Dementia early recognition and response project
ISRCTN | ISRCTN20646614 |
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DOI | https://doi.org/10.1186/ISRCTN20646614 |
ClinicalTrials.gov number | NCT00866099 |
Secondary identifying numbers | Dendron 4932; 09/0133 |
- Submission date
- 28/05/2009
- Registration date
- 27/08/2009
- Last edited
- 22/11/2013
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Steve Iliffe
Scientific
Scientific
Research Department of Primary Care & Population Health
University College London
Royal Free Campus
Rowland Hill Street
London
NW3 2PF
United Kingdom
Phone | +44 (0)20 7830 2239 |
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s.iliffe@pcps.ucl.ac.uk |
Study information
Study design | Unblinded cluster randomised controlled trial with a pre-post design, with two arms |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | GP practice |
Study type | Diagnostic |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Evidence-based interventions in dementia: a randomised controlled trial of an educational programme to improve early recognition and response in primary care |
Study acronym | EVIDEM-ED |
Study objectives | Primary care practice teams who receive a tailored educational package will show improved recognition and response to dementia than control practices who undertake normal care. |
Ethics approval(s) | Southampton and South West Hampshire Research Ethics Committee A approval pending as of 03/06/2009. Decision expected 09/06/2009 (ref: 09/H0502/77) |
Health condition(s) or problem(s) studied | Dementia |
Intervention | The educational intervention consists of practice based workshops with a tailored curriculum designed by a multidisciplinary expert group, supplemented by computer based reference support software. An experienced general practitioner with a background in postgraduate education will facilitate the small group workshops with the practice team. The computer software will include information for the investigation and management of dementia and will assist clinical reasoning and care planning. Control practices will be provided with a summary of the National Institute for Health and Clinical Excellence (NICE) and the Social Care Institute for Excellence (SCIE) dementia guidelines (2006). |
Intervention type | Other |
Primary outcome measure | An increase of 50% between groups of patients with dementia receiving two dementia reviews per year, i.e. 20% (control) versus 70% (intervention) at follow-up after training. Primary and secondary outcome measures will be taken at baseline and again 12 months later. |
Secondary outcome measures | 1. Documented concordance with intervention recommendations on recording disclosure decisions and consequences 2. Screening for depression 3. Referral to social services 4. Informing people with dementia about relevant local voluntary organisations 5. Provision of legal information and shared management of cholinesterase inhibitor medication 6. Benefits to people with dementia and their families, measured using standardised instruments like Dementia Quality of Life (DEMQOL) and the Carer Strain Index 7. Brief interviews with carers Primary and secondary outcome measures will be taken at baseline and again 12 months later. |
Overall study start date | 01/06/2009 |
Completion date | 01/10/2012 |
Eligibility
Participant type(s) | Patient |
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Age group | Other |
Sex | Both |
Target number of participants | 200 |
Key inclusion criteria | 1. Memory or other cognitive impairments suggestive of dementia syndrome 2. A formal diagnosis of dementia, of any type 3. Male or female participants, no age limits |
Key exclusion criteria | 1. Patients and carers who are already involved in concurrent research 2. 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 3. Any other important reason that the key professional may have for why the person with dementia or their carer should not be contacted |
Date of first enrolment | 01/06/2009 |
Date of final enrolment | 01/10/2012 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Research Department of Primary Care & Population Health
London
NW3 2PF
United Kingdom
NW3 2PF
United Kingdom
Sponsor information
University College London Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre
Hospital/treatment centre
Joint UCLH/UCL Biomedical Research Unit
1st Floor Maple House
149 Tottenham Court Road
London
W1P 9LL
England
United Kingdom
Website | http://www.uclh.nhs.uk/ |
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https://ror.org/042fqyp44 |
Funders
Funder type
Government
National Institute for Health Research (NIHR) (UK) - Programme Grant for Applied Research (PGfAR) (ref: RP-PG-0606-1005)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Protocol article | protocol | 10/02/2010 | Yes | No | |
Results article | results | 20/11/2013 | Yes | No | |
HRA research summary | 28/06/2023 | No | No |