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Comparing Dutch case management care models for people with dementia and their caregivers: The design of the COMPAS study.


MacNeil Vroomen, Janet, Van Mierlo, Lisa D., van de Ven, Peter M., Bosmans, Judith E, van den Dungen, Pim, Meiland, Franka J. M., Dröes, Rose-Marie, Moll van Charante, Eric P., van der Horst, Henriëtte E, de Rooij, Sophia E., van Hout, Hein P.J.


BMC Health Services Research`, Volume: 12, Pages.: 132

Year of Publication



Background: Dementia care in the Netherlands is shifting from fragmented, ad hoc care to more coordinated and personalised care. Case management contributes to this shift. The linkage model and a combination of intensive case management and joint agency care models were selected based on their emerging prominence in the Netherlands. It is unclear if these different forms of case management are more effective than usual care in improving or preserving the functioning and well-being at the patient and caregiver level and at the societal cost. The objective of this article is to describe the design of a study comparing these two case management care models against usual care. Clinical and cost outcomes are investigated while care processes and the facilitators and barriers for implementation of these models are considered.; Design: Mixed methods include a prospective, observational, controlled, cohort study among persons with dementia and their primary informal caregiver in regions of the Netherlands with and without case management including a qualitative process evaluation. Inclusion criteria for the cohort study are: community-dwelling individuals with a dementia diagnosis who are not terminally-ill or anticipate admission to a nursing home within 6 months and with an informal caregiver who speaks fluent Dutch. Person with dementia-informal caregiver dyads are followed for two years. The primary outcome measure is the Neuropsychiatric Inventory for the people with dementia and the General Health Questionnaire for their caregivers. Secondary outcomes include: quality of life and needs assessment in both persons with dementia and caregivers, activity of daily living, competence of care, and number of crises. Costs are measured from a societal perspective using cost diaries. Process indicators measure the quality of care from the participant’s perspective. The qualitative study uses purposive sampling methods to ensure a wide variation of respondents. Semi-structured interviews with stakeholders based on the theoretical model of adaptive implementation are planned.; Discussion: This study provides relevant insights into care processes, description of two case management models along with clinical and economic data from persons with dementia and caregivers to clarify important differences in two case management care models compared to usual care.;

Bibtex Citation

@article{MacNeil_Vroomen_2012, doi = {10.1186/1472-6963-12-132}, url = {}, year = 2012, month = {may}, publisher = {Springer Nature}, volume = {12}, number = {1}, author = {Janet MacNeil Vroomen and Lisa D Van Mierlo and Peter M van de Ven and Judith E Bosmans and Pim van den Dungen and Franka J M Meiland and Rose-Marie Dröes and Eric P Moll van Charante and Henriëtte E van der Horst and Sophia E de Rooij and Hein P J van Hout}, title = {Comparing Dutch Case management care models for people with dementia and their caregivers: The design of the {COMPAS} study}, journal = {{BMC} Health Services Research} }


6, aged, caregivers, case, case management, cohort studies, dementia, economics, female, humans, male, management, models theoretical, netherlands, nursing, organization administration, prospective studies, questionnaires, research design

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cost and service use study, Economic evaluation, Non randomised controlled trial

Type of Outcomes

ADLs/IADLs, Carers’ Physical Health, Quality of Life of Carer, Quality of Life of Person With Dementia, Service use or cost reductions (incl. hospital use reduction, care home admission delay)



Type of Interventions

Intervention for Carers, Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Case management / Care navigator

Carer Focussed Interventions