Indian Transforming Alzheimer's Care Training (INTACT)
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.
⁃ CLINIC Eligibility criteria
⁃ To be eligible to participate in INTACT a clinic must be:
• A primary care clinic
• Have at least 20 AI/AN active patients 55 years or older
• Have an EHR system
• Not intending to change EHR systems in the next year
• 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:
• have a title of MD, DO, Nurse Practitioner, or PA, and
• regularly provides care to AI/ANs aged 65 and older.
⁃ PATIENTS
⁃ We will only collect patient EHR data from eligible patients who:
• Recorded as AI/AN in the EHR system
• Active clinic patient with prevalent ADRD as of the first day of the time period each data extraction will cover
• Age 55 or older at the start of the surveillance interval
• At least one primary care clinic visit during the time period each data extraction will cover.