Author: Mia

Current and future use of RE-AIM and its PRISM expansion, and their application in pragmatic trials

Posted on by Mia

June 2024 – In Grand Rounds 48, Dr. Glasgow details RE-AIM and PRISM, an integrated framework designed to improve the adoption and sustainable implementation of evidence-based interventions in a wide range of public health, educational, community, and other settings.

Speaker

Photo of Dr. Russell GlasgowRussell Glasgow, PhD

Research Professor, Dept. of Family Medicine

Director, ACCORDS Dissemination & Implementation Science (D&I) Program

University of Colorado Anschutz Medical Campus

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Learning Objectives

  • Describe key features of the RE-AIM framework and how it can be applied for pragmatic research.
  • Discuss how the PRISM framework expands upon RE-AIM and how it is used to address health equity.
  • Discuss the importance of adaptations and the issues involved with iterative adaptations during implementation.

 

Podcast

 

Podcast Transcript: Download the transcript here.

The GUIDE Model: A CMS payment model test to support people living with dementia and their family caregivers

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May 2024 – In Grand Rounds 47, Drs. Epstein-Lubow and Lees-Haggerty, along with Tonya Saffer, Director of the Division of Healthcare Payment Models with the Centers for Medicare & Medicaid Services (CMS), share the GUIDE Model. GUIDE is a CMS payment model that tests whether dementia care programs can improve quality of life for people living with dementia and their caregivers.

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Headshot photo of Dr. Gary Epstein-Lubow

 

 

 

 

 

Gary Epstein-Lubow, MD
Team Lead, Engaging Partners Team
Distinguished Medical Scholar, EDC
Associate Professor, Brown University

Headshot photo of Dr. Kristin Lees-Haggerty

 

 

 

 

 

Kristin Lees-Haggerty, PhD
Project Director
Natl. Collaboratory to Address Elder Mistreatment
Education Development Center

Headshot photo of Tonya Saffer

 

 

 

 

 

Tonya Saffer, MPH
Director
Division of Healthcare Payment Models
Centers for Medicare & Medicaid Services

Learning Objectives

  • Review the historical context of the CMS GUIDE Model and its potential for transforming the delivery, quality and outcomes of dementia care in the United States.
  • Learn the requirements for participating health systems regarding care delivery and outcomes reporting.
  • Understand how the GUIDE Model requirements align with evidence-based comprehensive dementia care, including new opportunities and challenges for pragmatic evaluation of dementia service delivery related to GUIDE-participating health systems.

Podcast

 

Podcast Transcript: Download the transcript here.
IMPACT April 2024 Grand Rounds with Professor Clive Ballard from the University of Exeter

The WHELD Programme

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April 2024 – In Grand Rounds 46, Dr. Ballard speaks on the WHELD programme  – an evidence-based program developed to coach and support care home staff to deliver better person-centered care and increase opportunities for social interactions with personalized activities for residents living with dementia.

 

Speaker

Clive Ballard, MD, MPHClive Ballard, MD, MPH

Professor of Age-Related Diseases

University of Exeter

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Learning Objectives

  • Understanding some of the challenges for nursing homes and people with dementia living in these settings
  • Understanding the impacts of psychotropic medications in nursing home residents with dementia
  • Understanding the best evidence regarding interventions to improve outcomes for nursing home residents with dementia

 

Podcast

 

Podcast Transcript: Download the transcript here.
Graphic with headshot of Dr. Julie Bynum from the shoulders up, next to the words "Grand Rounds & Podcast March 2024"

Diagnosed Dementia in Medicare: Benchmarking for Study Planning and Equity

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March 2024 – In Grand Rounds 45, Dr. Bynum shares the pros and cons of using healthcare-generated data, such as Medicare Fee-for-Service and Medicare Advantage, to identify people living with Alzheimer's disease and related dementias (ADRD), as well as the use of population benchmarks in study planning and integrating health equity.

 

Speaker

Dr. Julie BynumJulie Bynum, MD, MPH

Margaret Terpenning Collegiate Professor of Internal Medicine

Division of Geriatric & Palliative Medicine

University of Michigan


 
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Learning Objectives

  • Identify strengths & challenges when using Medicare data for participant identification
  • Understand characteristics of diagnosed dementia cases across place
  • Consider value of using population benchmarks for planning and equity

 

Podcast

 

Podcast Transcript: Download the transcript here.
February 2024 Grand Rounds: Cultural adaptations of ADRD clinical trials for Latino Participants

Cultural adaptation of ADRD clinical trials for Latino participants

Posted on by Mia

February 2024 – In Grand Rounds 44, Drs. Hanson, Lum, Ramirez Gomez, and Fischer discuss barriers to inclusivity in ADRD clinical trials, disparities in caregiving of PLWD, the importance of integrating cultural adaptations and lessons learned from the ADRD-PC trial.

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Stacy Fischer, MD

Stacy Fischer, MD

Professor

University of Colorado Anschutz Medical Campus

 

Hillary Lum, MD, PhD

Hillary Lum, MD, PhD

Associate Professor

University of Colorado Anschutz Medical Campus

 

Laura Hanson, MD, MPHLaura Hanson, MD, MPH

Professor

University of North Carolina School of Medicine

 

Liliana Ramirez Gomez. MDLiliana Ramirez Gomez, MD

Clinical Director

Massachusetts General Hospital

Learning Objectives

  • Review the barriers to ADRD research for diverse populations
  • Learn best practices for engaging Latino ADRD caregiver advisors in research
  • Understand the process of cultural adaptation of ADRD research protocols

 

Podcast

 

Podcast Transcript: Download the transcript here.

Results and Lessons Learned from the HAS-QOL ePCT

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June 2023 – In Grand Rounds 38, Dr. Brody dives into the results and lessons learned from the Hospice Advanced Dementia Symptom Management and Quality of Life (HAS-QOL) ePCT, a 25-site trial exploring a quality improvement program tailored to improve care for PLWD and their care partners receiving hospice across care settings.

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Speaker

 

Ab Brody, PhD, RN, FAANAb Brody, PhD, RN, FAAN

Founder, Aliviado Health

Pilot Studies Core Leader, NIA IMPACT Collaboratory

Mathy Mezey Professor, NYU Rory Meyers College of Nursing
Associate Director, Hartford Institute for Geriatric Nursing

Learning Objectives

  • Understand the current gaps and challenges in providing effective care to people living with dementia and their care partners in hospice.
  • Describe the process of preparing a full-scale ePCT.
  • Summarize challenges and effective solutions, including human support and technology-based strategies, to sustain interdisciplinary dementia care workforce training in hospice settings amid COVID-19 in a 25-site ePCT.

 

Podcast

S
Podcast Transcript: Download the transcript here.

eRADAR: An embedded, pragmatic trial using electronic health record data for targeted dementia screening

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May 2023 – In Grand Rounds 37, Drs. Barnes and Dublin discuss the use of eRADAR - electronic health record (EHR) Risk of Alzheimer's and Dementia Assessment Rule - for targeted dementia screening in higher-risk older adults.

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Speakers

 

Deborah Barnes, PhD Deborah Barnes, PhD 

Professor
Psychiatry and Behavioral Sciences
Epidemiology & Biostatistics

University of California, San Francisco

 


Sascha Dublin, MD, PhDSascha Dublin, MD, PhD

Senior Investigator

Kaiser Permanente Washington Health
Research Institute

Learning Objectives

  • Describe eRADAR's accuracy for identifying older patients at risk of undiagnosed dementia.
  • Describe patient acceptance of targeted screening for dementia using eRADAR.
  • Describe preliminary outcomes of brain health assessment visits.

Podcast

S
Podcast Transcript: Download the transcript here.

More than a Meal: Results from a Pilot Pragmatic Clinical Trial Evaluating Two Models of Home-Delivered Meals for Older Adults Living with Dementia

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April 2023 – In Grand Rounds 36, Dr. Kali S. Thomas shares findings from a pilot pragmatic clinical trial that evaluated the impact of two models of home-delivered meals for older adults living with dementia.

Speaker

Kali S. Thomas, PhDKali S. Thomas, PhD

Associate Professor
Health Services, Policy & Practice

Brown University

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Learning Objectives

  • Understand the steps taken to design a pilot pragmatic randomized control trial comparing two types of home-delivered meals among older adults living with dementia.
  • Describe the feasibility of conducting this study, including recruitment, retention, and assessment procedures.
  • Summarize the process for linking data to examine trends in treatment effects.

 

Podcast

S
Podcast Transcript: Download the transcript here.

Causal Inference in Pragmatic Trials

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March 2023 – In Grand Rounds 35, Dr. Eleanor "Ellie" Murray explores causal inference in randomized pragmatic trials highlighting topics such as immortal time bias, per-protocol effects, and how to use the SMARTER acronym when thinking about causal research questions.

Speaker

Eleanor Murray, PhD

Eleanor Murray, PhD

Assistant Professor
Epidemiology

Boston University School of Public Health
@EpiEllie

 

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Learning Objectives

  • Discuss the properties of a good causal research question.
  • Identify two key sources of potential bias common in pragmatic trials.
  • Recognize pragmatic trial scenarios requiring sophisticated causal inference statistical methods.

 

Podcast

S
Podcast Transcript: Download the transcript here.