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Dementia care management: going new ways in ambulant dementia care within a GP-based randomized controlled intervention trial


Eichler, Tilly, Thyrian, Jochen René, Dreier, Adina, Wucherer, Diana, Kohler, Leonore, Fiß, Thomas, Böwing, Georgia, Michalowsky, Bernhard, Hoffmann, Wolfgang


International Psychogeriatrics / IPA, Volume: 26, No.: 2, Pages.: 247-256

Year of Publication



Background: Increasing prevalence of dementia is a major challenge for the German healthcare system. The study DelpHi-MV (“Dementia: life- and person-centered help in Mecklenburg-Western Pomerania”) aims to implement and evaluate an innovative subsidiary support system for persons with dementia (PwDs) living at home and their caregivers.; Methods: DelpHi-MV is a GP-based cluster randomized controlled intervention trial. DelpHi-Intervention aims to provide “optimum care” by integrating multi-professional and multimodal strategies to individualize and optimize treatment of dementia within the framework of the established healthcare and social service system. The intervention is conducted by Dementia Care Managers (DCMs)–nurses with dementia-specific training–at the people’s homes. Based on German guidelines for evidence-based diagnoses and treatment of dementia, a comprehensive set of 95 interventio–modules–the “DelpHi-Standard”–was defined. Each module consists of predefined trigger condition(s), a subsequent intervention task, as well as at least one criterion for its completion. The intervention begins with a comprehensive assessment of the care situation, needs, and resources. The DCM develops and implements an intervention plan tailored to the individual conditions in close cooperation with the GP. EXPECTED RESULTS AND CONCLUSIONS: We expect statistically significant differences between control and intervention group in primary outcomes (quality of life, behavioral and psychological symptoms of dementia, pharmacotherapy, caregiver burden). Results can provide evidence for the effectiveness and efficacy of dementia care management according to the “Delphi-Standard”–prerequisites for implementing this concept into routine healthcare.;

Bibtex Citation

@article{Eichler_2013, doi = {10.1017/s1041610213001786}, url = {}, year = 2013, month = {oct}, publisher = {Cambridge University Press ({CUP})}, volume = {26}, number = {02}, pages = {247--256}, author = {Tilly Eichler and Jochen Ren{'{e}} Thyrian and Adina Dreier and Diana Wucherer and Leonore Köhler and Thomas Fi{ss} and Georgia Böwing and Bernhard Michalowsky and Wolfgang Hoffmann}, title = {Dementia care management: going new ways in ambulant dementia care within a {GP}-based randomized controlled intervention trial}, journal = {Int. Psychogeriatr.} }


activities of daily living, aged, aged, 80 and over, comprehensive health care, delphi technique, dementia, diagnosis, disease management, female, geriatric assessment, humans, independent living, male, mental competency, methods, needs assessment, outcome and process assessment health care, psychology, quality of life, social support, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Behaviour, Carer Burden (instruments measuring burden), Quality of Life of Person With Dementia


Extra Care Housing

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Case management / Care navigator