Neuro-Degenerative Disease
Conditions
Keywords
agitation, dependent elderly people, psycho-behavioral disorders, nursing home
Brief summary
This study will investigate the effects of I-Learn cognition and behaviour training in the care in agitation in patients with neurodegenerative diseases. This training for caregivers, aims to reduce agitation and psycho-behavioral disorders of patients living in nursing home. In addition, amount of psychotropic drugs prescribed, as well as the number of hospitalizations during the study will be assessed.
Interventions
BEHAVIORALI-LEARN training
Training of psycho-behavorial disorders care in neurodegenerative diseases: including a theoretical part in e-learning and a practical part
OTHERusual care
usual care
Sponsors
University Hospital, Tours
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Diagnosis of Major Neurocognitive Disorder according to DSM 5 * With agitation and NPI agitation item score of 4 or more (frequency X severity) * Information and verification of the non-opposition of the patient and his guardian / curator if he is under legal protection.
Exclusion criteria
* Patient under court protection * Inability to understand the French language * Patient whose state of health is not stabilised at the time of inclusion and/or in palliative care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of agitation of patients in the nursing home | Baseline | Assessment of agitation using the Cohen-Mansfield Agitation Inventory (CMAI, 1989) by asking caregivers about the patients' behaviour. The minimum value is 0 and the maximum value is 203. the higher the score, the more intense the agitation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency and severity of Psychobehavioural Symptoms associated with Dementia | Baseline, 3 months, 6 months and 9 months | Assessment using the Neuro Psychiatric Inventory, care team version (NPI-ES, 2000). 10 behavioural domains and 2 neurovegetative variables are considered. item score = frequency x severity frequency minimum = 1 and maximum = 4 severity minimum = 1 and maximum = 3 A score above 2 is pathological |
| Impact of I-Learn on psychotropic drug prescriptions | Baseline, 3 months, 6 months and 9 months | Changes in the prescriptions given to patients in terms of psychotropic drugs (addition or withdrawal of a neuroleptic, antidepressant, anxiolytic, etc.) |
| Quality of life of patients | Baseline, 3 months, 6 months and 9 months | Assessment using the Quality of Life-Alzheimer's Disease (QOL-AD, 2009) 13 questions focus on the patient's quality of life. the patient's current quality of life in each domain is assessed by choosing one of the following four words: poor, fair, good, excellent. |
| Impact of Psychobehavioural Symptoms Associated with Dementia on the professional practice of health care teams | Baseline, 3 months, 6 months and 9 months | Assessment using the Neuro Psychiatric Inventory, care team version (NPI-ES, 2000) 10 behavioural domains and 2 neurovegetative variables are considered. item score = frequency x severity fequency minimum = 1 and maximum = 4 severity minimum = 1 and maximum = 3 A score above 2 is pathological |
| Caregiver burnout at work | Baseline, 6 months and 9 months | Assessment using the Maslach Burnout Inventory (MBI, 1986) 22 items For each item, the minimum value is 0 and the maximum value is 6 BURNOUT Questions 1.2.3.6.8.13.14.16.20 Degree of burn out Total below 17 = low Total between 18 and 29 = moderate Total above 30 = high DEPERSONALISATION Questions 5.10.11.15.22 Degree of burn out Total below 5 = low Total between 6 and 11 = moderate Total above 12 = high PERSONAL FULFILMENT Questions 4.7.9.12.17.18.19.21 Degree of burn out Total above 40 = low Total between 34 and 39 = moderate Total below 33 = high Moderate or even high scores are a sign of latent burnout that is taking hold. |
| Impact of I-Learn training on hospital admissions | 3 months, 6 months and 9 months | number of transfers to acute or emergency departments |
Countries
France
Outcome results
None listed