SENIORS-D: Person-centred care for people with dementia

Not Applicable

Completed

Conditions: Recognition of burdensome symptoms and needs in people with dementia
Mental and Behavioural Disorders

Registration Number: ISRCTN18012991

Lead Sponsor: Zurich University of Applied Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 193

Inclusion Criteria

PwD (patients at home and/or on the acute geriatric ward):
1. PwD with a diagnosis of vascular dementia or Alzheimer disease, which is documented in the patient notes, or
2. PwD with dementia-like symptoms (cognitive impairment measured with the MMSE< 24, and people who are unable to self-report due to cognitive impairment will be included in this study
3. PwD, who have a next of kin or a legal guardian

Nurses and relatives (relatives at home and/or acute geriatric ward and district nurses or ward nurses):
1. Nursing staff and relatives must be at least 18 years of age. Nursing staff must have been employed at least six months
2. Nursing staff and relatives must be able to communicate (speak and understand) in German
3. Relatives, who care for a family member or close friend who is diagnosed with vascular dementia or Alzheimer disease or who presents with dementia-like symptoms

Exclusion Criteria

PwD (patients at home and/or on acute geriatric ward):
1. PwD, who are dying when admitted to hospital
2. PwD, who have no next of kin and no legal guardian

Nurses and relatives (relatives at home and/or acute geriatric ward and district nurses or ward nurses):
1. Member of nursing staff or relatives younger than 18 years
2. Relative who is not involved in the daily care of PwD

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Current primary outcome measure as of 01/04/2022:Burden of physical-, psychological, social-, and spiritual symptoms measured with the Integrated Palliative Care Outcome Scale for People with Dementia (IPOS-Dem), the German version of the Edmonton Symptom Assessment System (revised version) (ESAS-r), and the Nursing Diagnosis according to the NANDA-I Taxonomy. Measured at two-time points with a minimum of three days in between, i.e. at baseline and when the PwDs health status changes or at day 45, whichever comes firstPrevious primary outcome measure:Burden of physical-, psychological, social-, and spiritual symptoms measured with the Integrated Palliative Care Outcome Scale for People with Dementia (IPOS-Dem), the German version of the Edmonton Symptom Assessment Scale (MIDOS2), and the Nursing Diagnosis according to the NANDA-I Taxonomy. Measured at two-time points with a minimum of three days in between, i.e. at baseline and when the PwDs health status changes or at day 45, whichever comes first

Secondary Outcome Measures

Name	Time	Method
Current secondary outcome measures as of 01/04/2022:Measured at baseline and when the PwDs health status changes or at day 45, whichever comes first:1. Functional Status measured with the German Version of the Edmonton Symptom Assessment System (revised version) (ESAS-r)2. Quality of life in Dementia measured with the QUALIDEM3. Australian Karnofsky Performance Scale (AKPS)4. Global Rating of Change (GRC)Previous secondary outcome measures:Measured at baseline and when the PwDs health status changes or at day 45, whichever comes first:1. Functional Status measured with the German Version of the Edmonton Symptom Assessment Scale (MIDOS2) 2. Quality of life in Dementia measured with the QUALIDEM