{"_id":"voEapMxrGfWgAXge7","bibbaseid":"chodosh-colaiaco-connor-cope-liu-ganz-richman-cherry-etal-dementiacaremanagementinanunderservedcommunitythecomparativeeffectivenessoftwodifferentapproaches-2015","downloads":0,"creationDate":"2017-11-23T19:05:18.424Z","title":"Dementia Care Management in an Underserved Community: The Comparative Effectiveness of Two Different Approaches","author_short":["Chodosh, J.","Colaiaco, B., A.","Connor, K., I.","Cope, D., W.","Liu, H.","Ganz, D., A.","Richman, M., J.","Cherry, D., L.","Blank, J., M.","Carbone Rdel, P.","Wolf, S., M.","Vickrey, B., G."],"year":2015,"bibtype":"article","biburl":null,"bibdata":{"title":"Dementia Care Management in an Underserved Community: The Comparative Effectiveness of Two Different Approaches","type":"article","year":"2015","identifiers":"[object Object]","keywords":"Adult,Aged,Aged, 80 and over,Alzheimer's,Caregivers/psychology/statistics & numerical data,Community Health Services/economics/organization &,Comparative Effectiveness Research,Cost of Illness,Costs and Cost Analysis,Delivery of Health Care/economics/methods,Dementia/economics/psychology/therapy,Evidence-Based Medicine/organization & administrat,Female,Follow-Up Studies,Hispanic Americans/psychology/statistics & numeric,House Calls/economics,Humans,Los Angeles,Male,Medically Underserved Area,Middle Aged,Postal Service,Quality of Health Care/statistics & numerical data,Telephone,Treatment Outcome,care management,comparative effectiveness,dementia,health care delivery","pages":"864-893","volume":"27","month":"8","city":"University of California, Los Angeles, USA Veteran Affairs Greater Los Angeles Healthcare System, CA, USA RAND Corporation, Santa Monica, CA, USA JChodosh@mednet.ucla.edu.; RAND Corporation, Santa Monica, CA, USA.; University of California, Los Angeles, U","id":"c6749f26-12d1-3347-b4bb-9e264f251e7f","created":"2016-08-20T16:52:18.000Z","file_attached":false,"profile_id":"217ced55-4c79-38dc-838b-4b5ea8df5597","group_id":"408d37d9-5f1b-3398-a9f5-5c1a487116d4","last_modified":"2017-03-14T09:54:45.334Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"source_type":"JOUR","notes":"CI: (c) The Author(s) 2015; GR: RC4AG038804/AG/NIA NIH HHS/United States; JID: 8912686; OTO: NOTNLM; 2015/02/04 [aheadofprint]; ppublish","folder_uuids":"6d8851db-6a51-46a8-95d0-32ec832a35f0","private_publication":false,"abstract":"OBJECTIVES: To compare the effectiveness and costs of telephone-only approach to in-person plus telephone for delivering an evidence-based, coordinated care management program for dementia. METHODS: We randomized 151 patient-caregiver dyads from an underserved predominantly Latino community to two arms that shared a care management protocol but implemented in different formats: in-person visits at home and/or in the community plus telephone and mail, versus telephone and mail only. We compared between-arm caregiver burden and care-recipient problem behaviors (primary outcomes) and patient-caregiver dyad retention, care quality, health care utilization, and costs (secondary outcomes) at 6- and 12-months follow-up. RESULTS: Care quality improved substantially over time in both arms. Caregiver burden, care-recipient problem behaviors, retention, and health care utilization did not differ across arms but the in-person program cost more to deliver. DISCUSSION: Dementia care quality improved regardless of how care management was delivered; large differences in effectiveness or cost offsets were not detected.","bibtype":"article","author":"Chodosh, J and Colaiaco, B A and Connor, K I and Cope, D W and Liu, H and Ganz, D A and Richman, M J and Cherry, D L and Blank, J M and Carbone Rdel, P and Wolf, S M and Vickrey, B G","journal":"Journal of aging and health","number":"5","bibtex":"@article{\n title = {Dementia Care Management in an Underserved Community: The Comparative Effectiveness of Two Different Approaches},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n keywords = {Adult,Aged,Aged, 80 and over,Alzheimer's,Caregivers/psychology/statistics & numerical data,Community Health Services/economics/organization &,Comparative Effectiveness Research,Cost of Illness,Costs and Cost Analysis,Delivery of Health Care/economics/methods,Dementia/economics/psychology/therapy,Evidence-Based Medicine/organization & administrat,Female,Follow-Up Studies,Hispanic Americans/psychology/statistics & numeric,House Calls/economics,Humans,Los Angeles,Male,Medically Underserved Area,Middle Aged,Postal Service,Quality of Health Care/statistics & numerical data,Telephone,Treatment Outcome,care management,comparative effectiveness,dementia,health care delivery},\n pages = {864-893},\n volume = {27},\n month = {8},\n city = {University of California, Los Angeles, USA Veteran Affairs Greater Los Angeles Healthcare System, CA, USA RAND Corporation, Santa Monica, CA, USA JChodosh@mednet.ucla.edu.; RAND Corporation, Santa Monica, CA, USA.; University of California, Los Angeles, U},\n id = {c6749f26-12d1-3347-b4bb-9e264f251e7f},\n created = {2016-08-20T16:52:18.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {CI: (c) The Author(s) 2015; GR: RC4AG038804/AG/NIA NIH HHS/United States; JID: 8912686; OTO: NOTNLM; 2015/02/04 [aheadofprint]; ppublish},\n folder_uuids = {6d8851db-6a51-46a8-95d0-32ec832a35f0},\n private_publication = {false},\n abstract = {OBJECTIVES: To compare the effectiveness and costs of telephone-only approach to in-person plus telephone for delivering an evidence-based, coordinated care management program for dementia. METHODS: We randomized 151 patient-caregiver dyads from an underserved predominantly Latino community to two arms that shared a care management protocol but implemented in different formats: in-person visits at home and/or in the community plus telephone and mail, versus telephone and mail only. We compared between-arm caregiver burden and care-recipient problem behaviors (primary outcomes) and patient-caregiver dyad retention, care quality, health care utilization, and costs (secondary outcomes) at 6- and 12-months follow-up. RESULTS: Care quality improved substantially over time in both arms. Caregiver burden, care-recipient problem behaviors, retention, and health care utilization did not differ across arms but the in-person program cost more to deliver. DISCUSSION: Dementia care quality improved regardless of how care management was delivered; large differences in effectiveness or cost offsets were not detected.},\n bibtype = {article},\n author = {Chodosh, J and Colaiaco, B A and Connor, K I and Cope, D W and Liu, H and Ganz, D A and Richman, M J and Cherry, D L and Blank, J M and Carbone Rdel, P and Wolf, S M and Vickrey, B G},\n journal = {Journal of aging and health},\n number = {5}\n}","author_short":["Chodosh, J.","Colaiaco, B., A.","Connor, K., I.","Cope, D., W.","Liu, H.","Ganz, D., A.","Richman, M., J.","Cherry, D., L.","Blank, J., M.","Carbone Rdel, P.","Wolf, S., M.","Vickrey, B., G."],"bibbaseid":"chodosh-colaiaco-connor-cope-liu-ganz-richman-cherry-etal-dementiacaremanagementinanunderservedcommunitythecomparativeeffectivenessoftwodifferentapproaches-2015","role":"author","urls":{},"keyword":["Adult","Aged","Aged","80 and over","Alzheimer's","Caregivers/psychology/statistics & numerical data","Community Health Services/economics/organization &","Comparative Effectiveness Research","Cost of Illness","Costs and Cost Analysis","Delivery of Health Care/economics/methods","Dementia/economics/psychology/therapy","Evidence-Based Medicine/organization & administrat","Female","Follow-Up Studies","Hispanic Americans/psychology/statistics & numeric","House Calls/economics","Humans","Los Angeles","Male","Medically Underserved Area","Middle Aged","Postal Service","Quality of Health Care/statistics & numerical data","Telephone","Treatment Outcome","care management","comparative effectiveness","dementia","health care delivery"],"downloads":0},"search_terms":["dementia","care","management","underserved","community","comparative","effectiveness","two","different","approaches","chodosh","colaiaco","connor","cope","liu","ganz","richman","cherry","blank","carbone rdel","wolf","vickrey"],"keywords":["adult","aged","aged","80 and over","alzheimer's","caregivers/psychology/statistics & numerical data","community health services/economics/organization &","comparative effectiveness research","cost of illness","costs and cost analysis","delivery of health care/economics/methods","dementia/economics/psychology/therapy","evidence-based medicine/organization & administrat","female","follow-up studies","hispanic americans/psychology/statistics & numeric","house calls/economics","humans","los angeles","male","medically underserved area","middle aged","postal service","quality of health care/statistics & numerical data","telephone","treatment outcome","care management","comparative effectiveness","dementia","health care delivery"],"authorIDs":[]}