NCT05669365Completed
The Care Ecosystem Consortium Effectiveness Study
Source: ClinicalTrials.gov · Last updated 2 Sept 2025
Brief summary (registry, in English)
The Care Ecosystem is an accessible, remotely delivered team-based dementia care model, designed to add value for patients, providers and payers in complex organizational and reimbursement structures. Care is delivered via the phone and web by unlicensed Care Team Navigators, who are trained and supervised by a team of dementia specialists with nursing, social work, and pharmacy expertise. The evidence base to date suggests that the Care Ecosystem improves outcomes important to people with dementia, caregivers, and payers when delivered in a controlled research environment, including reduced emergency department visits, higher quality of life for patients, lower caregiver depression, and reduced potentially inappropriate medication use (Possin et al., 2019; Liu et al., 2022). The investigators propose a rapid pragmatic trial in 6 health systems currently offering the Care Ecosystem program in geographically and culturally diverse populations. The investigators will leverage technology, delivering care via the phone and web and using electronic health records to monitor quality improvements and evaluate outcomes while maximizing external validity. The investigators will evaluate the effectiveness of the Care Ecosystem on outcomes important to patients, caregivers, healthcare providers, and health systems during the pandemic. By evaluating the real-world effectiveness in diverse health systems that are already providing this model of care, this project will bridge the science-practice gap in dementia care during an unprecedented time of heightened strain on family caregivers, healthcare providers and health systems.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 1227 (actual)
- First submitted
- 19 Dec 2022
- Start date
- 17 Jan 2023
- Primary completion date
- 15 Aug 2025
- Lead sponsor
- University of California, San Francisco
- NCT number
- NCT05669365
What you commit to
- Study type: Interventional
- Participants enrolled: 1227
- From 17 Jan 2023 to the primary completion date, 15 Aug 2025
- 6 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Medical documentation indicates that the patient's dementia is a non-progressive type (e.g., due to a head injury or stroke, and not expected to progress).
- Note: This exclusion criteria will be operationalized differently at each site based on variations in data access options for their patient population; these options will include EHR and Medicare. A small percentage of participants may be enrolled from underrepresented populations for whom a substantial amount of utilization records cannot be accessed with written approval from the study PI. All participants must be affiliated with one of the 6 participating health systems:
- Ochsner Health System Providence Health \& Services Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center HealthPartners Institute University of Colorado, Denver University of California, San Francisco
Other
- PWD-participants for whom a substantial amount of the patient's healthcare utilization records cannot be accessed for research purposes by the study team. (see Note)
- Is currently, or was ever enrolled, in the Care Ecosystem program.
Who the study is looking for
- Age 18+
- Provision of verbal consent (or surrogate consent), documented in REDCap, and assent
- Willingness to enroll in the Care Ecosystem program
- Lives in the community (i.e., not in an assisted living, board \& care, skilled nursing or memory care facility) at the time of enrollment
- Have a dementia diagnosis documented in the EHR
- Has had a visit with the referring provider in the last 12 months
- Has a caregiver with a primary level of responsibility for the patient who is eligible and willing to participate
- Age 18+
- Provision of verbal consent, documented in REDCap
- Has a primary level of responsibility for the care of a PWD-participant who is enrolling in the study
- Willingness to enroll in the Care Ecosystem program and complete surveys
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (6)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| University of Colorado Health Coordinator of this site? Confirm its status | Denver | United States | Unknown status |
| Ochsner Medical Center Coordinator of this site? Confirm its status | New Orleans | United States | Unknown status |
| Providence Health Coordinator of this site? Confirm its status | Portland | United States | Unknown status |
| HealthPartners Coordinator of this site? Confirm its status | Saint Paul | United States | Unknown status |
| University of California San Francisco Coordinator of this site? Confirm its status | San Francisco | United States | Unknown status |
| LA County Harbor-UCLA Medical Center Coordinator of this site? Confirm its status | Torrance | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.