Dementia Early Recognition and Response in Primary Care

NCT ID: NCT00866099

Last Updated: 2010-04-19

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

PHASE2/PHASE3

Total Enrollment

125 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2012-09-30

Brief Summary

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The purpose of this study is to develop and test an educational intervention for dementia in primary care, combining timely diagnosis, psychosocial support around the period of diagnosis and management concordant with guidelines.

Detailed Description

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Dementia presents many challenges for primary care. Early diagnosis is important as this allows those with dementia and their family care networks to engage with support services and plan for the future. These actions can relieve the significant psychological distress that people with dementia and close supporters may experience , and provide knowledge about the availability of medical and psycho-social support that can improved functioning and morale

The main efforts to improve the identification and diagnosis of dementia should logically be targeted at primary care as this is the first point of contact for most individuals and their carers when faced with experiences of 'ill health'. There is, however, evidence that dementia remains under-detected and sub-optimally managed in general practice . An educational intervention that could enhance clinical practice, improving the skills of practitioners in the recognition of and response to dementia syndromes, could therefore be beneficial to people with dementia and their families, and potentially to health and social services.

Conditions

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Dementia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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"Normal Care"

Primary care practices randomly allocated will be given a summary of the NICE/SCIE dementia guidelines (2006) and offered workshop training and software at the end of the study.

Group Type NO_INTERVENTION

No interventions assigned to this group

Training

Practices randomly allocated to the intervention arm will be asked to participate in tailored learning activities on dementia, over a three-month period and will be given an electronic training manual (based on Microsoft packages) which they can run in the background during and after consultations with people with known or suspected dementia syndrome and face-to- face individualised workshop sessions.

Group Type EXPERIMENTAL

Educational Dementia training

Intervention Type OTHER

Tailored learning activities on dementia, over a three-month period and will be given an electronic training manual (based on Microsoft packages) which they can run in the background during and after consultations with people with known or suspected dementia syndrome and face-to- face individualised workshop sessions.

Tailoring of the education programme is carried out in a three step process: 1) an educational needs analysis is carried our using a standard checklist to identify aspects of dementia care which the practice perceives as problematic for them; 2) a prescription for education is then written to address shortcomings; 3) the best forms of learning are then identified.

Interventions

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Educational Dementia training

Tailored learning activities on dementia, over a three-month period and will be given an electronic training manual (based on Microsoft packages) which they can run in the background during and after consultations with people with known or suspected dementia syndrome and face-to- face individualised workshop sessions.

Tailoring of the education programme is carried out in a three step process: 1) an educational needs analysis is carried our using a standard checklist to identify aspects of dementia care which the practice perceives as problematic for them; 2) a prescription for education is then written to address shortcomings; 3) the best forms of learning are then identified.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with memory or other cognitive impairments suggestive of dementia syndrome
* those with a formal diagnosis of dementia, of any type.

Exclusion Criteria

* Patients and carers who are already involved in concurrent research
* If the key professional feels that an approach to the person with dementia or their carer would be inappropriate, for example the dementia is very severe, or that an approach may increase distress
* and any other important reason that the key professional may have for why the person with dementia or their carer should not be contacted.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute for Health Research, United Kingdom

OTHER_GOV

Sponsor Role collaborator

Central and North West London NHS Foundation Trust

OTHER

Sponsor Role collaborator

King's College London

OTHER

Sponsor Role collaborator

University of Hertfordshire

OTHER

Sponsor Role collaborator

St George's, University of London

OTHER

Sponsor Role collaborator

London School of Economics and Political Science

OTHER

Sponsor Role collaborator

Imperial College London

OTHER

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role lead

Responsible Party

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University College London

Principal Investigators

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Jane Wilcock, MA(hons) MSc

Role: PRINCIPAL_INVESTIGATOR

University College, London

Locations

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Department of Primary Care and Population Health

London, England, United Kingdom

Site Status RECRUITING

University College London

London, Greater London, United Kingdom

Site Status ENROLLING_BY_INVITATION

Countries

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United Kingdom

Central Contacts

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Steve Iliffe, BScMBBSFRCGP

Role: CONTACT

0044-207-830-2393

Jane Wilcock, MA(hons) MSc

Role: CONTACT

0044-207-830-2239 ext. 38370

Facility Contacts

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Jane Wilcock, MA(hons) MSc

Role: primary

+44(0)20 7830 2239 ext. 38370

Priya Jain, MSc

Role: backup

+44(0)20 7830 2239 ext. 38370

References

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Wilcock J, Iliffe S, Griffin M, Jain P, Thune-Boyle I, Lefford F, Rapp D. Tailored educational intervention for primary care to improve the management of dementia: the EVIDEM-ED cluster randomized controlled trial. Trials. 2013 Nov 20;14:397. doi: 10.1186/1745-6215-14-397.

Reference Type DERIVED
PMID: 24257429 (View on PubMed)

Iliffe S, Wilcock J, Griffin M, Jain P, Thune-Boyle I, Koch T, Lefford F. Evidence-based interventions in dementia: A pragmatic cluster-randomised trial of an educational intervention to promote earlier recognition and response to dementia in primary care (EVIDEM-ED). Trials. 2010 Feb 10;11:13. doi: 10.1186/1745-6215-11-13.

Reference Type DERIVED
PMID: 20146803 (View on PubMed)

Related Links

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http://www.evidem.org.uk

programme website

Other Identifiers

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Award Code: GZFP

Identifier Type: -

Identifier Source: secondary_id

FIS No: 49287

Identifier Type: -

Identifier Source: org_study_id

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