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Sponsors and Collaborators: |
University College, London National Institutes of Health Research (NIHR) 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 Imperial College London |
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Information provided by: | University College, London |
ClinicalTrials.gov Identifier: | NCT00866099 |
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.
Condition | Intervention | Phase |
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Dementia |
Other: Educational Dementia training |
Phase II Phase III |
Study Type: | Interventional |
Study Design: | Health Services Research, Randomized, Open Label, Parallel Assignment, Efficacy Study |
Official Title: | Evidence-Based Interventions In Dementia EVIDEM-ED: Early Recognition and Response in Primary Care |
Estimated Enrollment: | 125 |
Study Start Date: | May 2009 |
Arms | Assigned Interventions |
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"Normal Care": No Intervention
Primary care practices randomly allocated will be given a summary of the NICE/SCIE dementia guidelines (2006) and offered workshop training and software at the end of the study.
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Training: Experimental
Practices randomly allocated to the intervention arm will be asked to participate in tailored learning activities on dementia, over a three-month period and will be given an electronic training manual (based on Microsoft packages) which they can run in the background during and after consultations with people with known or suspected dementia syndrome and face-to- face individualised workshop sessions.
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Other: Educational Dementia training
Tailored learning activities on dementia, over a three-month period and will be given an electronic training manual (based on Microsoft packages) which they can run in the background during and after consultations with people with known or suspected dementia syndrome and face-to- face individualised workshop sessions. Tailoring of the education programme is carried out in a three step process: 1) an educational needs analysis is carried our using a standard checklist to identify aspects of dementia care which the practice perceives as problematic for them; 2) a prescription for education is then written to address shortcomings; 3) the best forms of learning are then identified. |
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
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.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Steve Iliffe, BSc, MB BS, FRCGP | 0044-207-830-2393 | s.iliffe@pcps.ucl.ac.uk |
Contact: Jane Wilcock, MA(hons), MSc | 0044-207-830-2239 ext 38370 | j.wilcock@pcps.ucl.ac.uk |
United Kingdom, Greater London | |
University College London | |
London, Greater London, United Kingdom, NW3 2PF |
Principal Investigator: | Jane Wilcock, MA(hons), MSc | University College, London |
Responsible Party: | University College London ( Professor Steve Iliffe ) |
Study ID Numbers: | FIS No: 49287, Award Code: GZFP |
Study First Received: | March 19, 2009 |
Last Updated: | March 19, 2009 |
ClinicalTrials.gov Identifier: | NCT00866099 History of Changes |
Health Authority: | United Kingdom: Research Ethics Committee |
Dementia primary care early diagnosis psychosocial interventions cholinesterase inhibitors |
Cholinesterase Inhibitors Neurotransmitter Agents Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders Central Nervous System Diseases |
Cholinergic Agents Brain Diseases Dementia Cognition Disorders Delirium |
Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Nervous System Diseases Physiological Effects of Drugs Central Nervous System Diseases Enzyme Inhibitors Brain Diseases |
Cholinergic Agents Pharmacologic Actions Cholinesterase Inhibitors Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders Dementia |