SOCAV: a Nurse-led Support Programme for Self-direction in People With Dementia

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

COMPLETED

Clinical Phase

NA

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-30

Study Completion Date

2022-10-30

Brief Summary

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In this study, we tested whether a support program could help people living at home with dementia keep making their own everyday choices for as long as possible, with help from a family caregiver and a home-care nurse. Nurses received training and coaching to better focus on what the person still wants and can do, and to avoid taking over tasks too quickly. The program also included home conversations with the person with dementia and their caregiver to agree on what matters most and how to support that in daily life. In total, 12 people with dementia, 14 caregivers, and 33 nurses took part. Most participants felt the program was helpful and said it increased attention to personal choice and small day-to-day decisions. However, it also took time and was sometimes hard to schedule, and some people dropped out. The questionnaires did not show clear improvements in things like quality of life, but there were signs that some behavior problems (such as restlessness or difficult situations) became less frequent for some participants.

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Detailed Description

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Conditions

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Dementia Dementia Caregivers

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a single-group, non-randomized feasibility study with a longitudinal pre-post evaluation and embedded process evaluation. All enrolled participants received the SOCAV-Home Care program (there was no control or comparison arm). The intervention was delivered at the level of the home-care team/nurses (training plus ongoing reflective coaching over approximately 6-9 months), with dyad-level components for the person with dementia and informal caregiver (a series of collaborative home meetings over approximately 3-6 months). Outcomes were assessed repeatedly over time (baseline and follow-up time points during the intervention period) to explore feasibility and signals of potential benefit rather than to test efficacy.

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Not applicable. This was a single-arm feasibility study and no additional parties were formally masked/blinded; participants (people with dementia and informal caregivers), nurses, peer coaches, and the research team were aware of the intervention. Interviewers were independent/unknown to participants, but they were not blinded to intervention exposure.

Study Groups

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SOCAV-Home Care intervention arm

Single-arm study: all participants received SOCAV-Home Care, where home-care nurses were trained and coached to support autonomy in daily decisions, and the person with dementia and caregiver had several home sessions to set goals and agree on practical strategies to maintain choice and independence.

Group Type OTHER

SOCAV-Home Care (self-directed care support for home-dwelling people with dementia)

Intervention Type BEHAVIORAL

SOCAV-Home Care is distinct because it targets "self-direction" in everyday home-care situations by combining (1) structured nurse training in person-centered communication (based on Community Occupational Therapy in Dementia principles), (2) longitudinal Kalorama reflective coaching with reflective diaries to change routine nursing behavior over months, and (3) repeated triadic home sessions (person with dementia + informal caregiver + nurse, sometimes with a peer coach) focused on mapping preferences, setting shared goals, and testing practical autonomy-supporting strategies in the home context. It is implemented by trained peer coaches within home-care teams rather than as a stand-alone therapy delivered only to patients.

Interventions

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SOCAV-Home Care (self-directed care support for home-dwelling people with dementia)

SOCAV-Home Care is distinct because it targets "self-direction" in everyday home-care situations by combining (1) structured nurse training in person-centered communication (based on Community Occupational Therapy in Dementia principles), (2) longitudinal Kalorama reflective coaching with reflective diaries to change routine nursing behavior over months, and (3) repeated triadic home sessions (person with dementia + informal caregiver + nurse, sometimes with a peer coach) focused on mapping preferences, setting shared goals, and testing practical autonomy-supporting strategies in the home context. It is implemented by trained peer coaches within home-care teams rather than as a stand-alone therapy delivered only to patients.

Intervention Type BEHAVIORAL

Other Intervention Names

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SOCAV program SOCAV home care

Eligibility Criteria

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Inclusion Criteria

* People with dementia were eligible if they had mild to moderate dementia (diagnosed by a general practitioner or geriatrician), lived at home, and received care from a home-care team.
* Informal caregivers were eligible if they provided care at least twice per week, either as a co-residing primary caregiver or as a regularly visiting secondary caregiver.
* Nurses were eligible if they worked in home care, supported people with dementia, and were employed by the regional care organization.