Dementia Early Recognition and Response in Primary Care
NCT ID: NCT00866099
Last Updated: 2010-04-19
Study Results
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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UNKNOWN
PHASE2/PHASE3
125 participants
INTERVENTIONAL
2009-07-31
2012-09-30
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
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.
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.
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.
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.
Eligibility Criteria
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Inclusion Criteria
* those with a formal diagnosis of dementia, of any type.
Exclusion Criteria
* 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.
ALL
No
Sponsors
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National Institute for Health Research, United Kingdom
OTHER_GOV
Central and North West London NHS Foundation Trust
OTHER
King's College London
OTHER
University of Hertfordshire
OTHER
St George's, University of London
OTHER
London School of Economics and Political Science
OTHER
Imperial College London
OTHER
University College, London
OTHER
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
University College London
London, Greater London, United Kingdom
Countries
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Central Contacts
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Facility Contacts
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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.
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.
Related Links
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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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