Dementia and Alzheimer's disease Nervous System Diseases Dementia in Alzheimer's disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Progressing degenerative dementia (meeting international criteria for either probable AD, mixed AD/Vascular Dementia [VaD], or Dementia with Lewy Bodies [DLB]) 2. Diagnosis established or confirmed by central specialist unit (memory clinic) in each center 3. Diagnosed within 12 months prior to inclusion 4. Aged above 50 years 5. Mild dementia: Mini-Mental State Examination (MMSE) score of more than 20 6. Primary caregiver (with close contact) who are willing to participate 7. Living at home 8. Sufficient language proficiency in Danish for adequate participation in counselling, interviews and tests 9. Informed consent from patient and caregiver
Exclusion criteria
Exclusion criteria: 1. Severe somatic or psychiatric co-morbidity, including impaired hearing or vision, which will significantly impair cooperation to the program 2. Participation in other intervention studies at inclusion or during the study will not be allowed
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Patient: 1.1. depressive symptoms (Cornell?s depression scale) 1.2. proxy rated health related quality of life (Euro-QoL VAS) 1.3. MMSE 2. Caregiver: 2.1. depressive symptoms (Geriatric Depression Scale, GDS-30) 2.2. health related quality of life (Euro-QoL VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health related quality of life in patient (patient and proxy rated EuroQoL 5D and VAS, and Quality of life Alzheimer?s disease scale QOL-AD) 2. Health related quality of life in caregiver (EuroQoL 5D and VAS) 3. Behavioral symptoms: Neuropsychiatric Inventory Questionnaire (NPI-Q) 4. Activities of daily living (ADCS-ADL) 5. Insight scale 6. Resource utilisation in patient and carer (Resource Utilisation in Dementia, RUD) 7. Registry-based assessment of health care utilisation and key social and health related events during 12 months before inclusion and during follow-up time (minimum five years): 7.1. time to nursing home, placement and death 7.2. number of in-patient and out patient contacts in patient and carer 7.3. co-morbidity in patient and carer 8. Patient and carer satisfaction with intervention, public services and network questionnaire 9. Patient and carer knowledge and attitudes about key issues in dementia questionnaire | — |
Countries
Denmark