Dementia care initiative in primary practice (German title: Initiative Demenzversorgung in der Allgemeinmedizin)

Conditions

Mild to moderate dementia Mental and Behavioural Disorders Dementia

Donath C, Grässel E, Grossfeld-Schmitz M, Menn P, Lauterberg J, Wunder S, Marx P, Ruckdäschel S, Mehlig H, Holle R.

2010-11-1829 citations

10.1186/1472-6963-10-314

Counsellors contact dementia caregivers--predictors of utilisation in a longitudinal study.

Grossfeld-Schmitz M, Donath C, Holle R, Lauterberg J, Ruckdaeschel S, Mehlig H, Marx P, Wunder S, Grässel E.

2010-05-1410 citations

10.1186/1471-2318-10-24

Dementia care initiative in primary practice: study protocol of a cluster randomized trial on dementia management in a general practice setting.

Holle R, Grässel E, Ruckdäschel S, Wunder S, Mehlig H, Marx P, Pirk O, Butzlaff M, Kunz S, Lauterberg J.

2009-06-0620 citations

10.1186/1472-6963-9-91

Interventions

Control group: usual care (GPs receive only training in dementia diagnosis and in study procedures) Intervention group 1: GPs receive additional training in evidence based dementia treatment, caregive

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: General practitioners: 1. Participating in a study specific training 2. Located in the study region of Middle Franconia Patients: 1. Mild to moderate dementia (Mini-Mental State Examination [MMSE] between 10 and 23) 2. Member of the health insurance AOK 3. 65 years and older 4. Living at home 5. Having an informal caregiver who is willing to participate in study

Exclusion criteria

Exclusion criteria: 1. Patients having a terminal illness 2. Nursing home placement is already planned 3. Patients not able or willing to give informed consent

Design outcomes

Primary

Measure	Time frame
Time to nursing home placement (within two year intervention and follow-up period).	—

Secondary

Measure	Time frame
1. Subjective burden of informal caregivers (Burden Scale for Family Caregivers [BSFC]) 2. Quality of life of the patients (EuroQol-5D measure [EQ5D]) 3. Direct medical and non-medical costs (including informal care) 4. Cognitive functioning of the patients (MMSE) 5. Patients' ability to perform Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) (Barthel-Index, Nurses' Observation Scale for Geriatric patients [NOSGER] subscale IADL) Secondary outcomes are measured at one and two years after study entry.	—

Measure

Time frame

1. Subjective burden of informal caregivers (Burden Scale for Family Caregivers [BSFC]) 2. Quality of life of the patients (EuroQol-5D measure [EQ5D]) 3. Direct medical and non-medical costs (including informal care) 4. Cognitive functioning of the patients (MMSE) 5. Patients' ability to perform Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) (Barthel-Index, Nurses' Observation Scale for Geriatric patients [NOSGER] subscale IADL) Secondary outcomes are measured at one and two years after study entry.

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Countries

Germany

Outcome results

None listed