About this trial
This study evaluates a care delivery protocol to improve access to care for Veterans with Alzheimer's Disease and Related Disorders (ADRD). A randomized controlled trial will enroll Veterans with mild cognitive impairment or early dementia at VA Pittsburgh. The ADRD care delivery protocol integrates telehealth, advanced diagnostics, and streamlined workflows to expedite screening for eligibility for amyloid targeting therapies.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of mild cognitive impairment or mild dementia due to suspected or confirmed AD with a 5 minute telephone MoCA score >7
Meets VA MUE inclusion/
Disqualifiers
Enrolled in VA care
Lives in a home setting (i.e., not in an institutional setting such as a nursing home, Community Living Center, or hospital)
Has a working telephone
18 years and older
Trial design
Single group
Treatments tested in this trial
ADRD Care Delivery Protocol
Other intervention1\. Included in arm/group descriptions
Treatment groups
Trial outcomes
Primary outcomes
Time to Eligibility Determination
Compare the number of days from randomization to the determination of eligibility for monoclonal antibody therapy for both the intervention and usual care groups, assessed up to 12 months.
Time to Initial Infusion
Compare the number of days from the date of randomization to the initial infusion of monoclonal antibody therapy for both the intervention and usual care groups, assessed up to 12 months.
Secondary outcomes
Number of Participants and Instances of Additional testing
Chart review will be used to determine the number of participants who underwent additional testing and the total number of additional tests performed. This includes counting instances of APOE genetic testing, MRI brain imaging, and amyloid PET imaging as ordered at the discretion of the specialist.
Sponsors and contacts
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