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Implementation Study of Dementia Guidelines in Primary Care

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ClinicalTrials.gov Identifier: NCT00459784
Recruitment Status : Unknown
Verified April 2007 by Radboud University.
Recruitment status was:  Recruiting
First Posted : April 13, 2007
Last Update Posted : April 13, 2007
Sponsor:
Collaborators:
County of Gelderland
ZonMw: The Netherlands Organisation for Health Research and Development
Health Valley, Netherlands
Stichting Thuiszorgorganisatie Midden-Gelderland
Stichting Thuiszorgorganisatie Mawe Rivierenland
Sensire Winterwijk
Kruiswerk West Veluwe
Information provided by:
Radboud University

Brief Summary:
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

Condition or disease Intervention/treatment Phase
Dementia Procedure: Dementia Training Program Not Applicable

Detailed Description:

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.


Study Type : Interventional  (Clinical Trial)
Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Educational/Counseling/Training
Official Title: How to Reach Evidence Based Practice in Diagnostic Assessment and Management of Dementia by General Practitioners and Primary Care Nurses? The Effectiveness of an EASYcare Based Educational Program.
Study Start Date : November 2006
Estimated Study Completion Date : March 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Dementia
U.S. FDA Resources




Primary Outcome Measures :
  1. Number of dementia diagnoses and cognitive assessments during 9 months

Secondary Outcome Measures :
  1. Accuracy tot dementia guidelines, GP and nurse knowlegde and attitude and competence regarding dementia. Patient satisfaction, caregiver burden and satisfaction


Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00459784


Contacts
Contact: Marieke Perry, MD 0031-24-3610142 m.perry@ger.umcn.nl

Locations
Netherlands
Geriatrie 925, Postbus 9101 Recruiting
Nijmegen, Netherlands, 6500 HB
Contact: Marieke Perry, MD    0031-24-3610142    m.perry@ger.umcn.nl   
Principal Investigator: Marieke Perry, MD         
Sponsors and Collaborators
Radboud University
County of Gelderland
ZonMw: The Netherlands Organisation for Health Research and Development
Health Valley, Netherlands
Stichting Thuiszorgorganisatie Midden-Gelderland
Stichting Thuiszorgorganisatie Mawe Rivierenland
Sensire Winterwijk
Kruiswerk West Veluwe
Investigators
Study Director: Marcel Olde Rikkert, Prof, MD Alheimer Centre Nijmegen, the Netherlands

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00459784     History of Changes
Other Study ID Numbers: EASYcareGIDS study
First Posted: April 13, 2007    Key Record Dates
Last Update Posted: April 13, 2007
Last Verified: April 2007

Keywords provided by Radboud University:
Improvement
Dementia early diagnosis
Dementia management
Primary care

Additional relevant MeSH terms:
Dementia
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Neurocognitive Disorders
Mental Disorders