This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Ageing in general practice (AGP) trial: a cluster randomised trial to examine the effectiveness of peer education on GP diagnostic assessment and management of dementia


Pond, Constance D., Brodaty, Henry, Stocks, Nigel P., Gunn, Jane, Marley, John, Disler, Peter, Magin, Parker, Paterson, Nerida, Horton, Graeme, Goode, Susan, Paine, Bronwen, Mate, Karen E.


BMC Family Practice, Volume: 13, Pages.: 12-12

Year of Publication



Background: Dementia is increasing in prevalence as the population ages. An earlier rather than later diagnosis allows persons with dementia and their families to plan ahead and access appropriate management. However, most diagnoses are made by general practitioners (GPs) later in the course of the disease and are associated with management that is poorly adherent to recommended guidelines. This trial examines the effectiveness of a peer led dementia educational intervention for GPs.; Methods: The study is a cluster randomised trial, conducted across three states and five sites. All GPs will complete an audit of their consenting patients aged 75 years or more at three time points – baseline, 12 and 24 months. GPs allocated to the intervention group will receive two educational sessions from a peer GP or nurse, and will administer the GPCOG to consenting patients at baseline and 12 months. The first education session will provide information about dementia and the second will provide individualised feedback on audit results. GPs in the waitlist group will receive the RACGP Guidelines by post following the 12 month audit; Outcomes: Primary outcomes are carer and consumer quality of life and depression. Secondary outcomes include: rates of GP identification of dementia compared to a more detailed gold standard assessment conducted in the patient’s home; GP identification of differential diagnoses including reversible causes of cognitive impairment; and GP referral to specialists, Alzheimers’ Australia and support services. A “case finding” and a “screening” group will be compared and the psychometrics of the GPCOG will be examined.; Sample Size: Approximately 2,000 subjects aged 75 years and over will be recruited through approximately 160 GPs, to yield approximately 200 subjects with dementia (reducing to 168 by 24 months).; Discussion: The trial outlined in this paper has been peer reviewed and supported by the Australian National Health and Medical Research Council. At the time of submission of this paper 2,034 subjects have been recruited and the intervention delivered to 114 GPs.; Trial Registration: Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12607000117415.;

Bibtex Citation

@article{Pond_2012, doi = {10.1186/1471-2296-13-12}, url = {}, year = 2012, month = {mar}, publisher = {Springer Nature}, volume = {13}, number = {1}, author = {Constance D Pond and Henry Brodaty and Nigel P Stocks and Jane Gunn and John Marley and Peter Disler and Parker Magin and Nerida Paterson and Graeme Horton and Susan Goode and Bronwen Paine and Karen E Mate}, title = {Ageing in general practice ({AGP}) trial: a cluster randomised trial to examine the effectiveness of peer education on {GP} diagnostic assessment and management of dementia}, journal = {{BMC} Fam Pract} }


aged, aged, 80 and over, assessment, clinical audit, cluster analysis, dementia, diagnosis, diagnostic, education, family practice, female, for, frail elderly, geriatric assessment, humans, male, peer, peer group, physicians family, therapy, treatment outcome

Countries of Study


Types of Dementia

Alzheimer’s Disease

Types of Study

Randomised Controlled Trial

Type of Outcomes

Depression and Anxiety, Quality of Life of Carer, Quality of Life of Person With Dementia


Primary Care

Type of Interventions

Workforce oriented interventions

Workforce Interventions

Professional Training / Continuing Professional Development