This database contains 106 studies, archived under the term: "Service use or cost reductions (incl. hospital use reduction, care home admission delay)"
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Does telecare prolong community living in dementia? A study protocol for a pragmatic, randomised controlled trial
Leroi, Iracema,
Woolham, John,
Gathercole, Rebecca,
Howard, Robert,
Dunk, Barbara,
Fox, Chris,
O'Brien, John,
Bateman, Andrew,
Poland, Fiona,
Bentham, Peter,
Burns, Alistair,
Davies, Anna,
Forsyth, Kirsty,
Gray, Richard,
Knapp, Martin,
Newman, Stanton,
McShane, Rupert,
Ritchie, Craig
Background: Assistive technology and telecare (ATT) are relatively new ways of delivering care and support to people with social care needs. It is claimed that ATT reduces the need for community care, prevents unnecessary hospital admission, and delays or prevents admission into residential or nursing care. The current economic situation in England has renewed interest […]
Maintenance Cognitive Stimulation Therapy (CST) in practice: study protocol for a randomized controlled trial
Streater, Amy,
Spector, Aimee,
Aguirre, Elisa,
Hoe, Juanita,
Hoare, Zoe,
Woods, Robert,
Russell, Ian,
Orrell, Martin
Background: Cognitive Stimulation Therapy (CST) is a psychosocial evidence-based group intervention for people with dementia recommended by the UK NICE guidelines. In clinical trials, CST has been shown to improve cognition and quality of life, but little is known about the best way of ensuring implementation of CST in practice settings. A recent pilot study […]
Improving psychotropic drug prescription in nursing home patients with dementia: design of a cluster randomized controlled trial
Smeets, Claudia H. W.,
Smalbrugge, Martin,
Gerritsen, Debby L,
Nelissen-Vrancken, Marjorie H. J. M. G.,
Wetzels, Roland B.,
van der Spek, Klaas,
Zuidema, Sytse U.,
Koopmans, Raymond T. C. M.
Background: Neuropsychiatric symptoms are highly prevalent in nursing home patients with dementia. Despite modest effectiveness and considerable side effects, psychotropic drugs are frequently prescribed for these neuropsychiatric symptoms. This raises questions whether psychotropic drugs are appropriately prescribed. The aim of the PROPER (PRescription Optimization of Psychotropic drugs in Elderly nuRsing home patients with dementia) II […]
Implementatie, effecten en kosten van casemanagement voor mensen met dementie en hun mantelzorgers: Beschrijving van de COMPAS studie. = Comparing case management care models for people with dementia and their caregivers: The design of the COMPAS study
van Hout, H. P. J.,
Macneil Vroomen, J. L.,
Van Mierlo, L. D.,
Meiland, F. J. M.,
Moll van Charante, E. P.,
Joling, K. J.,
van den Dungen, P.,
Dröes, R. M.,
van der Horst, H. E.,
de Rooij, S. E. J. A.
Background: Dementia care in The Netherlands is shifting from fragmented, ad hoc care to more coordinated and personalized 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 […]
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.
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 […]
Systematic care for caregivers of people with dementia in the ambulatory mental health service: designing a multicentre, cluster, randomized, controlled trial
Spijker, Anouk,
Verhey, Frans,
Graff, Maud,
Grol, Richard,
Adang, Eddy,
Wollersheim, Hub,
Vernooij-Dassen, Myrra
Background: Care for people with dementia and their informal caregivers is a challenging aim in healthcare. There is an urgent need for cost-effective support programs that prevent informal caregivers of people with dementia from becoming overburdened, which might result in a delay or decrease of patient institutionalization. For this reason, we have developed the Systematic […]
The UP-TECH project, an intervention to support caregivers of Alzheimer’s disease patients in Italy: study protocol for a randomized controlled trial
Chiatti, Carlos,
Masera, Filippo,
Rimland, Joseph M.,
Cherubini, Antonio,
Scarpino, Osvaldo,
Spazzafumo, Liana,
Lattanzio, Fabrizia
Background: The epidemic of Alzheimer’s disease (AD) represents a significant challenge for the health care and social service systems of many developed countries. AD affects both patients and family caregivers, on whom the main burden of care falls, putting them at higher risk of stress, anxiety, mortality and lower quality of life. Evidence remains controversial […]
WHEDA study: effectiveness of occupational therapy at home for older people with dementia and their caregivers–the design of a pragmatic randomised controlled trial evaluating a Dutch programme in seven German centres
Voigt-Radloff, Sebastian,
Graff, Maud,
Leonhart, Rainer,
Schornstein, Katrin,
Vernooij-Dassen, Myrra,
Olde Rikkert, Marcel,
Huell, Michael
Background: A recent Dutch mono-centre randomised controlled trial has shown that occupational therapy improves daily functioning in dementia. The aim of this present study is to compare the effects of the Dutch community occupational therapy programme with a community occupational therapy consultation on daily functioning in older people with mild or moderate dementia and their […]
Exercise rehabilitation on home-dwelling patients with Alzheimer’s disease–a randomized, controlled trial. Study protocol
Pitkälä, Kaisu H.,
Raivio, Minna M.,
Laakkonen, Marja-Liisa,
Tilvis, Reijo S.,
Kautiainen, Hannu,
Strandberg, Timo E.
Background: Besides cognitive decline, Alzheimer’s disease (AD) leads to physical disability, need for help and permanent institutional care. The trials investigating effects of exercise rehabilitation on physical functioning of home-dwelling older dementia patients are still scarce. The aim of this study is to investigate the effectiveness of intensive exercise rehabilitation lasting for one year on […]
The Danish Alzheimer intervention study: rationale, study design and baseline characteristics of the cohort
WALDEMAR, G.,
Waldorff, F. B.,
Buss, D. V.,
Eckermann, A.,
Keiding, N.,
Rishøj, S.,
Siersma, V.,
Sørensen, J.,
Sørensen, L. V.,
VOGEL, A.
Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline characteristics of the cohort.; Methods: The study was a 1-year multicentre randomized controlled rater-blinded trial […]