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