Dementia with behaviours that challenge Mental and Behavioural Disorders Unspecified dementia
Conditions
Interventions
Interventions as of 24/02/2016:
A cohort of people with a dementia and challenging behaviour and their carers in six NHS organisations, was followed up over a six month period. The information collect
Sponsors
Humber NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. People fulfilling the DSM-IV diagnostic criteria for dementia that have a positive score of 5 or more on the Revised Memory and Behaviour Problem Checklist (RMPBC) 2. Community dwelling with a family or unpaid carer with whom they have regular contact who is a willing participant and informant 3. There are no age limits for participants
Exclusion criteria
Exclusion criteria: 1. Participants with dementia residing in a care home or in receipt of in-patient respite care at the time of recruitment 2. In receipt of palliative or end of life care 3. Non-English speaking
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure as of 24/02/2016: Revised Memory and Behaviour Problem Checklist (RMBPC) frequency and RMBPC reaction. Original primary outcome measures: Incidence of behaviours that challenge, quality of life and stress and burden measured by: 1. Revised Memory and Behaviour Problem Checklist (RMBPC) 2. Euroqol-5D (EQ-5D) 3. Quality Of Life in Alzheimer?s Disease (QOL-AD) 4. Short Form-12 (SF-12,) 5. Quality of Relationships (QoR) Scale 6. Neuropsychiatric Inventory including Caregiver Distress Scale (NPI-D) 7. Clinical Dementia Rating (CDR) 8. (Adapted) General Health Questionnaire - 12 9. Hospital Anxiety and Depression scale (HADS) 10. The Short Sense of Competence Questionnaire (SSCQ) 11. Guilt Scale Relatives Stress Scale (RSS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures as of 24/02/2016: 1. Frequency and severity of CB assessed using the NPI, with its caregiver distress domain 2. Emotional impact of CB on carers using: the NPI distress score where carers report how distressing they find a CB; the 17-item Guilt Scale; the Hospital Anxiety and Depression Scale and the 12-item General Health Questionnaire (GHQ-12) 3. Coping and effectiveness in caring for someone with CB using the Short Sense of Competence Questionnaire (SSCQ), and the Relative Stress Scale which measures stress specific to dementia caregiving 4. Quality of life of the person with dementia using the European Quality of Life-5 Dimensions (EQ-5D) with its Index and Visual Analogue Scale (VAS) scorings, in which participants are able to indicate their health; the Quality of Life in Alzheimer’s Disease (QOL-AD), and the ICEpop CAPability measure for older people (ICECAP-O) where those people who are able to can report on their perceived quality of life (for EQ-5D and QOL-AD the carers also provide their perception of the person with dementia’s quality of life - proxy report); and the quality of relationship, assessed by both the person with dementia and the carer using the Quality of Caregiver/Patient Relationship (QCPR) scale 5. Quality of life of the carer using: EQ-5D using the Index scoring, ICECAP-O and QCPR 6. Costs in relation to CB using: the adapted Client Service Receipt Inventory (CSRI) to establish the level of health and social care services and medication being accessed for the couple 7. Specialist mental health service contacts: data were collected retrospectively from patient administration systems about the number and duration of contacts with all mental health practitioners over the six month period in which participants were in the study Original secondary outcome measures: To examine cost effectiveness of intervention tool measured by: 1. Client Service Receipt Inventory (CSRI) 2. Structured Medication Inventory (SMI) | — |
Countries
United Kingdom
Outcome results
None listed