Psychosocial support for patients suffering from dementia and their care giving partners
ISRCTN | ISRCTN28074990 |
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DOI | https://doi.org/10.1186/ISRCTN28074990 |
Secondary identifying numbers | N/A |
- Submission date
- 23/12/2011
- Registration date
- 01/03/2012
- Last edited
- 08/12/2015
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
Dementia is a broad category of brain diseases that cause a long-term gradual decrease in the ability to think and remember. As there is currently no cure, interventions to help patients and caregivers to handle daily life with dementia are gaining importance. This study tests an intervention in a population of community dwelling older adults suffering from dementia who are cared for by a partner or family member. The aim of the intervention is to strengthen their personal and shared skills to better cope with the daily hassles that occur due to dementia.
Who can participate?
Community-dwelling patients with mild to moderate dementia and their partner/family caregiver who lives with them.
What does the study involve?
Participants are randomly allocated into two groups. One group receives nine sessions of a psychosocial support program. The other group receives a standard dementia consultation.
What are the possible benefits and risks of participating?
The intervention should lead to preservation or an increase of the patients’ and caregivers’ quality of life, and delay nursing home placement. There are no risks for the patients.
Where is the study run from?
Charité - Universitätsmedizin Berlin, Germany.
Who is funding the study?
Federal German Ministry of Education and Research.
When is study starting and how long is it expected to run for?
January 2011 to December 2013.
Who is the main contact?
Dr Michael Rapp
Contact information
Scientific
Charité - Universitätsmedizin Berlin
Geriatric Psychiatry Center
Psychiatric University Hospital St. Hedwig
Department of Psychiatry, Campus Mitte
Grosse Hamburger Str. 5-11
Berlin
10115
Germany
Study information
Study design | Interventional randomised controlled multi-centre trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Other |
Study type | Quality of life |
Participant information sheet | http://dyadem.charite.de [German] |
Scientific title | Fostering autonomy through a combined training and support program in patient/care giver DYAds in mild to moderate DEMentia (DYADEM): a randomized controlled trial |
Study acronym | DYADEM |
Study objectives | Dementia describes a group of symptoms affecting intellectual and social abilities severely enough to interfere with daily functioning. Among other causes of dementia, Alzheimer's disease is the most common cause. Although dementia is far more common in the geriatric population, it can occur before the age of 60. Since there is no curative medical treatment available today, non-pharmacological interventions to enable patients and caregivers to handle daily life with dementia are gaining importance, especially in view of demographic changes. Hypotheses: 1. A specific psychosocial intervention in a dyad (patient with dementia and their affiliated) is more effective in maintaining quality of life than treatment as usual (TAU)-dementia consulting. 2. A combined intervention targeting patient/caregiver dyads is able to delay nursing home placement in this population 3. How do external and internal resources moderate the association between the burden of being sick and autonomy / self-contentment in dyads? |
Ethics approval(s) | Ethics Committee of Charité Medical University, Berlin [Charité Universitätsmedizin, Berlin Ethikkommission] (Germany), 05/10/2011, ref: EA1/215/11 |
Health condition(s) or problem(s) studied | Dementia |
Intervention | Intervention group: 9 sessions including socio and psychotherapeutic modules Control group: treatment as usual dementia consulting, information sheet Treatment group gets 9 weekly/ two-weekly sessions (1 to 2 hours) during approximately 12 weeks. Session 1: couple specific psychosocial anamnesis Session 2: social therapy I (information about support, social network, activities) Session 3: psychotherapy I (stress, dyadic coping) Session 4: socio-therapeutic consolidation via telephone Session 5: psychotherapy II (communication training) Session 6: social therapy II (daily routine coping strategies) Session 7: psychotherapy III (problem solving) Session 8: socio-therapeutic consolidation via telephone Session 9: post-processing Control group receives treatment as usual plus information sheets and contact details of support providers; duration: approximately 1 hour. |
Intervention type | Other |
Primary outcome measure | Combined standardized score of Quality of Life: 1. WHO-QoL (caregiver) 2. QOL-AD (dementia patient) |
Secondary outcome measures | 1. Autonomy: 1.1. Activities of Daily Living (ADL)/ instrumental Activities of Daily Living (iADL) 1.2. Older Adults Overprotection Scale (OPSA) 1.3. Sense of Competence Questionnaire (SCQ) 2. Time to nursing home placement |
Overall study start date | 01/02/2012 |
Completion date | 31/12/2013 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Sex | Both |
Target number of participants | Overall recruitment of N = 240 dyads (120 dyads in each group) |
Key inclusion criteria | 1. Community dwelling, diagnosed patients with mild to moderate dementia and their partner/ family caregiver 2. Are living together in one domestic home in Berlin, Germany 3. Are willing to participate together with their partner in the intervention |
Key exclusion criteria | 1. Modified-Modified Schober Test (MMST) <15 2. Patient or partner/ family caregiver suffers from other specific psychiatric diseases (mental and behavioural disorders due to psychoactive substance use [ICD-10 F10-29]) |
Date of first enrolment | 01/02/2012 |
Date of final enrolment | 31/12/2013 |
Locations
Countries of recruitment
- Germany
Study participating centre
10115
Germany
Sponsor information
Government
Heinemannstr. 2
Bonn
53175
Germany
information@bmbf.bund.de | |
Website | http://www.bmbf.de |
https://ror.org/04pz7b180 |
Funders
Funder type
Government
Government organisation / National government
- Alternative name(s)
- Federal Ministry of Education and Research, BMBF
- Location
- Germany
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 |