The detection and management of dementia in general practice

Completed

• Conditions: Dementia; Neurological - Dementias; Mental Health - Depression

• Registration Number: ACTRN12607000117415
• Lead Sponsor: Professor Dimity Pond, University of Newcastle.

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2007-02-08
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 2000

Inclusion Criteria

GP inclusion criteria:*Consent to participate in study*Have patients on a computerised database*Have patients aged 75 years and over and living in the community*Consent to being randomised to either-Intervention group or-Wait list control group.
Patient inclusion criteria:*Listed on participating GPs' databases*Previously visited recruited GPs within the last 24 months*Consent to a home visit or surgery visit by project staff*Speak and understand English.
Carer inclusion criteria:*Primary carer for a person suffering from dementia and participating in the project. *Prior consent from the person with dementia for his/her carer to participate in the study*Speak and understand English*Consent to a home visit or surgery visit by the project staff.

Exclusion Criteria

GP exclusion criteria:*Involved in project development*Does not meet inclusion criteria.
Patient exclusion criteria:*Parkinson’s disease, multiple sclerosis, motor neuron disease or central nervous system inflammation*Psychotic symptoms*Developmental disability*Insufficient English to complete a psychometric assessment (judged by interviewer)*Progressive malignancy*Substance abuse*Deemed too sick to complete study by the GP*Lives in a residential aged care facility*Does not meet inclusion criteria*Valid and informed consent cannot be obtained from the person involved and they do not have a person responsible for them.
Carer exclusion criteria:*Insufficient English to complete testing (judged by the interviewer)*Non-consenting patient-participant*Does not consent to a home visit or surgery visit by the project staff.*Too unwell to participate*Does not meet inclusion criteria.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
World Health Organization Quality of Life-Bref Scale (WHOQOL BREF) score for patients[12 months];Geriatric Depression Scale score for patients[12 months]

Secondary Outcome Measures

Name	Time	Method
World Health Organization Quality of Life-Bref Scale (WHOQOL BREF) for carers[12 months];Beck Depression Inventory score for carers[12 months];GP hit rate in detection of dementia[12 months];GP differential diagnosis for dementia[12 months];GP identification and treatment of reversible causes of dementia[12 months];GP dementia related referrals made[12 months];General Practice Assessment Questionnaire score[12 months];Acceptability of the process scale score[12 months];Services accessed[12 months]