Indian Transforming Alzheimer's Care Training (INTACT)
Trial Parameters
Brief Summary
INTACT will utilize a group-randomized trial, to test the effectiveness of a culturally informed provider training and "dementia friendly clinic" intervention for detection and appropriate management of AI/AN patients with ADRD and MCI in 28 urban and rural clinics serving AI/ANs.
Eligibility Criteria
CLINIC Eligibility criteria To be eligible to participate in INTACT a clinic must be: 1. A primary care clinic 2. Have at least 20 AI/AN active patients 55 years or older 3. Have an EHR system 4. Not intending to change EHR systems in the next year 5. Willing to conduct a total of 40 limited patient chart reviews to assess quality of care metrics for AI/AN patients with MCI and ADRD, staff permitting PCP Eligibility criteria: To be eligible to participate in the baseline and follow-up surveys a primary care provider must be: 1. have a title of MD, DO, Nurse Practitioner, or PA, and 2. regularly provides care to AI/ANs aged 65 and older. PATIENTS We will only collect patient EHR data from eligible patients who: 1. Recorded as AI/AN in the EHR system 2. Active clinic patient with prevalent ADRD as of the first day of the time period each data extraction will cover 3. Age 55 or older at the start of the surveillance interval 4. At least one primary care clinic visit during the time period