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Public-private partnerships improve health outcomes in individuals with early stage Alzheimer’s disease


Galvin, James E., Tolea, Magdalena I., George, Nika, Wingbermuehle, Cheryl


Clinical Interventions In Aging, Volume: 9, Pages.: 621-630

Year of Publication



Purpose: In a collaborative effort between the Missouri Department of Health, Area Agencies on Aging (AAA), Alzheimer Association, and academic researchers, we tested whether early dementia detection and comprehensive care consultations would improve health outcomes in care receivers (CRs) and their family caregivers (FCGs), therefore addressing an important public health concern.; Participants and Methods: A total of 244 community-dwelling older adults screened for early-stage dementia by the AAA field staff were referred to the Alzheimer Association and participated in Project Learn MORE (Missouri Outreach and Referral Expanded) (PLM) – a 2-year, nonrandomized multisite intervention consisting of comprehensive care consultations to improve coping skills. PLM participants were compared against 96 controls receiving the Alzheimer Association’s “usual services” between January 2011 and December 2012. We examined CR and FCG outcomes, including burden, care confidence, and mood, as effects of PLM, on delaying transitions in level of care.; Results: CRs showed improved knowledge (P=0.002) and reduced depression (P=0.007), while FCGs demonstrated improved knowledge (P=0.003) and ability to identify sources of support for the CR (P=0.032) and for themselves (P=0.043). However, FCGs were more burdened after PLM (P=0.02), due to increased awareness of Alzheimer’s disease. PLM delayed transitions in care (odds ratio [OR] 3.32, 95% confidence level [CI]: 1.25-8.83) with the number needed to treat =6.82.; Conclusion: PLM was successful in improving detection of incident cases of dementia in the community and in connecting patients and their families with needed services. Our findings support the use of state agencies and community service partners to detect dementia. Early implementation of psychosocial interventions could have significant impact in improving patient- and family-centered outcomes, potentially providing a cost-efficient alternative to pharmacotherapy.;

Bibtex Citation

@article{Galvin_2014, doi = {10.2147/cia.s60838}, url = {}, year = 2014, month = {apr}, publisher = {Dove Medical Press Ltd.}, pages = {621}, author = {James Galvin and Magdalena Tolea and Nika George and Cheryl Wingbermuehle}, title = {Public{&}ndash$mathsemicolon$private partnerships improve health outcomes in individuals with early stage Alzheimer{&}rsquo$mathsemicolon$s disease}, journal = {{CIA}} }


ad8, aged, alzheimer, alzheimer disease, and, association, awareness, care, caregiver burden, caregivers, comprehensive health care, consultations, contact, cost of illness, dementia screening, female, humans, knowledge, learn, male, methods, middle aged, missouri, more, or, organization administration, outcome and process assessment health care, project, psychology, social support, social work, therapy, transition in care, with

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cost and service use study, Non randomised controlled trial

Type of Outcomes

Carer Burden (instruments measuring burden), Depression and Anxiety, Service use or cost reductions (incl. hospital use reduction, care home admission delay)

Type of Interventions

Diagnostic Target Identification, Intervention for Carers, Non-pharmacological Treatment

Diagnostic Targets


Non-Pharmaceutical Interventions


Carer Focussed Interventions

Information and Advice, Training programmes / workshops including behavioural training