Table 6Characteristics of case management interventions for patients with dementia (randomized trials)

Author Year QualityDuration (Months)Mode(s) of ContactMain CM FunctionsContacts (Average)CaseloadRole of Usual Care ProviderSupervision by PhysicianProfessionPre-intervention TrainingUse of Protocols or Scripts
Callahan 200680
Good
12Home visits, clinic, phone
  • Clinical monitoring
  • Counseling and support
8 face-to-face;
7 calls
75/yearIntegratedYesAPNs (geriatric NPs)NRYes
Chien 200886
Fair
6Home visits, support groups
  • Clinical monitoring
  • Planning
  • Counseling and support
  • Caregiver support
  • Education
12 home visits;
12 support sessions
UnclearNRYesNurseYesYes
Chu 200088
Poor
18Home visits, phone
  • Planning
  • Counseling and support
  • Caregiver support
  • Education
Monthly (increased as neededNRIntegratedYesSWNRNR
Clark 200491
Poor
12Phone
  • Clinical monitoring
  • Counseling and support
  • Education
  • Coordination
10/year (based on need)NRIntegratedNRSWNRYes
Eggert 199189
Zimmer 199090
Poor
UnclearHome visits, phone
  • Assessment
  • Monitoring
  • Coordination
  • Care plan development
NR40-45No IntegratedNo2 CMs per team: community health nurse and social workerNRNo
Eloniemi-Sulkava 200181
Good
24Home visits, phone
  • Counseling and support
  • Caregiver support
  • Education
Varied:
1/month to 5/day
50 (maximum)Access to the program physicianYesRN (public health)YesNR
Eloniemi-Sulkava 200982
Good
20 to 24Home visits, clinic, phone
  • Counseling and support
  • CG support
  • Education
Varied:
Calls to and from families (range 1-91);
Home visits (range 1–43);
Office visits (range1–4)
50-60 couplesIntegratedYesAPN (3.5 years advanced education and 1 year education in dementiaYesNR
Jansen 201183
Jansen 200594
Good
12Home visits, Phone
  • Clinical monitoring
  • Planning
  • Education
  • Coordination
≥2 Home visits; Calls, every 3 months;
Time: 11 hours/year (range: 1 – 28 hours)
∼ 33 dyadsIntegratedNo med management by CMs, presumably PCPNurse (specialized in geriatric care)YesYes
Lam 201087
Fair
4Home visits, phone
  • Assessment
  • Education
  • Monitoring
  • Coordination
(Median) Home visits (3); Phone (8); clinic (2)59IntegratedNROccupational therapistNRNR
Mittelman 200631
Mittelman, 2004a95
Mittelman, 2004b96
Roth 200597
Good
UnlimitedClinic, phone, support groups
  • Counseling and support
  • CG support
  • Education
  • Coordination
NRNRNRNRSW (“family counselor”)NRNR
Mittelman et al. 200885;
Brodaty 200998
Good
24Clinic, phone
  • Counseling and support
  • CG support
  • Education
  • Coordination
NRNRNRNRCounselorNRNR
Newcomer, 1999a, 1999b, 1999c36, 99, 100
Miller 199937
Shelton 2001101
Poor
Up to 36NR
  • Clinical monitoring
  • CG support
  • Education
  • Coordination
Minimum of 6 in 4 monthsModel A: 1:100;
Model B: 1:30
No integration with primary care servicesNo integrationSW and nursesNRNR
Vickrey 200684
Good
12Home visits, Phone
  • Planning
  • Education
  • Coordination
2 home visits;
15 phone calls/year
50 dyadsIntegrated (summary assessments sent to PCP)NRPrimarily SWsYesYes

APN = advanced practice nurse; CG = caregiver; CM = case management; NP = nurse practitioner; NR = not reported; PCP = primary care provider; RN = registered nurse; SW = social worker

From: Results

Cover of Outpatient Case Management for Adults With Medical Illness and Complex Care Needs
Outpatient Case Management for Adults With Medical Illness and Complex Care Needs [Internet].
Comparative Effectiveness Reviews, No. 99.
Hickam DH, Weiss JW, Guise JM, et al.

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