Condition category
Mental and Behavioural Disorders
Date applied
03/05/2016
Date assigned
14/06/2016
Last edited
14/06/2016
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
Dementia is a common condition caused by the ongoing decline of the brain and its abilities with age. People with dementia and their relatives find it difficult to make decisions about whether they should live in a care home.The aim of this study is to develop and test a decision aid, known as the 'DECIDE manual', for carers of people with dementia to use when making decisions about living arrangements and place of care for their relative.

Who can participate?
Family/friend carers of people with dementia

What does the study involve?
Participants are randomly allocated to one of two groups. One group receives the 'usual treatment', in this case being given a copy of the Alzheimer’s Society factsheet 'Selecting a care home'. The other group receives the DECIDE manual, which the researcher takes participants through at the initial interview. All participants answer questions about decision-making and how they care currently feeling at the initial assessment, and 1 week and 10 weeks later.

What are the possible benefits and risks of participating?
We cannot promise the study will help participants but the information we get might help improve the support offered to carers of people with dementia and help healthcare staff discuss living arrangements and place of care with families in the future. We do not anticipate that there will be any disadvantages to taking part except for the inconvenience of making time for the interview, but it is possible that some topics discussed concerning the stresses of caring may be upsetting, so participants will be given details of appropriate, independent support services.

Where is the study run from?
This project is based at University College London and participants will be recruited from four memory clinics across three London boroughs: Camden Memory Service and Islington Memory Assessment and Treatment Service within Camden and Islington NHS Foundation trust; Haringey Memory Service within Barnet, Enfield and Haringey Mental Health trust and Tower Hamlets Diagnostic Memory Clinic within East London NHS Foundation trust.

When is the study starting and how long is it expected to run for?
August 2014 to April 2016

Who is funding the study?
UCL IMPACT studentship and the Division of Psychiatry (UK)

Who is the main contact?
Kathryn Lord

Trial website

Contact information

Type

Public

Primary contact

Miss Kathryn Lord

ORCID ID

http://orcid.org/0000-0001-6681-2624

Contact details

Division of Psychiatry
University College London (UCL)
6th Floor
Maple House
149 Tottenham Court Road
London
W1T 7NF
United Kingdom

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

The DECIDE study: dementia carers making informed decisions

Acronym

Study hypothesis

Family carers who receive the DECIDE manual intervention will find the resource relevant and useful and to evaluate trial recruitment and retention in preparation for a full, pragmatic trial of the intervention.

Ethics approval

1. National Research Ethics Service Committee North East – Newcastle & North Tyneside 2, January 2015; REC Reference: 15/NE/0015
2. Local approval was obtained from all regions where the study was conducted (East London and Camden and Islington NHS Foundation Trusts and Barnet, Enfield and Haringey Mental Health NHS Trust)

Study design

10-week pre and post design

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Community

Trial type

Other

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Carers of people with dementia

Intervention

Half of the cohort will receive the DECIDE decision aid we have created, the other half will receive 'treatment as usual'. In this instance that will be telling carers that if they want any further information they should speak with their healthcare professional.

Intervention type

Behavioural

Phase

Drug names

Primary outcome measures

The proportion of family carers who receive the DECIDE manual who report finding it relevant (defined a priori as a score of 4 or 5 on a 5 point Likert scale) and the proportion of family carers who receive the DECIDE manual who report finding it useful (defined a priori as a score of 8, 9 or 10 on a 10 point Likert scale).

Secondary outcome measures

To test the secondary hypothesis that family carers who receive the DECIDE manual intervention will report lower scores on the total Decisional Conflict Scale score and Informed sub-scale score, when compared to family carers in the treatment as usual group 10 weeks post baseline.

Overall trial start date

07/08/2014

Overall trial end date

01/04/2016

Reason abandoned

Eligibility

Participant inclusion criteria

1. Current, unpaid, main informal carer (e.g. a family member or friend in regular contact who is either next of kin or a ‘key decision maker’)
2. English language skills sufficient to participate in interviews. Whilst it is acknowledged that that the ideal would be to use the first language of all potential participants unfortunately there were not funds to provide interpreters

Participant type

Carer

Age group

Adult

Gender

Both

Target number of participants

40

Participant exclusion criteria

1. Carers under the age of 18
2. Carers where there are clinical concerns that may preclude them from being approached such as severe physical or mental illness or lack of capacity to give informed consent

Recruitment start date

01/05/2015

Recruitment end date

01/01/2016

Locations

Countries of recruitment

United Kingdom

Trial participating centre

University College London
W1T 7NF
United Kingdom

Sponsor information

Organisation

University College London (UK)

Sponsor details

Joint Research Office
Gower Street
London
WC1E 6BT
United Kingdom

Sponsor type

University/education

Website

Funders

Funder type

University/education

Funder name

Project that is part of a fellowship/personal award/research training award - PhD studentship funded by UCL IMPACT Award, cofunded by UCL Division of Psychiatry (Previously Mental Health Sciences Unit)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

We intend to publish the results of the feasibility trial this summer/before the end of the year.

Intention to publish date

31/12/2016

Participant level data

Available on request

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes