Too study the effects of implementation of the Dutch STI on pain and challenging behavior.The RESEARCH QUESTIONS are:1. Is the use of the STI-protocol more effective than usual care in reducing symptoms of pain and challenging behaviours in nursing…
ID
Source
Brief title
Condition
- Dementia and amnestic conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
pain, challenging behavior
Secondary outcome
depression, quality of life, use of antipsychotic medication
Background summary
Pain (physical discomfort) and challenging behaviour are highly prevalent in
nursing home residents with dementia. It has been shown that pain is
undertreated in this group, and that psychosocial interventions for behavioral
problems are ,allthough effective, not adequately implemented. Too often
psychoactive medication is used too control these behaviors.
A stepwise protocol (the serial trial intervention, STI) has been shown too be
effective in US nursing homes in controlling pain and challenging behavior.
This protocol is translated and adapted for the Dutch nursing homes.
Study objective
Too study the effects of implementation of the Dutch STI on pain and
challenging behavior.
The RESEARCH QUESTIONS are:
1. Is the use of the STI-protocol more effective than usual care in reducing
symptoms of pain and challenging behaviours in nursing home residents?
2. Does the use of the STI-protocol lead to less depressive symptoms and a
better quality of life in advanced dementia patients?
3. Does the use of the STI-protocol lead to a change in use of analgesics and
psychotropic drugs?
4. Does the use of the STI-protocol lead to a more frequent use of
non-pharmacological comfort
interventions?
Study design
Randomized controlled trial, randomisation at nursing home level.
Staff is trained in working with the STI, and measurements are performed at t0,
4 weeks, 13 weeks and 6 months.
Study burden and risks
No risks
van der Boechorststraat 7
1081 BT Amsterdam
NL
van der Boechorststraat 7
1081 BT Amsterdam
NL
Listed location countries
Age
Inclusion criteria
stage dementia Reisberg GDS 5,6 and 7
Exclusion criteria
terminal prognosis
psychiatric illness other than dementia
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL24520.029.09 |