跳至主要内容
临床试验/NCT03360552
NCT03360552招募中不适用

Evaluating the Effectiveness of a New Way of Organizing Primary Health Care to Improve the Management of Alzheimer's Disease EvaMMADom

Assistance Publique Hopitaux De Marseille1 个研究点 分布在 1 个国家目标入组 320 人开始时间: 2019年1月16日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
320
试验地点
1
主要终点
Assessment of multidimensional fragility scores

研究概览

简要总结

The objective of the present study is to evaluate the effectiveness of a general practitioner (MG) management strategy guided by a multidimensional evaluation on the multidimensional score of fragility of patients with mild to moderately severe dementia, compared to those currently implemented (without the provision of such an assessment). The measurement of the respective effectiveness of the two types of care in primary care will itself be based on a multidimensional evaluation performed independently in the memory center having established the diagnosis of Alzheimer's disease. The secondary objectives are the evaluation of the impact of the strategy on the functional abilities of patients, the incidence of geriatric syndromes, cognitive functions, quality of life of the patient and the burden of the primary caregiver. The efficiency of the strategy will be assessed through a cost-effectiveness analysis. A survey of opinions will also be conducted among primary health care providers, carers and CMs on the implemented system.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Single (Investigator)

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Patients with probable Alzheimer's disease, according to the criteria usually used in memory centers
  • •Aged over 64 years with mild to moderately severe dementia syndrome
  • •Volunteers for medical follow-up for a period of 20 months; Which the general practitioner attending agrees to participate in the research

排除标准

  • •Patients under 65 years old
  • •presenting with early cognitive decline or severe dementia
  • •Not meeting the clinical diagnostic criteria for Alzheimer's disease
  • •Refusing or unable to sign informed consent to participate
  • •Not voluntary for medical follow-up for a period of 20 months
  • •Whose general practitioner refuses to participate in the research

研究组 & 干预措施

the multidimensional score of fragility (RAI CA)

Experimental

A general practitioner (MG) management strategy guided by a multidimensional evaluation (RAI-CA) on the multidimensional score of fragility (RAI-HC) of patients with mild to moderately severe dementia.

干预措施: Multidimensional fragility index questionnaire RAI-Home Care (Other)

Usual care

Placebo Comparator

support for patients without multidimensional evaluation (RAI-CA)

干预措施: Usual care (Other)

结局指标

主要结局

Assessment of multidimensional fragility scores

时间窗: 20 months

The multidimensional evaluation score produced by Nurses in the home of AM patients and passed on to patients' doctors increases decision-making and patient care

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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