April 10, 2025
Resource Type
5-Cog Paradigm to Improve Detection of Cognitive Impairment in Primary Care: Pragmatic Clinical Trial
March 2025 - In Grand Rounds 54, Malaz Boustani, MD, MPH, discusses transforming brain health with early detection of cognitive problems in the primary care setting using the 5-cog paradigm.
Speakers
Malaz Boustani, MD, MPH
Richard M. Fairbanks Professor of Aging Research,
Indiana University School of Medicine
Research Scientist,
Indiana University Center for Aging Research
Learning Objectives
- Why early detection of cognitive problems in primary care
- Need versus demand
- 0 minutes $1 dollar strategies
- Review 5 COG 1.0 results
- Overview of 5 COG 2.0 study design and flow
- Current status of the 5 Cog 2.0 study
- Agile science and its derivatives
IMPACT community members seek improvements in post-acute care in SNFs
IMPACT community members, Joan Carpenter, PhD, CRNP, Nancy Hodgson, PhD, RN, and Laura Hanson, MD, MPH share the results of their recent pilot pragmatic trial which was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number K23NR017663 and the Rita & Alex Hillman Foundation, New York.
The trial explores the feasibility of implementing a palliative care intervention during post-acute care to improve outcomes and reduce the need for rehospitalizations.
The two-group, multisite feasibility pilot pragmatic clinical trial, which was conducted at 12 SNFs co-located in continuing care retirement communities in the Northeast and Mid-Atlantic United States, evaluated the feasibility of implementing the primary palliative care in post-acute care (PPC-PAC) intervention in the post-acute care skilled nursing facility (SNF) setting.
Implementation of the PPC-PAC intervention proved feasible and acceptable among older adults and clinicians. Future research is needed to focus on testing the effectiveness of PPC-PAC and explore strategies for optimal intervention implementation and SNF staff engagement.
Read the full article here.
Improving Advance Care Planning for Seriously Ill Primary Care Patients: UC Health Care Planning Study
January 2025 - In Grand Rounds 52, Rebecca Sudore, MD, and Anne Walling, MD, PhD, present on "Improving Advance Care Planning (ACP) for Seriously Ill Primary Care Patients: UC Health Care Planning Study". They discuss the evolving ACP definition and research, along with lessons learned from their ACP PCORI pragmatic randomized control trial.
Speakers
Rebecca Sudore, MD
Professor of Medicine,
University of California,
San Francisco
Anne Walling, MD, PhD
Professor-in-Residence,
University of California,
Los Angeles
Learning Objectives
- The Evolving ACP Definition & Research
- Lessons for an ACP PCORI Pragmatic RCT
- Identifying the cohort with validated algorithms
- Constructing the ACP EMR Intervention Infrastructure
- Healthcare navigator arm
- Trial outcomes: NLP
- Implementation Lessons