Dementia Early Recognition and Response in Primary Care

  • Medical Trials
  • London

NIHR

clinical trial london,uk clinical research, clinical practice

Summary
The purpose of this study is to develop and test an educational intervention for dementia in primary care, combining timely diagnosis, psychosocial support around the period of diagnosis and management concordant with guidelines.
Research Details
Dementia presents many challenges for primary care. Early diagnosis is important as this allows those with dementia and their family care networks to engage with support services and plan for the future. These actions can relieve the significant psychological distress that people with dementia and close supporters may experience , and provide knowledge about the availability of medical and psycho-social support that can improved functioning and morale The main efforts to improve the identification and diagnosis of dementia should logically be targeted at primary care as this is the first point of contact for most individuals and their carers when faced with experiences of ‘ill health’. There is, however, evidence that dementia remains under-detected and sub-optimally managed in general practice . An educational intervention that could enhance clinical practice, improving the skills of practitioners in the recognition of and response to dementia syndromes, could therefore be beneficial to people with dementia and their families, and potentially to health and social services.
Phase
Phase 2/Phase 3
Study Design
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Study Type
Interventional
Intervention
Other : Educational Dementia training
Study Arm Groups : Training

Intervention Type
See Interventions above
Primary Outcome Measures
An increase in the proportion of patients with dementia receiving two dementia reviews per year, from 20% to 50%; twelve month follow up
Secondary Outcome Measures
quality of life, met and unmet need in carers and/or people with dementia; twelve month follow up; documented concordance with intervention recommendations on recording disclosure decisions & consequences; twelve month follow up; documented concordance with screening for depression; twelve month follow up; documented concordance with referral to social services; twelve month follow up; documented concordance with informing people with dementia and their carers about relevant local voluntary organisations; twelve month follow up; documented concordance with provision of legal information; twelve month follow up; documented concordance with shared management of cholinesterase inhibitor medication; twelve month follow up
Publication(s)
Sorry, this information is not available
Result Reports
This is available on the Clinicaltrials.gov website

Gender
Both
Age Range
N/A – N/A
Who Can Participate
Patients
Number of Participants
125
Participant Inclusion Criteria
Inclusion Criteria:
– Patients with memory or other cognitive impairments suggestive of dementia syndrome
– those with a formal diagnosis of dementia, of any type.
Exclusion Criteria:
– Patients and carers who are already involved in concurrent research
– If the key professional feels that an approach to the person with dementia or their
carer would be inappropriate, for example the dementia is very severe, or that an
approach may increase distress
– and any other important reason that the key professional may have for why the person
with dementia or their carer should not be contacted.
Participant Exclusion Criteria
This is in the inclusion criteria above

Trial Location(s)
London
NW3 2PF
Trial Contact(s)
Primary Trial Contact
Steve Iliffe, BScMBBSFRCGP
s.iliffe@pcps.ucl.ac.uk
0044-207-830-2393
Other Trial Contacts
Jane Wilcock, MA(hons) MSc
j.wilcock@pcps.ucl.ac.uk
38370 0044-207-830-2239
Countries Recruiting
United Kingdom

Scientific Title
Evidence-based Interventions In Dementia EVIDEM-ED: Early Recognition and Response in Primary Care
EudraCT Number
Not available for this trial
Funder(s)
National Institute for Health Research, United Kingdom
Central and North West London NHS Foundation Trust
King’s College London
University of Hertfordshire
St George’s, University of London
London School of Economics and Political Science
Imperial College London
Other Study ID Numbers
FIS No: 49287
Sponsor(s)
University College, London

To apply for this job please visit the following URL: http://www.ukctg.nihr.ac.uk/trials/trial-details/trial-details?trialId=20701 →