scholarly journals Systematic, early identification of dementia and dementia care management are highly appreciated by general physicians in primary care – results within a cluster-randomized-controlled trial (DelpHi)

2016 ◽  
pp. 183 ◽  
Author(s):  
Jochen René Thyrian ◽  
Tilly Eichler ◽  
Andrea Pooch ◽  
Kerstin Albuerne ◽  
Adina Dreier ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Early Identification ◽  
Care Management ◽  
Controlled Trial ◽  
Dementia Care ◽  
Cluster Randomized Controlled Trial ◽  
Randomized Controlled ◽  
General Physicians ◽  
Cluster Randomized

scholarly journals Primary care management for patients receiving long-term antithrombotic treatment: A cluster-randomized controlled trial

PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0209366 ◽  
Author(s):  
Andrea Siebenhofer ◽  
Lisa-Rebekka Ulrich ◽  
Karola Mergenthal ◽  
Andrea Berghold ◽  
Gudrun Pregartner ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Care Management ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Antithrombotic Treatment ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
Primary Care Management

scholarly journals Cost-effectiveness of a collaborative dementia care management-Results of a cluster-randomized controlled trial

2019 ◽  
Vol 15 (10) ◽  
pp. 1296-1308 ◽  
Author(s):  
Bernhard Michalowsky ◽  
Feng Xie ◽  
Tilly Eichler ◽  
Johannes Hertel ◽  
Anika Kaczynski ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cost Effectiveness ◽  
Care Management ◽  
Controlled Trial ◽  
Dementia Care ◽  
Cluster Randomized Controlled Trial ◽  
Randomized Controlled ◽  
Cluster Randomized

scholarly journals Primary dementia care based on the individual needs of the patient: study protocol of the cluster randomized controlled trial, DemStepCare

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Isabella Bablok ◽  
◽  
Harald Binder ◽  
Dominikus Stelzer ◽  
Klaus Kaier ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Dementia Care ◽  
Cluster Randomized Controlled Trial ◽  
Control Group ◽  
Care Model ◽  
Randomized Controlled ◽  
Individual Needs ◽  
Cluster Randomized ◽  
The Individual

Abstract Background Most people with dementia (PwD) are cared for at home, with general practitioners (GPs) playing a key part in the treatment. However, primary dementia care suffers from a number of shortcomings: Often, diagnoses are made too late and therapies by GPs do not follow the guidelines. In cases of acute crises, PwD are too often admitted to hospital with adverse effects on the further course of the disease. The aim of this study is to implement and evaluate a new GP-based, complex dementia care model, DemStepCare. DemStepCare aims to ensure demand-oriented, stepped care for PwD and their caregivers. Methods/design In a cluster randomized controlled trial, the care of PwD receiving a complex intervention, where the GP is supported by a multi-professional team, is compared to (slightly expanded) usual care. GPs are clustered by GP practice, with 120 GP practices participating in total. GP practices are randomized to an intervention or a control group. 800 PwD are to be included per group. Recruitment takes place in Rhineland-Palatinate, Germany. In addition, a second control group with at least 800 PwD will be formed using aggregated routine data from German health insurance companies. The intervention comprises the training of GPs, case management including repeated risk assessment of the patients’ care situation, the demand-oriented service of an outpatient clinic, an electronic case record, external medication analyses and a link to regional support services. The primary aims of the intervention are to positively influence the quality of life for PwD, to reduce the caregivers’ burden, and to reduce the days spent in hospital. Secondary endpoints address medication adequacy and GPs’ attitudes and sensitivity towards dementia, among others. Discussion The GP-based dementia care model DemStepCare is intended to combine a number of promising interventions to provide a complex, stepped intervention that follows the individual needs of PwD and their caregivers. Its effectiveness and feasibility will be assessed in a formative and a summative evaluation. Trial registration German Register of Clinical Trials (Deutsches Register Klinischer Studien, DRKS), DRKS00023560. Registered 13 November 2020 - Retrospectively registered. HTML&TRIAL_ID=DRKS00023560.

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