Enrolment in the Social Fitness programme improves participants' performance and satisfaction with meanungful social activities, their quality of life, patients’ mobility, caregivers’ sense of competence and a decreases resource utilization.
ID
Bron
Verkorte titel
Aandoening
dementia, memory problems, caregivers, social participation, psychosocial intervention, occupational therapy, physiotherapy, welfare/
dementie, geheugenproblemen, mantelzorgers, sociale participatie, psychosociale interventies, ergotherapie, fysiotherapie, welzijnswerk.
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
The primary outcome measure is patients' and caregivers' participation in meaningful social activities, assessed with the performance and satisfaction rating of the Canadian Occupational Performance Measurement (COPM).
Achtergrond van het onderzoek
Rationale: Social exclusion is a common problem among community-dwelling older people with dementia and their caregivers, and it can result in serious health consequences. In contrast, social inclusion is one of the four central themes for good quality of person centred care in dementia in Europe. Studies on effectiveness of person centred programmes on improving social participation in meaningful social activities are scarce.
Objective: The main objective of this study is to evaluate the effectiveness of a newly developed interdisciplinary tailor-made social fitness programme on the participation in meaningful social activities of community-dwelling older people with dementia and their caregivers (dyads). In addition, cost analyses will be performed.
Study design: A single blinded randomised controlled trial with randomisation at individual dyad level.
Study population: 92 community-dwelling older people with (signs of) dementia and their caregivers, with goals to maintain or to improve their social participation or to reduce feelings of loneliness.
Main study parameters/endpoints: The primary outcome measure is patients' and caregivers' participation in meaningful social activities, assessed with the performance and satisfaction rating of the Canadian Occupational Performance Measurement (COPM).
Doel van het onderzoek
Enrolment in the Social Fitness programme improves participants' performance and satisfaction with meanungful social activities, their quality of life, patients’ mobility, caregivers’ sense of competence and a decreases resource utilization.
Onderzoeksopzet
Participants who fulfil inclusion criteria receive a baseline assessment (to), a measurement after three months (t1), and a final measurement after six months (t2).
Onderzoeksproduct en/of interventie
In the experimental group, patients and their caregivers will receive treatment and guidance according to the newly develloped Social Fitness Programme (SFP). SFP contains up to two interdisciplinary professional home visits a week during 3 months: an occupational therapist (OT) performs the COTiD-program, a physiotherapist (PT) performs the Coach2Move protocol and elderly advisors from a welfare organisation stimulate and guide dyads to participate in social activities. Dyads in the control group receive usual care.
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Eligible participants for this study meet all of the following criteria:
- Home dwelling patients with dementia diagnosis (MMSE ≥10); or home dwelling patients with memory problems signaled by the referring professional (MMSE 10-24); or home dwelling patients with memory problems and with high intelligence or high levels of education resulting in an MMSE-score between 25 and 30, with a primary caregivers’ score of ≥3.6 on the IQCODE-N.
- Who have a caregiver who is available for informal support at a minimum of one time a week.
- The patient and caregiver wish to maintain or improve their level of social participation, or to decrease their feelings of loneliness.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. No goals in total (patient and caregiver together) for social participation.
2. People who are not capable of completing the self assessment forms.
3. Co-morbidity with symptoms that interfere with actively taking part in the intervention
4. Not stable use (< 3 months on the same dose) of medication which influences
cognition
5. Palliative phase of illness
6. Acute illness with hospital indication
7. Current participation in other health research
8. Received physiotherapy according to the Coach2Move protocol in the last 6 months.
9. Received occupational therapy according to the COTiD-programme in the last 6 months.
10. No financial possibilities to receive occupational therapy
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4196 |
| NTR-old | NTR4347 |
| Ander register | - : n/a |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |