Dementia Clinical Trial
Official title:
The TIME -Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms - for Continuity of Care in Home Care Services
Continuity of care in home care services is necessary to facilitate the assessment and treatment of persons with dementia and cognitive failure. TIME (Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms) is a multi-component intervention with a biopsychosocial approach, based on the theoretical framework of cognitive behavioral therapy and person-centred care. The trial is designed to assess the effects of TIME on Neuropsychiatric symptoms for persons (NPS) with dementia in home care services.
The Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric
Symptoms (TIME) is a multi-component intervention with a biopsychosocial approach, based on
the theoretical framework of cognitive behavioral therapy and person-centred care. TIME
consists of a manual based multicomponent program which includes a rigorous assessment,
treatment, and the evaluation of neuropsychiatrc symptoms (NPS).
The cluster RCT will contain two parallel groups, where randomisation is performed based on
clusters. One municipality is one cluster, randomized to receive either the intervention with
TIME or a brief two hours education-only intervention about dementia and NPS for the control
group. Totally 10 municipalities will be included. Data will be collected at baseline before
randomisation and at the end of the implementing phase. Measurements at patient level are
taken at baseline prior to randomization and after 6 months. The primary outcome measure is
difference in change between the intervention group and the control group from baseline to
follow up at 6 months in the Cornell Scale for Depression in Dementia (CSDD).
Data collection will be performed by project nurses recruited outside the home care services.
They will interview the staff or family members who knows the patient best. The assessors
will be blinded to the randomization of the home care services. Interviews will be done by
telephone or face-to-face, depending on what is best for the person interviewed.
After the intervention focus group interviews with staff and family members will be
conducted.
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