Dementia Early Recognition and Response in Primary Care (EVIDEM-ED)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified March 2009 by University College, London.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
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
Information provided by:
University College, London
ClinicalTrials.gov Identifier:
NCT00866099
First received: March 19, 2009
Last updated: April 16, 2010
Last verified: March 2009

March 19, 2009
April 16, 2010
July 2009
May 2011   (final data collection date for primary outcome measure)
An increase in the proportion of patients with dementia receiving two dementia reviews per year, from 20% to 50% [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00866099 on ClinicalTrials.gov Archive Site
  • quality of life, met and unmet need in carers and/or people with dementia [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
  • documented concordance with intervention recommendations on recording disclosure decisions & consequences [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
  • documented concordance with screening for depression [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
  • documented concordance with referral to social services [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
  • documented concordance with informing people with dementia and their carers about relevant local voluntary organisations [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
  • documented concordance with provision of legal information [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
  • documented concordance with shared management of cholinesterase inhibitor medication [ Time Frame: twelve month follow up ] [ Designated as safety issue: No ]
Same as current
 
 
 
Dementia Early Recognition and Response in Primary Care
Evidence-based Interventions In Dementia EVIDEM-ED: Early Recognition and Response in Primary Care

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.

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.

Interventional
Phase 2
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Dementia
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.

Other Name: Educational dementia training
  • No Intervention: "Normal Care"
    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.
  • Experimental: Training
    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.
    Intervention: Other: Educational Dementia training
Iliffe S, Wilcock J, Griffin M, Jain P, Thuné-Boyle I, Koch T, Lefford F. Evidence-based interventions in dementia: A pragmatic cluster-randomised trial of an educational intervention to promote earlier recognition and response to dementia in primary care (EVIDEM-ED). Trials. 2010 Feb 10;11:13.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
125
September 2012
May 2011   (final data collection date for primary outcome measure)

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.
Both
 
No
Contact: Steve Iliffe, BScMBBSFRCGP 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
 
NCT00866099
FIS No: 49287, Award Code: GZFP
Yes
Professor Steve Iliffe, University College London
University College, London
  • 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
Principal Investigator: Jane Wilcock, MA(hons) MSc University College, London
University College, London
March 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP