ISRCTN80204146已完成未知
Dementia Person-Aligned Care Team (DPACT)
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 入组人数
- 110
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •People living with dementia† (people with a formal diagnosis of dementia regardless of specific type) and significant cognitive problems which could indicate dementia and their carer‡, resident within the local authority boundary to be served. The programme also aims to investigate ways in which people with dementia without a carer can be included.
- •†Dementia is a broad term used to describe a range of neurodegenerative disorders which may include but will not be limited to: Alzheimer's disease (AD); Late Onset Alzheimer’s disease (LOAD); Early Onset Alzheimer’s disease (EOAD); Vascular dementia (VAD); Mixed dementia (AD with VAD); Dementia with Lewy bodies (LBD); Frontotemporal dementia (FTD); Parkinson’s disease dementia (PDD).
- •‡Carers in this context are defined as the primary person who feels responsible for, and supports, the person with dementia”. Inclusion criteria need to be constructed that do not exclude participants that are representative of the target population and stand to benefit most from the intervention. We need to avoid waste of resources and unnecessary burden on patients by not including those at a disease stage so mild that it precludes benefit. Inclusion criteria will require careful consideration from practical perspectives. Roughly one third of people with dementia live alone and while some may still have an active and engaged carer, it is likely that assistance received is more variable than in dyads where the carer is cohabitating. This may also influence engagement with a Dementia Support Worker intervention. There is also a higher trial dropout rate associated with people with dementia with non-spousal carers.
- •While the intention is to include such individuals in the trial, it will be necessary to explore the mechanisms of the intervention in the context of variable carer capacity and care-delivery; the proxy reporting capacity of the carer will need to be considered with regard to valid outcome completion. This is one of the key aspects of the intervention that the Peer Research Group will be engaged with.
排除标准
- •Current exclusion criteria as of 27/10/2020:
- •1. Those who are resident outside the local authority boundary to be served
- •2. Those currently undergoing emergency treatment or care
- •3. Those within care home setting
- •4. Those who score mild or non-impaired a cognitive screening assessment
- •Previous exclusion criteria:
- •1. Those who are resident outside the local authority boundary to be served
- •2. Those currently undergoing emergency treatment or care
- •3. Those within care home setting
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