Dementia Mental and Behavioural Disorders Dementia
Conditions
Interventions
The person with dementia and informal primary caregivers are randomised, with a 1:1 allocation, to a control group (usual care) or a person-centred multidimensional interdisciplinary rehabilitation pr
Sponsors
Umeå University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for participants with dementia: 1. Diagnosis of dementia according to ICD-10 2. 60 years and older 3. Living in independent housing 4. Expected survival time more than 6 months 5. A Mini-Mental State Examination score of 10 or more 6. Ability to stand up from a chair with armrests with help of no more than one person 7. Able to hear and understand Swedish language sufficiently well to participate in the assessments 8. Move to residential care facilities are not initiated 9. Approval from the participants physician Inclusion criteria for informal primary caregivers: Individuals responsible for the care and support of the participant with dementia. A maximum of two people responsible for the care and support of each participant with dementia will be offered to participate in the study. Informal primary caregivers can be people within the family or relatives and other people such as neighbors or friends who help the participant with dementia.
Exclusion criteria
Exclusion criteria: Failure to meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of people with dementia who are still living at home, which is the inverse of death or institutionalisation combined (describes the odds of someone being alive and in their home at a point in time), at the 24 and 36 month follow-up assessment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Persons with dementia: 1. Depressive symptoms measured using the Geriatric Depression Scale (GDS-15) at 4, 12, 24 and 36 months 2. Psychological well-being measured using the Philadelphia Geriatric Center Morale Scale (PGCMS) at 4, 12, 24 and 36 months 3. Participation in society determined using questions concerning number of visits in the home, number of visits made to others and contacts with relatives and friends using telephone or other media at 4, 12, 24 and 36 months 4. Physical activity measured using the International Physical Activity Questionnaire–Elderly (IPAQ-E) including questions added by the project members at 4, 12, 24 and 36 months 5. Cognitive function measured using the Mini-Mental State Examination (MMSE) and Verbal fluency questionnaire at 4, 12, 24 and 36 months 6. Functional capacity measured using the Berg Balance Scale, chair-stand test, and gait speed test over 2.4 meters at 4, 12, 24 and 36 months 7. ADL performance measured using Functional Independence Measure (FIM), Lawton and Brody's Physical Self-Maintenance Scale (P- and I-ADL) at 4, 12, 24 and 36 months 8. BPSD measured using the Neuropsychiatric Inventory (NPI) at 4, 12, 24 and 36 months 9. Nutritional status measured using the Mini Nutritional Assessment (MNA) at 4, 12, 24 and 36 months 10. Inappropriate drugs including interactions determined using recommendations by The National Board of Health and Welfare in Sweden at 4, 12, 24 and 36 months 11. Feasibility of the intervention by qualitative interviews at the end of the rehabilitation period of people with dementia and informal primary caregivers concerning the experiences of participating in the intervention, and by registering the attendance during the rehabilitation period and adverse events 12. Cost-effectiveness using health related quality of life assessed with the EQ-5D, as well as calculations based on costs of the intervention and consumption of health and social services 13. Explanatory analyses of the feasibility a | — |
Countries
Sweden
Outcome results
None listed