Ignite Creation Date:
2024-05-05 @ 5:27 PM
Last Modification Date:
2024-10-26 @ 9:32 AM
Study NCT ID:
NCT00459784
Status:
UNKNOWN
Last Update Posted:
2007-04-13
First Post:
2007-04-12
Brief Title:
Implementation Study of Dementia Guidelines in Primary Care
Sponsor:
Radboud University Medical Center
Organization:
Radboud University Medical Center
Study Overview
Official Title:
How to Reach Evidence Based Practice in Diagnostic Assessment and Management of Dementia by General Practitioners and Primary Care Nurses The Effectiveness of an EASYcare Based Educational Program
Status:
UNKNOWN
Status Verified Date:
2007-04
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine whether a specially developed Dementia Training Program for duos of general practitioners and primary care nurses is able to increase the number dementia diagnoses in elderly people living in the community and increase the adherence to clinical dementia guidelines
Detailed Description:
Background Early diagnosis of dementia benefits both patient and caregiver Nevertheless dementia in primary care is currently under-diagnosed in developed countries In several countries educational interventions were developed to improve dementia diagnosis and management in primary care Some of these interventions were successful in increasing the number of dementia diagnoses and in changing attitudes and knowledge of health care staff However none of these interventions focussed on collaboration between GPs and nurses in dementia care We developed a Dementia Training Program DTP aimed at stimulating collaboration in dementia primary care We expect it to increase the number of cognitive assessments and dementia diagnoses as well as to improve attitudes and knowledge of GPs and nurses
MethodsDesign The DTP is a complex educational intervention and consists of 2 workshops a coaching program and case-based consultations either face-to-face or by phone or e-mail access to an internet forum and a Computerized Clinical Decision Support System on dementia diagnostics and management 100 duos of GPs and nurses will be recruited from which 23 will be allocated to the intervention group and 13 to the control group The effects of implementation of the DTP will be studied in an assessor blinded cluster-randomised controlled trial Primary outcomes are the number of cognitive assessments and dementia diagnosis in a period of 9 months starting after workshop participation of the duos Secondary outcomes are measured on GP and nurse level rate of adherence to national guidelines for dementia diagnosis attitude confidence and knowledge regarding dementia diagnosis and management on patient level number of emergency calls visits and consultations and patient satisfaction and on caregiver level informal caregiver burden and satisfaction Data will be collected from GPs electronic medical dossiers self registration forms and questionnaires Statistical analysis will be performed by using MANOVA-method Also exploratory analyses will be performed in order to gain insight into barriers and facilitators for implementation and the causal relations between the rate of success of the intervention components and the outcomes
MethodsDesign The DTP is a complex educational intervention and consists of 2 workshops a coaching program and case-based consultations either face-to-face or by phone or e-mail access to an internet forum and a Computerized Clinical Decision Support System on dementia diagnostics and management 100 duos of GPs and nurses will be recruited from which 23 will be allocated to the intervention group and 13 to the control group The effects of implementation of the DTP will be studied in an assessor blinded cluster-randomised controlled trial Primary outcomes are the number of cognitive assessments and dementia diagnosis in a period of 9 months starting after workshop participation of the duos Secondary outcomes are measured on GP and nurse level rate of adherence to national guidelines for dementia diagnosis attitude confidence and knowledge regarding dementia diagnosis and management on patient level number of emergency calls visits and consultations and patient satisfaction and on caregiver level informal caregiver burden and satisfaction Data will be collected from GPs electronic medical dossiers self registration forms and questionnaires Statistical analysis will be performed by using MANOVA-method Also exploratory analyses will be performed in order to gain insight into barriers and facilitators for implementation and the causal relations between the rate of success of the intervention components and the outcomes
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None