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Life- and person-centred help in Mecklenburg-Western Pomerania, Germany (DelpHi): study protocol for a randomised controlled trial


Thyrian, Jochen René, Fiß, Thomas, Dreier, Adina, Böwing, Georgia, Angelow, Aniela, Lueke, Sven, Teipel, Stefan, Fleßa, Steffen, Grabe, Hans Jörgen, Freyberger, Harald Jürgen, Hoffmann, Wolfgang


Trials, Volume: 13, Pages.: 56-56

Year of Publication



Background: The provision of appropriate medical and nursing care for people with dementia is a major challenge for the healthcare system in Germany. New models of healthcare provision need to be developed, tested and implemented on the population level. Trials in which collaborative care for dementia in the primary care setting were studied have demonstrated its effectiveness. These studies have been conducted in different healthcare systems, however, so it is unclear whether these results extend to the specific context of the German healthcare system.The objective of this population-based intervention trial in the primary care setting is to test the efficacy and efficiency of implementing a subsidiary support system on a population level for persons with dementia who live at home.; Methods and Study Design: The study was designed to assemble a general physician-based epidemiological cohort of people above the age of 70 who live at home (DelpHi cohort). These people are screened for eligibility to participate in a trial of dementia care management (DelpHi trial). The trial is a cluster-randomised, controlled intervention trial with two arms (intervention and control) designed to test the efficacy and efficiency of implementing a subsidiary support system for persons with dementia who live at home. This subsidiary support system is initiated and coordinated by a dementia care manager: a nurse with dementia-specific qualifications who delivers the intervention according to a systematic, detailed protocol. The primary outcome is quality of life and healthcare for patients with dementia and their caregivers. This is a multidimensional outcome with a focus on four dimensions: (1) quality of life, (2) caregiver burden, (3) behavioural and psychological symptoms of dementia and (4) pharmacotherapy with an antidementia drug and prevention or suspension of potentially inappropriate medication. Secondary outcomes include the assessment of dementia syndromes, activities of daily living, social support health status, utilisation of health care resources and medication.; Discussion: The results will provide evidence for specific needs in ambulatory care for persons with dementia and will show effective ways to meet those needs. Qualification requirements will be evaluated, and the results will help to modify existing guidelines and treatment paths.; Trial Registration: NCT01401582.;

Bibtex Citation

@article{Thyrian_2012, doi = {10.1186/1745-6215-13-56}, url = {}, year = 2012, month = {may}, publisher = {Springer Nature}, volume = {13}, number = {1}, author = {Jochen Ren{'{e}} Thyrian and Thomas Fi{ss} and Adina Dreier and Georgia Böwing and Aniela Angelow and Sven Lueke and Stefan Teipel and Steffen Fle{ss}a and Hans Jörgen Grabe and Harald Jürgen Freyberger and Wolfgang Hoffmann}, title = {Life- and person-centred help in Mecklenburg-Western Pomerania, Germany ({DelpHi}): study protocol for a randomised controlled trial}, journal = {Trials} }


aged, caregivers, clinical protocols, cooperative behavior, data interpretation statistical, dementia, germany, humans, outcome assessment (health care), psychology, quality of life, research design, sample size, 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


Primary Care

Type of Interventions

Non-pharmacological Treatment

Risk Factor Modifications

General population health promotion

Non-Pharmaceutical Interventions

Case management / Care navigator