Risk reduction of hospital admissions for people with dementia in German shared-housing arrangements with outpatient care

Not Applicable

Completed

• Conditions: Mild cognitive impairment, mild or moderate dementia (degenerative type, not solely vascular).; Mental and Behavioural Disorders; Unspecified dementia

• Registration Number: ISRCTN89825211
• Lead Sponsor: Innovation Committee at the Federal Joint Comittee (Innovationsausschuss beim Gemeinsamen Bundesausschuss), general project administration: DLR Project Management Agency (DLR Projektträger)

Brief Summary

2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33268431/ (added 13/04/2021) 2023 Other publications in https://pubmed.ncbi.nlm.nih.gov/37248478/ Validation of Cohen-Mansfield Agitation Inventory-Short Form (CMAI-SF) in German (added 30/05/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-07-16
• Study Completion: 2022-12-31
• Last Update Posted: 13 June 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 363

Inclusion Criteria

Current inclusion criteria as of 25/11/2019:
1. Resident of shared-housing arrangements (with outpatient care).
2. Mild cognitive impairment or mild to moderate dementia.
3. Shared-housing arrangement is located in Bavaria, Bremen, Hamburg or Berlin. In order to reach the target number of participants we opened up the recruitment regions for the shared housing-arrangements to the remaining federal states of Germany.

Previous inclusion criteria:
1. Resident of shared-housing arrangements (with outpatient care).
2. Mild cognitive impairment or mild to moderate dementia.
3. Shared-housing arrangement is located in Bavaria, Bremen, Hamburg or Berlin.

Exclusion Criteria

1. Severe hearing impairment.
2. Severe visual impairment.
3. Severe dementia.
4. Cognitive decline due to diseases other than dementia (e.g. schizophrenia or Korsakov).
5. Permanently immobile.
6. No verbal communication in German possible.
7. History of more than one stroke.
8. History of severe major depression.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hospital admissions in the preceding 6 months are measured by nursing documentation of frequency, reasons and dates of hospital admissions at baseline, 6 months, 12 months and 18 months.

Secondary Outcome Measures

Name	Time	Method
1. Quality of life is measured by QUALIDEM at baseline, 6 months, 12 months and 18 months.<br>2. Behavioural and psychological symptoms of dementia and agitation are measured by Neuropsychiatric Inventory (NPI) and Cohen-Mansfield Agitation Inventory (CMAI) at baseline, 6 months, 12 months and 18 months.<br>3. Falls are measured by a self-developed questionnaire at baseline, 6 months, 12 months and 18 months.<br>4. Cognition is measured using the Mini-Mental State Examination (MMSE) at baseline, 6 months, 12 months and 18 months.