To evaluate the feasibility and (cost) effectiveness of an intervention to improve the quality of dementia care and the wellbeing of home dwelling persons with dementia and their main informal caregiver.
ID
Source
Brief title
Condition
- Dementia and amnestic conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcomes: quality of dementia care (set of 23 quality indicators)
Secondary outcome
Secondary outcomes: caregiver burden (SSCQ), patient behavioural symptoms
(NPI), quality of life of patients (EQ5D and QoL-AD) and informal caregivers
(EQ-5D), mental health problems of caregivers (GHQ 12). The incidence of new
dementia diagnosis.
Economic outcomes: direct and indirect medical and societal costs.
Feasibility outcomes: level of implementation succes and failure factors of the
intervention.
Background summary
In sight of the upcoming dementia epidemic it is of vital importance to
optimize care for home dwelling dementia patients and their informal
caregivers. At present, diagnosis and management of dementia in primary care is
suboptimal. Previous studies suggest that the combination of training
providers, deploying a care coordinator and structuring collaboration among
care providing organisations could improve the quality of care for home
dwelling dementia patients. Cost effectiveness was not yet assessed.
Study objective
To evaluate the feasibility and (cost) effectiveness of an intervention to
improve the quality of dementia care and the wellbeing of home dwelling persons
with dementia and their main informal caregiver.
Study design
mixed methods: cluster RCT and qualitative analysis
Intervention
Intervention developed by expert opinion, literature review, focusgroups.
1) Family physicians classify cognitive function of all elderly patients, they
are trained and supervised in collaborative diagnosis and management of
dementia, collaborating with a trained practice nurse. 2) Practice nurses
support patients and caregivers, do a structured assessment of care needs and
make a care plan in consultation with the patient and informal caregiver if
present and they coordinate care. 3) Collaboration among dementia care
providers is structured within a region.
Study burden and risks
The interventions done within the context of the study are regarded to be of no
risk to the patients and caregivers exposed to them. We aimed to minimise the
burden placed on dementia patients and their caregivers by the half yearly
interviews and questionnaire.
Van der Boechorststraat 7
1081BT
NL
Van der Boechorststraat 7
1081BT
NL
Listed location countries
Age
Inclusion criteria
1. Patients are classified as possibly cognitively impaired or possibly having dementia based on FPs* general impression.
2. A primary informal caregiver can be identified. Definition primary informal caregiver: the person who has a central role in (and takes responsibility for) the care of an, independently living, disabled relative or partner.
3. The primary caregiver has sufficient mastery of the Dutch language.
Exclusion criteria
1. Patients are already diagnosed with dementia.
2. Patient or caregiver is terminally ill.
3. Permanent admission of the patient to a nursing home expected within 6 months.
4. The patient is not/no longer sufficiently capable of understanding spoken language or expressing him- or herself.
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 | NL34299.029.10 |