Dementa, case management
Conditions
Interventions
Two different case management models compared to usual care. These models are already implemented in Dutch community care.
Sponsors
Amerstdam Medisch Center and EMGO+ VUmc
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria for the cohort study are: Community-dwelling individuals with a dementia diagnosis.
Exclusion criteria
Exclusion criteria: People who are terminally-ill, for whom admission to a nursing home within 6 months is anticipated, or who do not have an informal caregiver who speaks fluent Dutch are excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. For informal caregiver: General Health Questionnaire-12; 2. For persons with Dementia: Neuropsychiatric Inventory. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome variables for the patient include the following. First, Mortality and institutionalization data will be collected from the informal caregiver or general practitioner. Generic Quality of life will be measured by the SF-12 and the EQ-5D+c (EuroQol). Next to that, disease specific quality of life will be measured using the Qol-AD (Quality of life in Alzheimer’s Disease) and EuroQoL-5d+c all quality of life questionnaires will be completed/administered to the care receiver as well as the primary caregiver proxy. Number of met and unmet needs based on the Camberwell assessment of needs for the elderly (CANE) administered to the care receiver as well as the primary caregiver proxy. Number of crises defined by emergency department visits, unplanned hospitalization and unplanned institutionalization through the cost diary. Secondary outcomes variables for the informal caregiver include: 1. Sense of competence to care measured by the Short Sense of Competence Questionnaire (SSCQ)(Cronbach’s á= 0.76); 2. Empowerment measured by the Pearlin Mastery scale; 3. Quality of life measured by the Short Form 12, CarerQol and EuroQoL-5D; 4. Number of experienced crises defined by emergency department visits, unplanned hospitalization and unplanned institutionalization. Quality of care outcome measures: Quality of care at the micro level of the care receivers is measured by: 1. 12 indicators on treatment, education, support, and safety (translated and back-translated) from Vickrey asked to the informal caregiver, such as care plan developed, behavioural problems discussed, and non-pharmacological treatments; 2. 10 Indicators from the problems and needs questionnaire, developed by the Dutch Alzheimer Association in conjunction with the Netherlands Institute for Primary Care Research (NIVEL), asked to the informal caregivers. Cost outcome measures: Cost diaries are used to collect data on use of care and support and direct and indirect healthcare and non- | — |
Contacts
Public ContactHein P.J. Hout, van
EMGO Institute VUmc P.O. Box 7057
Outcome results
None listed