Dementia Early Recognition and Response in Primary Care (EVIDEM-ED)
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT00866099|
Recruitment Status : Unknown
Verified March 2009 by University College, London.
Recruitment status was: Recruiting
First Posted : March 20, 2009
Last Update Posted : April 19, 2010
|Condition or disease||Intervention/treatment||Phase|
|Dementia||Other: Educational Dementia training||Phase 2 Phase 3|
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.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||125 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Evidence-based Interventions In Dementia EVIDEM-ED: Early Recognition and Response in Primary Care|
|Study Start Date :||July 2009|
|Estimated Primary Completion Date :||May 2011|
|Estimated Study Completion Date :||September 2012|
No Intervention: "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.
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.
Other: 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.
- An increase in the proportion of patients with dementia receiving two dementia reviews per year, from 20% to 50% [ Time Frame: twelve month follow up ]
- quality of life, met and unmet need in carers and/or people with dementia [ Time Frame: twelve month follow up ]
- documented concordance with intervention recommendations on recording disclosure decisions & consequences [ Time Frame: twelve month follow up ]
- documented concordance with screening for depression [ Time Frame: twelve month follow up ]
- documented concordance with referral to social services [ Time Frame: twelve month follow up ]
- documented concordance with informing people with dementia and their carers about relevant local voluntary organisations [ Time Frame: twelve month follow up ]
- documented concordance with provision of legal information [ Time Frame: twelve month follow up ]
- documented concordance with shared management of cholinesterase inhibitor medication [ Time Frame: twelve month follow up ]
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): NCT00866099
|Contact: Steve Iliffe, BScMBBSFRCGPfirstname.lastname@example.org|
|Contact: Jane Wilcock, MA(hons) MSc||0044-207-830-2239 ext email@example.com|
|Department of Primary Care and Population Health||Recruiting|
|London, England, United Kingdom, NW3 2PF|
|Contact: Jane Wilcock, MA(hons) MSc +44(0)20 7830 2239 ext 38370 firstname.lastname@example.org|
|Contact: Priya Jain, MSc +44(0)20 7830 2239 ext 38370 email@example.com|
|Sub-Investigator: Jane Wilcock, MA (hons) MSc|
|Principal Investigator: Steve Iliffe, BSc, MB BS, FRCGP|
|University College London||Enrolling by invitation|
|London, Greater London, United Kingdom, NW3 2PF|
|Principal Investigator:||Jane Wilcock, MA(hons) MSc||University College, London|