Collaboration Between Department of Old Age Psychiatry and Nursing Homes

NCT01217541 | Completed DMC

• 1 other identifier: 50022
• Study Type: interventional
• Target: 700
• Locations: 1 country
• Sites: 1

Brief Summary

Dementia is a serious health problem showing an increasing prevalence rate with increasing age. In Norway, about 80% of nursing home patients have dementia. The mean age of nursing home residents in Norway is around 84 years. Disruptive and agitated behaviour affect 30-50% of all individuals with dementia at some point in the course of the illness. In addition, they have a combination of physical and psychological diseases which necessitates a close collaboration between different specialities in medicine and Old Age psychiatry. In collaboration with the communalities, our Old Age psychiatry services want to provide a new approach to this challenge and validate it on patient and personnel level.

Conditions

Dementia; Alzheimer's Disease; Behavioral Symptoms; Agitation

Keywords

Dementia; BPSD; Quality of Life; Person-centred care; Job satisfaction; Nursing home; Primary care

Outcome Measures

Primary Outcomes (1)

• Quality of Life in Severe Dementia (QUALID), Person-Centred Care Assessment Tool (P-CAT, 2010)

  Evaluate a new model of collaboration between a specialized department of Old Age Psychiatry and nursing home units to optimize patient care and job satisfaction of the caregivers.

  12 months after baseline assessment

Secondary Outcomes (1)

• Neuropsychiatric Inventory - Nursing Home version, Cornell Scale of Depression in Dementia, Registration of Constraints (Kirkevold, 2004)

  12 months after baseline assessment

Study Arms (2)

Education and supervision

OTHER

Personnel in nursing home units get intervention in form of education and supervision

Other: Education and Supervision; Other: Control

Control

NO INTERVENTION

Only registering of patient and personnel data in the beginning and the end of the study without any form of intervention.

Interventions

Education and Supervision OTHER

Implementation of Scales in the care of patients with dementia in nursing home units with focus on person-centred care. Supervision of caregivers on a regular basis.

Also known as: Departments in NHs that do not get any intervention.

Education and supervision

Control OTHER

A control group of nursing home units that do not get any form of active intervention

Also known as: Education, Supervision

Education and supervision

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients at nursing home units

You may not qualify if:

• Patients that are in a final state and patients that have not been at the nursing home unit more than two weeks

Sponsors & Collaborators

• Sykehuset Innlandet HF: lead
• Helse Sor-Ost: collaborator
• Norwegian Department of Health and Social Affairs: collaborator

Study Sites (1)

Lillehammer sykehjem

Lillehammer, Oppland, Norway

Location

Related Publications (2)

• Selbaek G, Kirkevold O, Engedal K. Psychiatric and behavioural symptoms and the use of psychotropic medication in Special Care Units and Regular Units in Norwegian nursing homes. Scand J Caring Sci. 2008 Dec;22(4):568-73. doi: 10.1111/j.1471-6712.2007.00576.x. Epub 2008 Sep 16.

  PMID: 18801019 BACKGROUND

• Kirkevold O, Laake K, Engedal K. Use of constraints and surveillance in Norwegian wards for the elderly. Int J Geriatr Psychiatry. 2003 Jun;18(6):491-7. doi: 10.1002/gps.883.

  PMID: 12789669 BACKGROUND

MeSH Terms

Conditions

Dementia; Alzheimer Disease; Behavioral Symptoms; Psychomotor Agitation

Interventions

Educational Status; Organization and Administration

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Tauopathies; Neurodegenerative Diseases; Behavior; Dyskinesias; Neurologic Manifestations; Psychomotor Disorders; Neurobehavioral Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Aberrant Motor Behavior in Dementia

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics; Health Services Administration

Study Officials

• Geir Selbæk, PhD

  Sykehuset Innlandet HF

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Director Centre for Old Age Psychiatric Research

Study Record Dates

• First Submitted: September 22, 2010
• First Posted: October 8, 2010
• Study Start: September 1, 2010
• Primary Completion: March 1, 2012
• Study Completion: March 1, 2012
• Last Updated: December 12, 2014

Record last verified: 2014-12

Locations

NO (1)