Agitation, Alzheimer's Disease, Behavioral Symptoms, Dementia
Conditions
Keywords
Dementia, BPSD, Quality of Life, Person-centred care, Job satisfaction, Nursing home, Primary care
Brief summary
Dementia is a serious health problem showing an increasing prevalence rate with increasing age. In Norway, about 80% of nursing home patients have dementia. The mean age of nursing home residents in Norway is around 84 years. Disruptive and agitated behaviour affect 30-50% of all individuals with dementia at some point in the course of the illness. In addition, they have a combination of physical and psychological diseases which necessitates a close collaboration between different specialities in medicine and Old Age psychiatry. In collaboration with the communalities, our Old Age psychiatry services want to provide a new approach to this challenge and validate it on patient and personnel level.
Interventions
OTHEREducation and Supervision
Implementation of Scales in the care of patients with dementia in nursing home units with focus on person-centred care. Supervision of caregivers on a regular basis.
OTHERControl
A control group of nursing home units that do not get any form of active intervention
Sponsors
Helse Sor-Ost
Norwegian Department of Health and Social Affairs
Sykehuset Innlandet HF
Study design
Allocation
NON_RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All patients at nursing home units
Exclusion criteria
* Patients that are in a final state and patients that have not been at the nursing home unit more than two weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life in Severe Dementia (QUALID), Person-Centred Care Assessment Tool (P-CAT, 2010) | 12 months after baseline assessment | Evaluate a new model of collaboration between a specialized department of Old Age Psychiatry and nursing home units to optimize patient care and job satisfaction of the caregivers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neuropsychiatric Inventory - Nursing Home version, Cornell Scale of Depression in Dementia, Registration of Constraints (Kirkevold, 2004) | 12 months after baseline assessment | In addition, we want to carry out a qualitative evaluation of the process of implementation of new scales and the effect of supervision on personnel and patients |
Countries
Norway
Outcome results
None listed