2023
First submitted
15 Mar 2019
Last updated
9 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: We plan to make individual participant data available to collaborators and researchers affiliated with the project.

Publications

  • Husebo BS, Allore H, Achterberg W, Angeles RC, Ballard C, Bruvik FK, Faeo SE, Gedde MH, Hillestad E, Jacobsen FF, Kirkevold O, Kjerstad E, Kjome RLS, Mannseth J, Naik M, Nouchi R, Puaschitz N, Samdal R, Tranvag O, Tzoulis C, Vahia IV, Vislapuu M, Berge LI. LIVE@Home.Path-innovating the clinical pathway for home-dwelling people with dementia and their caregivers: study protocol for a mixed-method, stepped-wedge, randomized controlled trial. Trials. 2020 Jun 9;21(1):510. doi: 10.1186/s13063-020-04414-y.

    PubMed 32517727
  • Gedde MH, Husebo BS, Erdal A, Puaschitz NG, Vislapuu M, Angeles RC, Berge LI. Access to and interest in assistive technology for home-dwelling people with dementia during the COVID-19 pandemic (PAN.DEM). Int Rev Psychiatry. 2021 Jun;33(4):404-411. doi: 10.1080/09540261.2020.1845620. Epub 2021 Jan 8.

    PubMed 33416012
  • Angeles RC, Berge LI, Gedde MH, Kjerstad E, Vislapuu M, Puaschitz NG, Husebo BS. Which factors increase informal care hours and societal costs among caregivers of people with dementia? A systematic review of Resource Utilization in Dementia (RUD). Health Econ Rev. 2021 Sep 18;11(1):37. doi: 10.1186/s13561-021-00333-z.

    PubMed 34536149
  • Puaschitz NG, Jacobsen FF, Mannseth J, Angeles RC, Berge LI, Gedde MH, Husebo BS. Factors associated with access to assistive technology and telecare in home-dwelling people with dementia: baseline data from the LIVE@Home.Path trial. BMC Med Inform Decis Mak. 2021 Sep 15;21(1):264. doi: 10.1186/s12911-021-01627-2.

    PubMed 34525979
  • Vislapuu M, Angeles RC, Berge LI, Kjerstad E, Gedde MH, Husebo BS. The consequences of COVID-19 lockdown for formal and informal resource utilization among home-dwelling people with dementia: results from the prospective PAN.DEM study. BMC Health Serv Res. 2021 Sep 22;21(1):1003. doi: 10.1186/s12913-021-07041-8.

    PubMed 34551783
  • Husebo BS, Berge LI. Intensive Medicine and Nursing Home Care in Times of SARS CoV-2: A Norwegian Perspective. Am J Geriatr Psychiatry. 2020 Jul;28(7):792-793. doi: 10.1016/j.jagp.2020.04.016. Epub 2020 Apr 22. No abstract available.

    PubMed 32381282
  • Husebo BS, Heintz HL, Berge LI, Owoyemi P, Rahman AT, Vahia IV. Sensing Technology to Monitor Behavioral and Psychological Symptoms and to Assess Treatment Response in People With Dementia. A Systematic Review. Front Pharmacol. 2020 Feb 4;10:1699. doi: 10.3389/fphar.2019.01699. eCollection 2019.

    PubMed 32116687
  • Gedde MH, Husebo BS, Mannseth J, Kjome RLS, Naik M, Berge LI. Less Is More: The Impact of Deprescribing Psychotropic Drugs on Behavioral and Psychological Symptoms and Daily Functioning in Nursing Home Patients. Results From the Cluster-Randomized Controlled COSMOS Trial. Am J Geriatr Psychiatry. 2021 Mar;29(3):304-315. doi: 10.1016/j.jagp.2020.07.004. Epub 2020 Jul 11.

    PubMed 32753339
  • Faeo SE, Bruvik FK, Tranvag O, Husebo BS. Home-dwelling persons with dementia's perception on care support: Qualitative study. Nurs Ethics. 2020 Jun;27(4):991-1002. doi: 10.1177/0969733019893098. Epub 2020 Jan 27.

    PubMed 31986964
  • Faeo SE, Tranvag O, Samdal R, Husebo BS, Bruvik FK. The compound role of a coordinator for home-dwelling persons with dementia and their informal caregivers: qualitative study. BMC Health Serv Res. 2020 Nov 16;20(1):1045. doi: 10.1186/s12913-020-05913-z.

    PubMed 33198779
  • Faeo SE, Husebo BS, Bruvik FK, Tranvag O. "We live as good a life as we can, in the situation we're in" - the significance of the home as perceived by persons with dementia. BMC Geriatr. 2019 Jun 6;19(1):158. doi: 10.1186/s12877-019-1171-6.

    PubMed 31170916
  • Gedde MH, Husebo BS, Mannseth J, Naik M, Selbaek G, Vislapuu M, Berge LI. The impact of medication reviews by general practitioners on psychotropic drug use and behavioral and psychological symptoms in home-dwelling people with dementia: results from the multicomponent cluster randomized controlled LIVE@Home.Path trial. BMC Med. 2022 May 26;20(1):186. doi: 10.1186/s12916-022-02382-5.

    PubMed 35614509
  • Berge LI, Angeles RC, Gedde MH, Faeo SE, Mannseth J, Vislapuu M, Soyland Puaschitz NG, Hillestad E, Aarsland D, Achterberg WP, Allore H, Ballard C, Li F, Selbaek G, Vahia IV, Husebo BS. Burden and care time for dementia caregivers in the LIVE@Home.Path trial. Alzheimers Dement. 2025 Mar;21(3):e14622. doi: 10.1002/alz.14622.

    PubMed 40042468
  • Vislapuu M, Patrascu M, Allore H, Husebo BS, Kjerstad E, Gedde MH, Berge LI. Feedback System Analysis of a Multicomponent Intervention on Dyads of Home-Dwelling Persons With Dementia and Their Caregivers: Results From the LIVE@Home.Path Trial. Innov Aging. 2024 Feb 23;8(3):igae020. doi: 10.1093/geroni/igae020. eCollection 2024.

    PubMed 38550899
  • Puaschitz NGS, Jacobsen FF, Berge LI, Husebo BS. Access to, use of, and experiences with social alarms in home-living people with dementia: results from the LIVE@Home.Path trial. Front Aging Neurosci. 2023 May 22;15:1167616. doi: 10.3389/fnagi.2023.1167616. eCollection 2023.

    PubMed 37284020

Questions about this trial

What is this clinical trial studying?

A study testing LIVE in people with Dementia and Home-dwelling, run by University of Bergen at 1 site in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 9 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Resource Utilization in Dementia (time frame: up to 24 months follow up, assesment every 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04043364, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Mar 2023.

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