Use of Autobiographical and Interest Assessment for a Better Stimulation of Patients in Nursing Home

NCT ID: NCT01314131

Last Updated: 2011-04-29

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

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2012-06-30

Brief Summary

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The purpose is to evaluate patients' interests (patients in nursing home). Moreover the study aims to evaluate whether an activity for which the patient is interested in, allows a better involvement and stimulation.

Detailed Description

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Context :

Behavioral and Psychological Symptoms of Dementia (BPSD) arouse researchers' interest because they are frequent manifestations responsible for a large share of the suffering of patients and caregivers. Apathy is the most frequent of them.

Systematic literature reviews on non-pharmacological treatment for BPSD indicates that some technique and more particularly residential care staff training program appear to have promising results, even if the level of evidence of efficacy remains moderate partly because of the paucity of scientific quality research in this area.

The most of them comes from Anglo-Saxon country. In France, the TNM en EHPAD study demonstrated the staff training program efficacy regarding to the management of behavioral positive symptoms such as agitation or aggressiveness compared to a control group

Aims of the study :

The aims of the study is to evaluate the short and medium term effectiveness of staff training program to manage and stimulate patients with a diagnosis of Alzheimer's disease or associated disorders and presenting BPSD of the apathy type and living in nursing homes.

Description :

A Randomized controlled trial (randomization by nursing home) presents as a routine clinical procedure according to the French regulation. Raters and our statistician are unaware and blind to the randomization. The trial takes place in 4 nursing homes.

To be included, patients are older than 65 years with a diagnosis of Alzheimer's disease or associated disorder and present the diagnostic criteria of apathy, within a moderate to severe stage of the disease.

Data are collected at baseline, month 1 and at month 4, namely 3 months after the end of the training programme thanks to the Apathy Inventory Clinician version (AI-C), the Neuropsychiatric Inventory for the staff members (NPI-ES), the AD QOL, an Observation Scale and a qualitative analysis of the official caregiver's knowledge and perception about BPSD especially apathy and their expectations concerning the training program.

Conditions

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Alzheimer's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Blinding Strategy

NONE

Study Groups

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Intervention group

Group Type EXPERIMENTAL

Stimulation group

Intervention Type BEHAVIORAL

Patients living in nursing home can be enrolled in the study by giving their verbal consent. The trial lasts two weeks for each patients and it will be performed in three parts :

* a cognitive and behaviour assessment : MMSE, BREF, NPI, IA
* an interest questionnaire for patients. It contains 40 questions about activities.
* the intervention : patients will be propose 5 activities. 4 of them are activities that patients are interested in. Each activity have to last 15 minutes and the stimulation is measured by a scale named "Observational Measurement of Engagement ".

Interventions

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Stimulation group

Patients living in nursing home can be enrolled in the study by giving their verbal consent. The trial lasts two weeks for each patients and it will be performed in three parts :

* a cognitive and behaviour assessment : MMSE, BREF, NPI, IA
* an interest questionnaire for patients. It contains 40 questions about activities.
* the intervention : patients will be propose 5 activities. 4 of them are activities that patients are interested in. Each activity have to last 15 minutes and the stimulation is measured by a scale named "Observational Measurement of Engagement ".

Intervention Type BEHAVIORAL

Other Intervention Names

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interest autobiography

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of Alzheimer's disease
* MMSE score between 12 and 24
* Patient involved in organized activities in nursing home

Exclusion Criteria

Patients:

* Who are not able to understand and answer to questions for the study
* \< 60 years of age
* Who are not able to sit
* Aphasic
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Association Recherche Méthodologie Evaluation Psychiatrique

OTHER

Sponsor Role lead

Responsible Party

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Centre Mémoire de Ressources et de Recherche

Principal Investigators

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Philippe ROBERT, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre Mémoire de Ressources et de Recherche

Locations

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Centre Mémoire de Ressources et de Recherche

Nice, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Philippe ROBERT, PhD

Role: CONTACT

Phone: +33492034770

Email: [email protected]

Facility Contacts

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Philippe ROBERT, PhD

Role: primary

Other Identifiers

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ARMEP-01

Identifier Type: -

Identifier Source: org_study_id