Adapting the Connect-Home transitional care intervention for the unique needs of people with dementia and their caregivers: A feasibility study

Geriatr Nurs. 2022 Nov-Dec:48:197-202. doi: 10.1016/j.gerinurse.2022.09.016. Epub 2022 Oct 20.

Abstract

Aims: After leaving skilled nursing facilities (SNF), 20% of people with dementia (PWD) are re-hospitalized within 30 days. We assessed fidelity, acceptability, preliminary outcomes, and mechanisms of the Connect-Home ADRD transitional care intervention.

Design: A feasibility study of Connect-Home ADRD.

Methods: The Connect-Home intervention was adapted for dementia-specific needs. PWD and caregiver dyads in 2 SNFs received transitional care. Data sources included interviews with PWD and caregivers and a review of health records.

Results: 19 of 34 eligible dyads (56%) were enrolled. The intervention was feasible (components delivered for >84% of dyads) and acceptable (dyads rated it very helpful and not difficult to use). Connect-Home ADRD adaptations included in-home support to manage symptoms of dementia and unplanned events, such as transition to hospice.

Impact: Connect-Home ADRD is feasible, acceptable, and merits future research as an intervention to reduce rapid return to acute care following SNF stays.

Keywords: Alzheimer's disease and related dementias; Caregivers; Skilled nursing facilities; Transitional care.

Publication types

  • Review

MeSH terms

  • Caregivers
  • Dementia* / therapy
  • Feasibility Studies
  • Home Care Services*
  • Humans
  • Transitional Care*