Collaboration Between Department of Old Age Psychiatry and Nursing Homes (SAM-AKS)
Primary Purpose
Dementia, Alzheimer's Disease, Behavioral Symptoms
Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Education and Supervision
Control
Sponsored by
About this trial
This is an interventional health services research trial for Dementia focused on measuring Dementia, BPSD, Quality of Life, Person-centred care, Job satisfaction, Nursing home, Primary care
Eligibility Criteria
Inclusion Criteria:
- All patients at nursing home units
Exclusion Criteria:
- Patients that are in a final state and patients that have not been at the nursing home unit more than two weeks
Sites / Locations
- Lillehammer sykehjem
Arms of the Study
Arm 1
Arm 2
Arm Type
Other
No Intervention
Arm Label
Education and supervision
Control
Arm Description
Personnel in nursing home units get intervention in form of education and supervision
Only registering of patient and personnel data in the beginning and the end of the study without any form of intervention.
Outcomes
Primary Outcome Measures
Quality of Life in Severe Dementia (QUALID), Person-Centred Care Assessment Tool (P-CAT, 2010)
Evaluate a new model of collaboration between a specialized department of Old Age Psychiatry and nursing home units to optimize patient care and job satisfaction of the caregivers.
Secondary Outcome Measures
Neuropsychiatric Inventory - Nursing Home version, Cornell Scale of Depression in Dementia, Registration of Constraints (Kirkevold, 2004)
In addition, we want to carry out a qualitative evaluation of the process of implementation of new scales and the effect of supervision on personnel and patients
Full Information
NCT ID
NCT01217541
First Posted
September 22, 2010
Last Updated
December 11, 2014
Sponsor
Sykehuset Innlandet HF
Collaborators
Helse Sor-Ost, Norwegian Department of Health and Social Affairs
1. Study Identification
Unique Protocol Identification Number
NCT01217541
Brief Title
Collaboration Between Department of Old Age Psychiatry and Nursing Homes
Acronym
SAM-AKS
Official Title
Collaboration Between Department of Old Age Psychiatry and Nursing Homes
Study Type
Interventional
2. Study Status
Record Verification Date
December 2014
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
March 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Sykehuset Innlandet HF
Collaborators
Helse Sor-Ost, Norwegian Department of Health and Social Affairs
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Dementia is a serious health problem showing an increasing prevalence rate with increasing age. In Norway, about 80% of nursing home patients have dementia. The mean age of nursing home residents in Norway is around 84 years. Disruptive and agitated behaviour affect 30-50% of all individuals with dementia at some point in the course of the illness. In addition, they have a combination of physical and psychological diseases which necessitates a close collaboration between different specialities in medicine and Old Age psychiatry. In collaboration with the communalities, our Old Age psychiatry services want to provide a new approach to this challenge and validate it on patient and personnel level.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dementia, Alzheimer's Disease, Behavioral Symptoms, Agitation
Keywords
Dementia, BPSD, Quality of Life, Person-centred care, Job satisfaction, Nursing home, Primary care
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
700 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Education and supervision
Arm Type
Other
Arm Description
Personnel in nursing home units get intervention in form of education and supervision
Arm Title
Control
Arm Type
No Intervention
Arm Description
Only registering of patient and personnel data in the beginning and the end of the study without any form of intervention.
Intervention Type
Other
Intervention Name(s)
Education and Supervision
Other Intervention Name(s)
Departments in NHs that do not get any intervention.
Intervention Description
Implementation of Scales in the care of patients with dementia in nursing home units with focus on person-centred care. Supervision of caregivers on a regular basis.
Intervention Type
Other
Intervention Name(s)
Control
Other Intervention Name(s)
Education, Supervision
Intervention Description
A control group of nursing home units that do not get any form of active intervention
Primary Outcome Measure Information:
Title
Quality of Life in Severe Dementia (QUALID), Person-Centred Care Assessment Tool (P-CAT, 2010)
Description
Evaluate a new model of collaboration between a specialized department of Old Age Psychiatry and nursing home units to optimize patient care and job satisfaction of the caregivers.
Time Frame
12 months after baseline assessment
Secondary Outcome Measure Information:
Title
Neuropsychiatric Inventory - Nursing Home version, Cornell Scale of Depression in Dementia, Registration of Constraints (Kirkevold, 2004)
Description
In addition, we want to carry out a qualitative evaluation of the process of implementation of new scales and the effect of supervision on personnel and patients
Time Frame
12 months after baseline assessment
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All patients at nursing home units
Exclusion Criteria:
Patients that are in a final state and patients that have not been at the nursing home unit more than two weeks
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Geir Selbæk, PhD
Organizational Affiliation
Sykehuset Innlandet HF
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lillehammer sykehjem
City
Lillehammer
State/Province
Oppland
Country
Norway
12. IPD Sharing Statement
Citations:
PubMed Identifier
18801019
Citation
Selbaek G, Kirkevold O, Engedal K. Psychiatric and behavioural symptoms and the use of psychotropic medication in Special Care Units and Regular Units in Norwegian nursing homes. Scand J Caring Sci. 2008 Dec;22(4):568-73. doi: 10.1111/j.1471-6712.2007.00576.x. Epub 2008 Sep 16.
Results Reference
background
PubMed Identifier
12789669
Citation
Kirkevold O, Laake K, Engedal K. Use of constraints and surveillance in Norwegian wards for the elderly. Int J Geriatr Psychiatry. 2003 Jun;18(6):491-7. doi: 10.1002/gps.883.
Results Reference
background
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Collaboration Between Department of Old Age Psychiatry and Nursing Homes
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