people with dementia agitation challenging behavior BPSD tailor-made intervention structured intervention case managers familiy caregivers mensen met dementie agitatie onbegrepen gedrag probleemgedrag gestructureerde interventie geindividualiseerde interventie casemanagers mantelzorgers
Conditions
Interventions
The dyads in the experimental condition will receive the structured and tailor-made intervention that consists of a cycle of analyzing the behavior of the person with dementia and formulating and eval
Sponsors
Netherlands institute for mental health and addiction (Trimbos-institute)
Eligibility
Inclusion criteria
Inclusion criteria: The inclusion criteria for regional dementia chains are: 1. The job of case managers in the chain includes treatment. We want to include case managers who not only, coordinate the care, but also provide treatment to the dyads. With treatment we mean the activities of the case manager that are methodical performed with the purpose to influence or improve the disease, symptoms and limitations of the person with dementia and the caregiver; 2. A psychologist is available for consultation; 3. The case manager is in contact with the general practitioners. The inclusion criterium for case managers is: 1. Working as a casemanager for at least 16 hours per week. The inclusion criteria for the people with dementia are: 1. Living in the community; 2. Having a diagnosis of dementia according to the file of the general practitioner; 3. Having at least a positive score on two items of the questionnaire measuring several types of agitation (CMAI; see measurements); 4. Having a caregiver with at least a score of >=4 (very much or extremely) on at least two items of the CMAI disruptiveness scale; 5. Not using psychotropic drugs or being on a stable dose of psychotropic medication. With a stable dose we mean that the dose of psychotropic medication is not changed since 6 weeks before baseline.
Exclusion criteria
Exclusion criteria: N/A
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Person with dementia: frequency of the agitated behaviors of the person with dementia, frequency of the targeted agitated behaviors, desired behavior. Informal Caregiver: perceived disruptiveness of the agitated behaviors by the caregiver, perceived disruptiveness of the targeted agitated behavior. | — |
Secondary
| Measure | Time frame |
|---|---|
| Person with dementia: quality of life of the person with dementia, frequency and severity of behavioral problems, use of psychotropic medication, movement to long term care facility. Informal Caregiver: the current mental health, the level of perceived caregiver burden due to informal caregiving and self-efficacy. The person with dementia and the informal caregiver together: the relationship quality | — |
Contacts
Public ContactB. Willemse
Research associate Postbus 725 - 3500 AS Utrecht
Outcome results
None listed