Person- Centred Care Among Nursing Home Patients With Dementia

NCT01280890 | Completed DMC

• 2 other identifiers: PCCNor196326/V50
• Study Type: interventional
• Target: 624
• Locations: 0 countries
• Sites: N/A

Brief Summary

Dementia is a common and devastating disease in the elderly. No cure exist and there is an increasing need for care. To improve knowledge on how to provide better care for the patients with dementia in nursing homes, the investigators will carry out a controlled trial using two forms of education and developmental interventions towards the nursing home care staff: a structured framework (VIPS) and dementia care mapping (DCM)to develop person-centred care in a 10 months randomised controlled study. In accordance with the knowledge found in the literature the investigators hypothesize that both VIPS framework and DCM will be more effective than a traditional educational program about dementia provided to the staff in nursing homes. The positive effects will be seen as reduced agitation in patients, less use of psychotropic drugs and improved quality of life. Using VIPS framework and DCM will also have a better effect on staffs' well-being than traditional education in dementia. The aim of the study is to confirm or reject these hypotheses.

Conditions

Dementia; Agitation

Keywords

Dementia; Nursing home; Person-centred Care; Staff training

Outcome Measures

Primary Outcomes (1)

• Change in agitation at 10 months from baseline using Brief Agitation Rating Scale

  Brief Agitation Rating Scale (BARS)will be used to measure change in agitation from basline to end of intervention after 10 months

  After 10 months

Secondary Outcomes (9)

• Neuropsychiatric Inventory (NPI-Q)

  After 10 months

• Cornell scale for depression in dementia

  After 10 months

• Quality of life in Alzheimer's Disease (QUALID)

  After 10 months

• Use of psychotropic drugs

  After 10 months

• Clinical Dementia Rating Scale (CDR)

  After 10 months

Study Arms (3)

Staff training using VIPS framework

EXPERIMENTAL

The staff will be trained to give person-centred care using the VIPS framework

Behavioral: Staff training using VIPS

Staff training using DCM

EXPERIMENTAL

Staff will be supervised in how to give person-centred care using Dementia Care Mapping

Behavioral: Staff training using DCM

Control group

PLACEBO COMPARATOR

Traditional lectures using films will be given to care staff

Behavioral: Control group

Interventions

Staff training using VIPS BEHAVIORAL

Staff training using the VIPS framework

Also known as: Person-centred care, Dementia care

Staff training using VIPS framework

Staff training using DCM BEHAVIORAL

The staff will be supervised using Dementia Care Mapping

Also known as: Person-centred Care, dementia Care

Staff training using DCM

Control group BEHAVIORAL

Filmed traditional Lectures will be given to care staff

Also known as: Staff training

Control group

Eligibility Criteria

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

You may qualify if:

• Persons with dementia living in nursing homes
• A score of 1,2 or 3 on the Clinical Dementia Rating Scale (CDR)
• The nursing staff in the wards where the patients are

Sponsors & Collaborators

• Norwegian Centre for Ageing and Health: lead
• The Research Council of Norway: collaborator

MeSH Terms

Conditions

Dementia; Psychomotor Agitation

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Knut Engedal, Dr.med

  Norwegian Centre for Ageing and Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 18, 2011
• First Posted: January 21, 2011
• Study Start: February 1, 2011
• Primary Completion: March 1, 2012
• Study Completion: June 1, 2012
• Last Updated: June 12, 2012

Record last verified: 2012-06