Topic: Dementias and neurodegeneration
Conditions
Interventions
In total, 480 dyads (a person with dementia and their family carer) will be recruited and randomly allocated to EITHER receive the COTiD-UK intervention (ten 1-hour occupational therapy sessions deliv
Sponsors
North East London NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for people with dementia: 1. Living in the community in own home (includes sheltered accommodation) 2. Identified family carer who provides at least four hours support per week 3. Has a diagnosis of dementia, as defined by the DSM-IV and scores between 0.5 and 2 on the Clinical Dementia Rating Scale 4. Able to converse in English 5. Able and willing to participate in the COTiD-UK intervention in partnership with their family carer, i.e., ten 1-hour sessions of home-based occupational therapy 6. Has capacity to provide his/her consent Inclusion criteria for family caregivers: 1. Aged 18 or over 2. Is currently providing practical support with domestic and/or personal activities to the person with dementia for a minimum of 4 hours per week 3. Able to converse in English 4. Able and willing to participate in the COTiD-UK intervention in partnership with the person with dementia that they support, i.e., ten 1-hour sessions of home-based occupational therapy 5. Has capacity to provide his/her consent Inclusion criteria for occupational therapist participants: 1. Be registered as an occupational therapist with the Health and Care Professions Council 2. Have experience of working in the community and/or with people who have dementia and their family carers 3. Have completed the COTi-DUK training and achieved fidelity with COTi-DUK implementation
Exclusion criteria
Exclusion criteria: Exclusion criteria for people with dementia: 1. Participating in another intervention research study 2. Currently in hospital or living in a care home Exclusion criteria for family carers: 1. Participating in another intervention research study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Activities of Daily Living Scale - Bristol Activities of Daily Living Scale. Outcome measures will be completed at baseline, then at: 12, 26 and 52 weeks, with the first 40% of the participants also completing a 78-week follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Canadian Occupational Performance Measure (COPM) 2. Client Service Receipt Inventory (CSRI) 3. Mini Mental State Examination (MMSE) 4. Interview of Deterioration in Daily activities in Dementia (IDDD) 5. Dementia Quality of Life Scale (DEMQOL) 6. European Quality of Life - Five Dimensions (EQ-5D) 5 Level 7. Cornell Scale for Depression in Dementia (CSDD) 8. Serious adverse events 9. Use of psychotropic drugs 10. Sense of Competence Questionnaire (SCQ) 11. Hospital Anxiety and Depression Scale (HADS) | — |
Countries
United Kingdom
Outcome results
None listed