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Implementation Study of Dementia Guidelines in Primary Care

NCT ID: NCT00459784

Last Updated: 2007-04-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2008-03-31

Brief Summary

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The purpose of this study is to determine whether a specially developed Dementia Training Program for duos of general practitioners and primary care nurses is able to increase the number dementia diagnoses in elderly people living in the community and increase the adherence to clinical dementia guidelines

Detailed Description

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Background Early diagnosis of dementia benefits both patient and caregiver. Nevertheless, dementia in primary care is currently under-diagnosed in developed countries. In several countries educational interventions were developed to improve dementia diagnosis and management in primary care. Some of these interventions were successful in increasing the number of dementia diagnoses and in changing attitudes and knowledge of health care staff. However, none of these interventions focussed on collaboration between GPs and nurses in dementia care. We developed a Dementia Training Program (DTP) aimed at stimulating collaboration in dementia primary care. We expect it to increase the number of cognitive assessments and dementia diagnoses, as well as to improve attitudes and knowledge of GPs and nurses.

Methods/Design The DTP is a complex educational intervention and consists of 2 workshops, a coaching program, and case-based consultations either face-to-face or by phone or e-mail, access to an internet forum, and a Computerized Clinical Decision Support System on dementia diagnostics and management. 100 duos of GPs and nurses will be recruited, from which 2/3 will be allocated to the intervention group and 1/3 to the control group. The effects of implementation of the DTP will be studied in an assessor blinded cluster-randomised controlled trial. Primary outcomes are the number of cognitive assessments and dementia diagnosis in a period of 9 months, starting after workshop participation of the duos. Secondary outcomes are measured on GP and nurse level: rate of adherence to national guidelines for dementia diagnosis, attitude, confidence and knowledge regarding dementia diagnosis and management; on patient level: number of emergency calls, visits and consultations and patient satisfaction; and on caregiver level: informal caregiver burden and satisfaction. Data will be collected from GPs' electronic medical dossiers, self registration forms and questionnaires. Statistical analysis will be performed by using MANOVA-method. Also, exploratory analyses will be performed, in order to gain insight into barriers and facilitators for implementation and the causal relations between the rate of success of the intervention components and the outcomes.

Conditions

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Dementia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

ECT

Blinding Strategy

SINGLE

Interventions

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Dementia Training Program

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* GP and practice or district nurse must participate as a duo

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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County of Gelderland

UNKNOWN

Sponsor Role collaborator

ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Health Valley, Netherlands

NETWORK

Sponsor Role collaborator

Stichting Thuiszorgorganisatie Midden-Gelderland

UNKNOWN

Sponsor Role collaborator

Stichting Thuiszorgorganisatie Mawe Rivierenland

UNKNOWN

Sponsor Role collaborator

Sensire Winterwijk

UNKNOWN

Sponsor Role collaborator

Kruiswerk West Veluwe

UNKNOWN

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Marcel Olde Rikkert, Prof, MD

Role: STUDY_DIRECTOR

Alheimer Centre Nijmegen, the Netherlands

Locations

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Geriatrie 925, Postbus 9101

Nijmegen, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Marieke Perry, MD

Role: CONTACT

[email protected]
0031-24-3610142

Facility Contacts

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Marieke Perry, MD

Role: primary

[email protected]
0031-24-3610142

References

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Perry M, Draskovic I, van Achterberg T, Borm GF, van Eijken MI, Lucassen P, Vernooij-Dassen MJ, Olde Rikkert MG. Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial. BMC Health Serv Res. 2008 Apr 2;8:71. doi: 10.1186/1472-6963-8-71.

Reference Type DERIVED
PMID: 18384675 (View on PubMed)

Other Identifiers

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EASYcareGIDS study

Identifier Type: -

Identifier Source: org_study_id