Dementia | Preventing Aggression In Veterans With Dementia (PAVED) - Telephone Sub-Study With Rural Veterans
Dementia research study
What is the primary objective of this study?
Who is eligible to participate?
Inclusion Criteria: 1. diagnosis of dementia 2. pain symptoms documented by the HBPC staff 3. residence in a VA designated rural area of Lufkin or Conroe 4. presence of a caregiver 5. Enrolled in Home Based Primary Care at Michael E DeBakey VA Medical Center Exclusion Criteria: 1. display of aggression (spitting, cursing/verbal aggression, hitting, kicking, grabbing, pushing, throwing, biting, scratching, hurting self/others, tearing things/destroying property, making inappropriate verbal sexual advances, or making inappropriate physical sexual advances) in the past year 2. score of 6 or greater on the Functional Assessment Staging (FAST) scale 3. inability to complete by phone a cognitive screening assessment (Telephone Interview for Cognitive Status) or the Philadelphia Geriatric Pain Intensity Scale.
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Behavioral:Preventing Aggression in Veterans with Dementia (PAVeD)PAVeD-Telephone consists of three components: pain-management strategies, improvement of patient-collateral communication skills, and behavioral activation through increased pleasant activity planning. The intervention will be primarily geared toward the caregiver; but patients may be involved in some modules, depending on their dementia severity and willingness. The goal of the sessions is to prevent aggression in veterans with dementia. The sessions will include didactics, skill-building, and discussion. Participants will also be provided a copy of the book, Pain Management for Older Adults: A Self-help Guide, as an additional resource for optional reading on the topics covered in the intervention. The intervention is proposed to include six to eight sessions of weekly treatments, lasting 30 minutes to 45 minutes, specifically developed to address the recognition and management of pain in persons with dementia.
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
Start Date: August 2011
Completed Date: December 2013
Primary Outcome: Incidence of Aggression
Study sponsors, principal investigator, and references
Lead Sponsor: Michael Debakey Veterans Affairs Medical Center