Dementia Mental and Behavioural Disorders
Conditions
Interventions
Patients will be randomised 1:1 to either the TIHM for Dementia System of Care (Intervention arm) or standard care (control arm)
Intervention arm: TIHM for Dementia System of Care – a
Sponsors
Surrey and Borders Partnership NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Person with dementia: 1. Aged over 50 years 2. Living at home in the community 3. Confirmed diagnosis of mild-to-moderate dementia made at least 3 months previously 4. Stable dementia - if on dementia medication had a stable dose for 3 months prior to recruitment 5. Baseline standard Mini–Mental State Examination (MMSE) score of greater than or equal to 14 6. A live-in or nominated carer providing at least 10 hours care per week Carer: 1. Aged 18 years or over 2. Nominated carer (by their relative/friend with dementia) who had known the person with dementia for at least 6 months 3. Able to attend research assessments with the person with dementia 4. Sufficient functional English to allow completion of the assessment instructions
Exclusion criteria
Exclusion criteria: Person with dementia: 1. In residential care 2. Unable to communicate verbally 3. Unable to provide informed consent 4. In receipt of any investigational drug within 30 days of consenting 5. Requiring regular elective hospital admission for monitoring of physical health 6. Receiving treatment for a terminal illness 7. Insufficient functional English to allow completion of assessment instructions 8. Unstable mental state including severe depression, severe psychosis, agitation and anxiety, requiring medication change over the previous 3 months 9. Severe sensory impairment 10. Active suicidal ideas Carers: 1. Insufficient functional English to allow completion of assessment instructions 2. Unstable mental state including severe depression, severe psychosis, agitation and anxiety, requiring medication change over the previous 3 month 3. Severe sensory impairment 4. Active suicidal ideas 5. Unable to communicate verbally 6. Unable to provide written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospitalisation as measured through carer self-reporting using the Client Service Receipt Inventory (CSRI) questionnaire taken at baseline, 3 months and 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Duration of hospital stay (carer self-report) 2. Time to admission to residential care (carer self-report) 3. Incidence and severity of neuropsychiatric symptoms experienced by the PwD assessed using the Neuropsychiatric Inventory (NPI) 4. Activities of daily living of the PwD assessed using the Bristol Activity of Daily Living Scale (BADL) 5. Health-related quality of life (HR-QoL) of the PwD assessed using Dementia Quality of Life Measure (DEMQOL), DEMQOL-proxy and EQ-5D-5L questionnaires 6. HR-QoL of carers assessed using EQ-5D-5L and Adult Carer Quality of Life questionnaires 7. Carer burden assessed using the Zarit Caregiver burden scale 8. Technology acceptance assessed using the Technology Acceptance Model Measure (TAM) 9. Attitudes towards technology assessed using Global Attitude Towards Technology Measure: Technophobia All measures taken at baseline, 3 months and 6 months. | — |
Countries
United Kingdom
Outcome results
None listed