Dementia Specific Respite Care Concept.

NCT03578861 | Completed

• 1 other identifier: WI025
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: Specific mobility programs can delay the functional decline in people with dementia (PwD) and help to preserve their abilities of daily living. Respite care is a common used short time inpatient service (max. 4 weeks of stay) to support dementia care arrangements. Within the DESKK project, a concept is developed which complements and optimizes dementia-specific respite care through a mobility program and a counseling program. As one part of the DESKK study, it is the aim to develop and implement a time effective and evidence based mobility program for PwD in respite care which can be individually adapted on PwD needs and preferences. It includes a short "homework-program" for caring relatives to facilitate ongoing mobility training of the PwD after returned back home. Methods: A pilot based, quasi-experimental evaluation study is conducted in a specialized respite care facility for PwD. The concept was developed on the basis of a comprehensive literature research, study visits at existing counseling programs as well as expert workshops with practitioners and scientists. To evaluate the implementation process, qualitative data are collected by single und group interviews. Quantitative data are collected using validated instruments to assess mobility and cognitive function of PwD. A mixed methods triangulation approach will be used to aggregate qualitative and quantitative data. Discussion: It is expected that the RC concept will be suitable and understandable for the staff, so that it can be implemented in the RC facility. As a result of the mobility program, the physical abilities of the PwDs should improve. Similar, the burden of the caregivers should be reduced by combined effects of the counselling program and the higher mobility level of the PwD. The whole DESKK concept, including a systematic counseling program for caring relatives, which is not part of this presentation, will be described in form of a practice friendly website to get disseminated into clinical routine after its successful evaluation.

Conditions

Mobility; Dementia; Counseling; Respite Care

Outcome Measures

Primary Outcomes (1)

• Short Physical Performance Battery (SPPB)

  The SPPB can be used for the analyses of ADL related capabilities of old people related to gait performance and strength as well related to static balance. This test can also be used for people with cognitive retardation. Furthermore the Instrument is validated and reliable.

  10 min

Secondary Outcomes (6)

• Nurses' Observation Scale for Geriatric Patients (NOSGER)

  10 min

• Nurses' Observation Scale for Geriatric Patients (MMST)

  25 min

• Box and Blocks Test (BBT)

  5 min

• Strength-Dexterity Test (SD)

  2 min

• Nine-Hole Peg Test (NHPT)

  2 min

Study Arms (1)

Dementia related mobility and counseling

EXPERIMENTAL

The DESKK mobility program is based on the already existing day structure of the RC facility with two slots a day for physical activation activities (1 ½ hours forenoon and 1 ½ hours afternoon). The program structures these activities based on specific developed exercises, which are focused on the individual mobility level of every PwD and his/her mobility level. The DESKK counseling program is an effort to structure and systemize counseling processes focused on the respite care setting by different documents and assessments.

Other: Dementia related mobility and counseling

Interventions

Dementia related mobility and counseling OTHER

The DESKK mobility program is based on the already existing day structure of the RC facility with two slots a day for physical activation activities (1 ½ hours forenoon and 1 ½ hours afternoon). The program structures these activities based on specific developed exercises, which are focused on the individual mobility level of every PwD and his/her mobility level. The DESKK counseling program is an effort to structure and systemize counseling processes focused on the respite care setting by different documents and assessments.

Dementia related mobility and counseling

Eligibility Criteria

• Age: 65 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Caring relatives:
• Willingness to take part at the counseling intervention (informed consent)
• Sufficient language skills to understand the counseling sessions
• CR has to be the primary care person for the PwD
• People with dementia
• Willingness to take part at the rehabilitation intervention (informed consent \[if necessary: signing by the primary care person\])
• Capability to understand and follow (training) instructions with support of the involved training assessors (subjective pre-assessment by raters)
• Capability to stand and walk short distances (min. 3 Meter) with support of the involved training assessors
• Minimum amount of 13 days stay in the RC center (planned)

You may not qualify if:

• Other severe cognitive impairments or other severe neurological disease

Sponsors & Collaborators

• German Center for Neurodegenerative Diseases (DZNE): lead

Study Sites (1)

DZNE

Witten, 58453, Germany

Location

Related Publications (19)

• Dassen, T. (2009). Bundesweite Erhebung zu Pflegeproblemen 2009. Studie aus Pflegeheimen und Krankenhäusern. Berlin: Charité.

  BACKGROUND

• DAlzG. (2016). Informationblatt 1 - Die Häufigkeit von Demenzerkrankungen. Retrieved from https://www.deutsche-alzheimer.de/fileadmin/alz/pdf/factsheets/infoblatt1_haeufigkeit_demenzerkrankungen_dalzg.pdf

  BACKGROUND

• WHO. (2012). Dementia - A public health priority. Retrieved from http://whqlibdoc.who.int/publications/2012/9789241564458_eng.pdf

  BACKGROUND

• Radenbach K, Retzlik J, Meyer-Rotz SH, Wolff-Menzler C, Wolff J, Esselmann H, Godemann F, Riemenschneider M, Wiltfang J, Jessen F. [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of behavioral and psychological symptoms of dementia : Normative definition of personnel requirements]. Nervenarzt. 2017 Sep;88(9):1010-1019. doi: 10.1007/s00115-016-0195-9. German.

  PMID: 27581115 BACKGROUND

• Reggentin H. [Caregiver's burden of caring for patients with dementia in group living compared to to domestic and inpatient care]. Z Gerontol Geriatr. 2005 Apr;38(2):101-7. doi: 10.1007/s00391-005-0295-9. German.

  PMID: 15868348 BACKGROUND

• Shea, T. (2012). Dementia - Understanding brain diseases and disorders. New York: Rosen Publishing.

  BACKGROUND

• van Doorn C, Gruber-Baldini AL, Zimmerman S, Hebel JR, Port CL, Baumgarten M, Quinn CC, Taler G, May C, Magaziner J; Epidemiology of Dementia in Nursing Homes Research Group. Dementia as a risk factor for falls and fall injuries among nursing home residents. J Am Geriatr Soc. 2003 Sep;51(9):1213-8. doi: 10.1046/j.1532-5415.2003.51404.x.

  PMID: 12919232 BACKGROUND

• Forbes D, Forbes SC, Blake CM, Thiessen EJ, Forbes S. Exercise programs for people with dementia. Cochrane Database Syst Rev. 2015 Apr 15;2015(4):CD006489. doi: 10.1002/14651858.CD006489.pub4.

  PMID: 25874613 BACKGROUND

• Maayan N, Soares-Weiser K, Lee H. Respite care for people with dementia and their carers. Cochrane Database Syst Rev. 2014 Jan 16;2014(1):CD004396. doi: 10.1002/14651858.CD004396.pub3.

  PMID: 24435941 BACKGROUND

• Kurz A, Hallauer J, Jansen S, Diehl J. [Efficacy of caregiver support groups for dementia]. Nervenarzt. 2005 Mar;76(3):261-9. doi: 10.1007/s00115-004-1759-7. German.

  PMID: 15300316 BACKGROUND

• Heinrich S, Laporte Uribe F, Roes M, Hoffmann W, Thyrian JR, Wolf-Ostermann K, Holle B. Knowledge management in dementia care networks: a qualitative analysis of successful information and support strategies for people with dementia living at home and their family caregivers. Public Health. 2016 Feb;131:40-8. doi: 10.1016/j.puhe.2015.10.021. Epub 2015 Dec 21.

  PMID: 26718421 BACKGROUND

• ZQP. (2018). Ein Jahr nach letzter Pflegereform: Pflegende Angehörige sehen Informationsbedarf. Retrieved from https://www.presseportal.de/pm/80067/3876592?utm_source=digest&utm_medium=email&utm_campaign=push

  BACKGROUND

• Gomez JF, Curcio CL, Alvarado B, Zunzunegui MV, Guralnik J. Validity and reliability of the Short Physical Performance Battery (SPPB): a pilot study on mobility in the Colombian Andes. Colomb Med (Cali). 2013 Sep 30;44(3):165-71. eCollection 2013 Jul.

  PMID: 24892614 BACKGROUND

• Mendes MF, Tilbery CP, Balsimelli S, Moreira MA, Cruz AM. [Box and block test of manual dexterity in normal subjects and in patients with multiple sclerosis]. Arq Neuropsiquiatr. 2001 Dec;59(4):889-94. doi: 10.1590/s0004-282x2001000600010. Portuguese.

  PMID: 11733833 BACKGROUND

• Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. No abstract available.

  PMID: 1202204 BACKGROUND

• Spiegel R, Brunner C, Ermini-Funfschilling D, Monsch A, Notter M, Puxty J, Tremmel L. A new behavioral assessment scale for geriatric out- and in-patients: the NOSGER (Nurses' Observation Scale for Geriatric Patients). J Am Geriatr Soc. 1991 Apr;39(4):339-47. doi: 10.1111/j.1532-5415.1991.tb02897.x.

  PMID: 2010583 BACKGROUND

• Bruce-Keller AJ, Brouillette RM, Tudor-Locke C, Foil HC, Gahan WP, Nye DM, Guillory L, Keller JN. Relationship between cognitive domains, physical performance, and gait in elderly and demented subjects. J Alzheimers Dis. 2012;30(4):899-908. doi: 10.3233/JAD-2012-120025.

  PMID: 22466001 BACKGROUND

• Zank, S., Schacke, C., & Leipold, B. (2006). Berliner Inventar zur Angehörigenbelastung - Demenz (BIZA - D). Kurzbeschreibung und grundlegende Kennwerte. Retrieved from http://www.hf.uni-koeln.de/data/gerontologie/File/BIZA-D.pdf

  BACKGROUND

• Heinrich S, Cavazzini C, Holle B. DESKK Study - Development and testing of a dementia-specific respite care concept with a mobility and counselling programme: study protocol. BMJ Open. 2019 Jun 14;9(6):e025932. doi: 10.1136/bmjopen-2018-025932.

  PMID: 31203237 DERIVED

Related Links

• Official Project Website

MeSH Terms

Conditions

Dementia

Interventions

Counseling

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Mental Health Services; Behavioral Disciplines and Activities; Community Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Bernhard Holle, Dr

  DZNE Witten

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 18, 2018
• First Posted: July 6, 2018
• Study Start: October 20, 2017
• Primary Completion: September 20, 2018
• Study Completion: November 1, 2018
• Last Updated: February 11, 2019

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Data will be available in April 2019.
• Access Criteria: E-Mail request via: steffen.heinrich@dzne.de

Locations

DE (1)