Dementia Early Recognition and Response in Primary Care
EVIDEM-ED
Evidence-based Interventions In Dementia EVIDEM-ED: Early Recognition and Response in Primary Care
2 other identifiers
interventional
125
1 country
2
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jul 2009
Typical duration for phase_2
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 19, 2009
CompletedFirst Posted
Study publicly available on registry
March 20, 2009
CompletedStudy Start
First participant enrolled
July 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedApril 19, 2010
March 1, 2009
1.8 years
March 19, 2009
April 16, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
An increase in the proportion of patients with dementia receiving two dementia reviews per year, from 20% to 50%
twelve month follow up
Secondary Outcomes (7)
quality of life, met and unmet need in carers and/or people with dementia
twelve month follow up
documented concordance with intervention recommendations on recording disclosure decisions & consequences
twelve month follow up
documented concordance with screening for depression
twelve month follow up
documented concordance with referral to social services
twelve month follow up
documented concordance with informing people with dementia and their carers about relevant local voluntary organisations
twelve month follow up
- +2 more secondary outcomes
Study Arms (2)
"Normal Care"
NO INTERVENTIONPrimary 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.
Training
EXPERIMENTALPractices 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.
Interventions
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.
Eligibility Criteria
You may qualify if:
- Patients with memory or other cognitive impairments suggestive of dementia syndrome
- those with a formal diagnosis of dementia, of any type.
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College, Londonlead
- National Institute for Health Research, United Kingdomcollaborator
- Central and North West London NHS Foundation Trustcollaborator
- King's College Londoncollaborator
- University of Hertfordshirecollaborator
- St George's, University of Londoncollaborator
- London School of Economics and Political Sciencecollaborator
- Imperial College Londoncollaborator
Study Sites (2)
Department of Primary Care and Population Health
London, England, NW3 2PF, United Kingdom
University College London
London, Greater London, NW3 2PF, United Kingdom
Related Publications (2)
Wilcock J, Iliffe S, Griffin M, Jain P, Thune-Boyle I, Lefford F, Rapp D. Tailored educational intervention for primary care to improve the management of dementia: the EVIDEM-ED cluster randomized controlled trial. Trials. 2013 Nov 20;14:397. doi: 10.1186/1745-6215-14-397.
PMID: 24257429DERIVEDIliffe S, Wilcock J, Griffin M, Jain P, Thune-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. doi: 10.1186/1745-6215-11-13.
PMID: 20146803DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jane Wilcock, MA(hons) MSc
University College, London
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 19, 2009
First Posted
March 20, 2009
Study Start
July 1, 2009
Primary Completion
May 1, 2011
Study Completion
September 1, 2012
Last Updated
April 19, 2010
Record last verified: 2009-03